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Heart Failure

Left Ventricular Hypertrophy

01/07/2009

Question:

I am 31 years old.Doctors found once my BP was high.For the last six months i am on medication with amlong 5mg and lodoz2.5.Thay say that i have got LVH.can u tell me whether it is very risky condition.Even if i do some modifications in life style will it have some effect on it.

Answer:

LVH stands for left ventricular hypertrophy.  It means that the muscle of the left heart is enlarged.  This is often seen with high blood pressure.  Although it seems to make the sense that the heart muscle gets bigger if it has to produce a higher pressure, it appears that in the long run this increase in size is harmful.  Patients with LVH are at greater risk for heart attack, heart failure and stroke.

Luckily, if the blood pressure can be normalized (to below 130/80), the left ventricular hypertrophy stops getting worse and can even be reversed.  The heart size can go back to normal, and it is likely that the elevated risk for heart disease and stroke is then also greatly reduced.

There are some data, that ACE inhibitors and angiotensin receptor blockers are slightly better at reducing left ventricular hypertrophy than amlodipine or Lozol.  It may be helpful to add one of these drugs to your regimen.

Life style changes are very helpful because they reduce the risk for many diseases, including heart disease and diabetes, but they are often insufficient to turn left ventricular hypertrophy around.

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Response by:

University of Cincinnati Max C. Reif, MD
Director, Hypertension Section
Division of Nephrology & Hypertension
Department of Internal Medicine
College of Medicine
University of Cincinnati
Max C. Reif, MD