Left Ventricular Hypertrophy

The thickening of the walls of the left ventricle (the lower left chamber of the heart) is called left ventricular hypertrophy. High blood pressure, aortic valve stenosis, prolonged athletic training, and genetic heart diseases increase the risk of left ventricular hypertrophy. Its symptoms include fatigue, shortness of breath, and chest pain.

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Do I have HCM or something else?

Query: Hello doctor,I am a male aged 56 years. I am having a musculoskeletal problem. 14 years back I was diagnosed bone TB and treatment was taken. Problem recurred four years later and diagnosed as ankylosing spondylitis (AS). Despite on biological injection for 10 years, efficacy reduced and became inef...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. I have gone through your reports and summary (attachment removed to protect patient identity). You do not have HCM (hypertrophic cardiomyopathy) and also do not have had any heart attack. There are changes in the ECG (electrocardiography) which is called as strain pa...  Read Full »

Will diet and exercise regress mild concentric LVH?

Query: Hello doctor, I am 31 years old and have mild concentric left ventricular hypertrophy and grade 2 diastolic dysfunction. I was an alcoholic and used to smoke for the past five years, but now I have quit. I am on Nebivolol 5 mg and Amlodipine 2.5 mg medication. My diastolic blood pressure was higher...  Read Full »


Dr. Amiya Kumar Chattopadhyay

Answer: Hi, Welcome to icliniq.com. Do not worry; completely stop smoking and alcohol forever. Do not restart again, as it will adversely affect your health. I suggest you try taking the following medicines. Consult your specialist doctor, discuss with him or her and start taking the medicines after their...  Read Full »

ECG shows RBBB and marked left ventricular hypertrophy. What does it mean?

Query: Hi doctor, My son is 12 years old, very active, plays representative basketball and attends a sports high school. Last Sunday, he was knocked over while playing and hurt his arm. After getting up, he fainted. He was fine after that. There were no broken bones, but the medical center did an ECG, and ...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. The ECG (electrocardiogram) is showing incomplete RBBB (right bundle branch block) or early RBBB and features of left ventricular hypertrophy, and also heart rate is on lower side nearing 60 beats per minute. But as you mentioned, he is a basketball player. So, athle...  Read Full »

I have difficulty in breathing. Is it due to my heart condition?

Query: Hello doctor, I am taking medicines for the heart. Now, I have difficulty in breathing. So, I decided to see cardiologists. Here are the findings: the study is done using standard transthoracic 2D echocardiographic views. Normal left ventricular internal diameter with left ventricular mass index (LV...  Read Full »


Dr. Ritendra Nath Talapatra

Answer: Hello, Welcome to icliniq.com. By reviewing your clinical symptoms and medical records (attachment removed to protect patient identity), here are the salient findings with explanations. In your echo report, you are having concentric LVH (left ventricular hypertrophy), means you are hypertensive f...  Read Full »

My mother was diagnosed with diastolic dysfunction grade 2 and left ventricular hypertrophy. Kindly help.

Query: Hello doctor, My mother is 47-year-old and is long-term hypertensive. She got diagnosed with diastolic dysfunction grade 1 after experiencing swelling in her feet, cough, and breathlessness three years ago with an E/A ratio of 45/42, mild TR, and concentric ventricular hypertrophy. And the recent te...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to icliniq.com. Thank you for your query. I reviewed your query. The concentric left ventricular hypertrophy leading to diastolic dysfunction can be reversed by controlling blood pressure. I suggest you to follow a few instructions mentioned below. Please get basic blood tests, l...  Read Full »

I have been experiencing a wide variety of symptoms for the past year. Could you please give some suggestions?

Query: Hi doctor, I have been experiencing a wide variety of symptoms for the past year like fatigue, muscle and body aches, brain fog/forgetfulness, vertigo, headaches, heat intolerance, episodes of feeling shakey (blood sugar is normal), bowel changes (constipation), episodes of nausea, trouble sleeping,...  Read Full »


Dr. Zulfiqar Ahmed

Answer: Hi, Welcome to icliniq.com. I am sorry to hear you are going through a lot. Your symptoms are varied and involve many systems. In terms of endocrine, you mentioned your thyroid function tests are fine. I would like to exclude pheochromocytoma and carcinoid syndrome along with any neuroendocrine tu...  Read Full »

What could be done for the semi-conscious state of my mother-in-law?

Query: Hello doctor, This query concerns my mother in law. She has an imbalance of sodium due to which she becomes semi-conscious. Her condition has not improved since more than six months now. When I enquired with her doctor, he says that her health will remain this way throughout her life. She was oper...  Read Full »


Dr. Settipalli Saravan Pramod

Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. I have seen the reports attached by you (attachment removed to protect patient identity). Your mother in law is diagnosed with multiple conditions such as hypertension, diabetes mellitus, left ventricular dysfunction ...  Read Full »

If I quit smoking, will my RBC, hemoglobin, and PCV levels come back to normal?

Query: Hello doctor, I am suffering from hypertension since few years, and I am currently on medication Telmisartan. I am an alcoholic and smoker, and I smoke approximately 15 cigarettes a day for the last five years. My current CBC report suggests high RBC, hemoglobin, and PCV. Though it reduced slightly ...  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hi, Welcome to icliniq.com. I have gone through your attached reports (attachment removed to protect patient identity). The diagnosis is polycythemia. Polycythemia can be secondary or primary. Secondary polycythemia occurs because of hypoxia, which activates the oxygen sensor and more erythropoi...  Read Full »

Why am I diagnosed with concentric LVH without any symptoms?

Query: Hi doctor, As a part of the annual health check-up, we went for an ECG (electrocardiogram), blood tests, and 2D (2 dimensional) Echo (Echocardiography) and were diagnosed with Concentric LVH (left ventricular hypertrophy). We hence consulted the local doctor who prescribed the below medicines: Myo...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. How are your blood pressure readings in general? It was truly a fasting sample because if not fasting, then results may not be accurately interpretable. Your ECHO shows concentric LVH, and the usual reason for it is hypertension. So you need to monitor your blood p...  Read Full »

Do I need cardiac magnetic resonance imaging for right ventricular enlargement?

Query: Hi doctor, Four months ago, I had echocardiography that showed left ventricle hypertrophy. I just recently did another echocardiography, and it now shows left and right ventricle hypertrophy with RAE (I have attached the new and old echocardiography report). I am concerned about this progression and...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to icliniq.com. I have gone through the reports (attachments removed to protect the patient's identity). Echocardiography is a very operator-dependent test and the value may vary from operator to operator and even with the same operator over different times. Your overweight and obes...  Read Full »

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