Mild LVH

[aarshadaa]

I am working in IT (under pressure) environment, hence I go every quarterly to cardiologist for  regular checkup, it has been 10 years regular checkup at times I had high BP (150/90 -160/90), doctor never prescribed me medication during these years I underwent 4 time stress test (last one was three years before). Everything was normal, last two week I was feeling more stress and I went to doctor for checkup, he has asked for a ECHO test and told me that you have mild LVH (1.27cm) but this is not significant and your BP is 155/90 and we need to control it.  At present he has prescribed me Olemesartan Medoxomil/Amlodipine Besilate (40/5 mg) I need your suggestion. (My age is 43). My present weight is 97 kg and I have started brisk walking since last week and also I am on diet. How shall it me to bring LVS (55%. Doppler parameters are indicative of normal diastolic function. Left ventricular filling pressures are normal.

Right ventricle: There is normal right ventricular cavitary dimensions. Right ventricular  systolic function is normal.RVSP is normal.

Aortic Valve: The aortic valve is tri-leaflet.The valve is normal in structure and function.


Mitral Valve: The mitral valve is normal in structure and function.There is nortnal sub-valvular mitral apparatus.

Tricuspid Valve: The tricuspid va1ve is normal. There is trace tricuspid regurgitation.

Pulmonic Valve: The pulmonic valve is normal in structure and function. There is trace pulmonary regurgitation.

Pulmonary Artery: The pulmonary artery is normal  in size. Left Atrium: The left atrial size is normal.

Right Atrium: The right atrial size is normal.

Atrial Septum: The inter-atrial septum is intact with no evidence of shunt by color Doppler.


Pericardium: Normal  in thickness . There is no pericardia)  effusion.


IVC: Displays normal collapsibility with respiration, the right atrial pressure is estimated at 3 mmHg.

[erijon]

It's all about your blood pressure, it's the primary underlying cause for LVH. If you can't control the pressure in your life you may want to make a change in occupation. Everything else on your report looks good and your LVF is really not significant yet. Control the BP and it may never change.

[ed34]

I don't see any job being worth your health. You need to learn to control your stress before it destroys you. While having your BP taken by your cardiologist, I bet its higher when you are at work. What is so stressful about your job?