treatment for hypertrophy

Dear Sir/Madam,
I am suffering from Concentric Left Ventricular Hypertrophy,Diastolic dysfunction,Ejection Fraction low and there are changes in ECG.So,will you please tell me about the proper treatment and precautions to take for that.

[kenkeith]

It is difficult to provide you with reliable information with just the information you have provided.  Generally,  dystolic dysfunction involves the filling phase of the cardiac cycle.  Left ventricle hypertrophy probably indicates the heart walls are thickened and stiff and the inability to relax during the filling phase and that inhibits an adequate supply of blood pumped into circulation with each heartbeat.  

Ejection fraction is the amount in a percentage of the filled ventricle that is pumped into circulation with each heartbeat.  Normal is 50 to 70%.

Treatment would depend on the undeerlying cause for the enlarged heart.  Frequently the enlargement is due to high blood pressure.  The heart enlarges to compensate for the hbp and treatment for hbp would place less stress on the heart and may improve funcionality.  The problem could be structual heart or vascular anomaly, heart muscle disease ie bacterial, virus, alcohol, medicine, etc.  

Hope this helps and thanks for your question and if you have any follow-uo questions you are welcome to ask.  Take care.

[grendslori]

Your post is a bit confusing. It is normal for you to be in Diastolic Dysfunction with CHCM. Your EF% would be in the normal range with this disease, not low. If it were low than you would also be in the end stage of this disease and have Systolic Dysfunction as well which would give you the low EF%. For most people the use of Calcium Channel Blocker drugs help to relax the heart muscle and allow it to fill better. Sometimes surgery is done to decrease the heart thickness; this is called a myectomy. Sometime pacemakers and ICD are given to patients with HCM as well due to electrical problems within the thickened walls. The tests that should be done would be the EKG, Echo, Stress Test, for some: a Tilt Table Test, a cath and an EP Study done to check the electrical systems of the heart as a small amount of patients can suffer a sudden death event due to arrhythmias in the heart (about 2%). You should have all 1st generation family members check for the disease as well as this is generally genetic. So parents, siblings and children should have an EKG and Echo done.  You should be followed by a center that deals with this disease on a regular basis. A small percentage of patients (5%) eventually need to have a heart transplant