lvh an hcm

[jsm7679]

can anyone help had a echo in 09 after a afib episode  caused by wpw that i had ablated the echo showed an ef of 55% left atrial size of 3.8cm no lvh no lvd normal wall motion no mitrial regug everything was normal basicly three months later i was getting a fast heart beat an went to see my reg cardio he did holter an said i was having svts sent me back to ep she then said i needed another ablation i wasnt happy but said ok she then said i should get a stress test that exercise part came back normal but the pics said mild to moderate blockages then had a heart scan which came back normal all was good then i had the ep study an she found nothing an said i was fine then went to reg cardio an he did blood test all normal glucuse little high had echo again aortic valve normal,mitrial valve trace regurg (which i was told alot of patients get on his echo machine)an normal,left atrium normal,left ventricle normal hypertrophy both where checked this is what is scarying me because of hcm,lv function normal rt atrium normal right ventricle normal tricuspid valve normal no pe no antibiotic prophylasxis no sudden deaths in family my moms dad died at 60 yrs old heay drinker an smoker dad only one in his family with cad before 50 heavy smoker an fat with little activity an lots a stress so there is no history of hcm i was kept on a beta blocker after my ablation for slightly high bp which i seem to have under control averageing 125/75 lately also take xanax 1mg a day i am nervous about everything main question does a good echo in 09 an a echo of lvh rule out hcm please help

[jsm7679]

thx u for your reply what is your opion on two good echo reading an than this one that says bothnormal an hypertrphic my ef is good all around an no ekgs have ever been questionable after ablation except a holter report that said svts but was found to be false after ep study again thank you

[kenkeith]

Left ventricle hypercardiomyopathy can be due to dilation the chamber, and the underlying cause can be successfully treated and often the LVH can return to normal size.  Also, LV cardiomyopathy can be due to wall thickness, and that can have different causes...including alcohol, drugs, medication, viral infections, high blood pressure, etc.

If your enlargement is a medicall problem there would be a decrease in the EF (fraction of blood pumped with each heartbeat)for the dilated LV.  If the enlargement is due to thick walls that would present present a different porblem.  The problem would be a crowding out affect and the heart walls can't relax sufficiently to adequately fill...that would by diastole failure if serious and the EF insufficiency would be a systole (pumping problem).