2D Echo findings

[raghu_nandan77]

Hi - I am a 32 year old male. I am hypertensive for the last 2-3 years and had a BP of 150/100. The doctor has now put me on Telmisartan 40 mg and Amlodipine 5 mg (it is one tablet per day) for 2 weeks. My BP has now reduced to 140/80. I was asked to take a 2D echo and a tread mill test yesterday and here are the findings :

1. 2-D Echo findings - Mild LVH. LVID-d : 3.92mm, LVID-s : 2.06 mm, LVPW-d : 1.22 mm, LVPW-s:1.64 mm, IVS-s : 1.11 mm, IVS-d : 1.27 mm, EF-70%.
Normal LV Systolic function (EF 70%). No regional wall motion abnormality. No valvular lesion, no LV clot. Concentric LVH. No TR, no PAH.

Stress test (Treadmill) results were normal : Adequate HR BP response. Normal Haemodynamic response, Normal Chronotopic response. No Angina, No ST changes. TMT is negative for IHD.

My questions are :

1. Are my echo measurements way too abnormal (considering my age is just 32) ? Is this condition reversible?

2. Is the prescribed medication okay ?

3. If I make lifestyle modifications , would i be able to completely stop this medication and get my BP back under control?

My cardiologist advised me not to worry too much about the 2-D echo measurements and to concentrate on getting my blood pressure below 120/80. Am a little worried that I am diagnosed with concentric LVH at such an young age.

Any thoughts and direction apart from my specific question.

Thanks,
Raghu

[kenkeith]

Your dimensions are in cm not mm.  The dimensions are estimates, and there is no outstanding negative dimensions.

Ejection fraction (EF70%) is the amount of blood pumped with each heartbeat (normal is 50 to 70%).

Sometimes lifestyle changes can have a positive effect on an individual's bp.  Others may require medication as well as life style changes.  

Your doctor is concerned about bp, and that is a problem and the bp should be controlled.