Please interpret this....

Hello,

"presence of a mild thickening and echodensity of the basal inferior wall which could indicate prior scarring" but apart from that he did not have a left ventricular outflow tract gradient which would have indicated significant hypertrophic heart disease.

What does it mean? What kind of LVH is it? How serious? Thank you.

Randolph

[CCF CARDIO MD - DLB]

Out of context, it is hard to say. The report raises the possibility of a heart attack involving the bottom of the heart. Any LVH, if present, is mild.

[Randolph]

Hi,

You answer scared me. I had the echo since I was getting some PVCs for about 2 months. Holter showed about 500s of them and benign. To rule out any other problems, I had the stress echo.
Stess test was fine although it showed significant higher BP.
I am 27 year old, workout 3-4 hours a day, healthy otherwise.
The thickening, could it from something else? Thank you.

Randolph

[CCF CARDIO MD - DLB]

Any thickening could just be from mild LVH or it could represent nothing at all - echo images are a little fuzzy after all.

[Randolph - Last question]

Is basal inferior wall related to left ventricle? Meaning, how
are these two related in case of LVH. Thank you.

Randolph

[CCF CARDIO MD - DLB]

Basal inferior wall refers to the bottom part of the left ventricle. If it is thickened, technically that would be localized LVH.

[Randolph - Thank you]

Dear Doc.,


Is there a difference between localized "lvh" and other lvh? Aren't they all caused by hypertension if htn. is the case?

Thank you very much for your replies. I really appreciated it.
It makes me proud to see guys like you doing such a great job. Thank you again. Keep up the good work.

Randolph

[CCF CARDIO MD - DLB]

If hypertension results in real LVH, it almost always affects the entire heart. Localized LVH can occur with certain types of cardiomyopathy.

[Randolph]

Hi,

Sorry to bug you again.

1. If the hypertension results in real LVH and always affects the entire heart, why is it called the LVH?
LVH by definition is the enlargement of the Left Ventrical, isn't it?

2. In what type of cardiomiopathy does the localized LVH occur? And what are the treatments for this? Are there any benign type of localized LVH?

3. Finally, how accurate Echo is in determining the LVH. Previously you mentioned that Echo being fuzzy. Is there any other tests?

Randolph

[CCF CARDIO MD - DLB]

1. It does not absolutely have to affect the entire heart.
2. Hypertrophic cardiomyopathy. This can be treated with surgery if a patient is having severe symptoms.
3. Fairly accurate. MRI can also measure LVH.