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hypertensive cardiomyopathy

I had an EKG which showed a LBBB. This led to a visit with a Cardiologist who ordered a stress test (passed, no blockages) and an echocardiogram. The echocardiogram showed some weakening of the heart muscle, "it's not pumping as strong as we'd like". The Cardiologist said I don't really have anything to worry about. He suggested some lifestyle changes (more exercise and losing some weight) and changed one of my blood pressure meds. I've had high blood pressure for about 10 years, usually under control with Hyzaar and Norvasc. I feel fine. Should I get a second opinion?
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367994 tn?1304953593
Exercise (aerobic) can help the heart increase heart contractions.  Does your stress test report indicate hypokinesis (heart muscle impairment)?  Is your ejection fraction (EF) between 50 and 70%...that calculation is the amount in percentage of blood pumped out of the left ventricle with each heartbeat?  Is your left ventricle enlarged? Those readings would indicate degree of any lost contractility, and whether or not there should be treatment and another cardiologist's analysis.
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