Patient's Query
Hello doctor,
I am 31 years old, weigh 191 pounds, and stand 5 feet 7 inches tall. I have high blood pressure and occasionally experience mild chest pain. My ECG (electrocardiogram) report shows a leftward axis, while the echocardiogram indicates mild concentric left ventricular hypertrophy (LVH) and diastolic dysfunction, with normal systolic function. My left ventricular ejection fraction (LVEF) is 60 percent. My total cholesterol level is 213 mg/dL, TSH (thyroid-stimulating hormone) is normal, there is no indication of diabetes, and my creatinine levels are normal.
A renal Doppler report reveals no evidence of renal artery stenosis. I have a history of alcohol use and smoking for the past five years, but have now quit. I am currently taking Nebivolol and Amlodipine in the evening. My blood pressure was previously 160/120 but is now 130/90-95 mmHg. Could you please advise whether my current medications are appropriate? Are there any changes you would suggest?
Kindly advise.
Hello,
Welcome to icliniq.com.
I understand your concern.
I have reviewed your reports (attachment removed to protect the patient's identity). Your echocardiogram results are nearly normal. Your current medications seem to adequately control your blood pressure, so there is no need for any changes at this time. However, your weight of 191 pounds is considered high for your height of 5 feet 7 inches, which contributes to your elevated blood pressure. If you would like to manage your blood pressure without medication, it is essential to reduce your weight to 165 pounds.
I hope this helps you.
Thank you.
Patient's Query
Hello doctor,
I have three questions, please. If I lived in your city and came to you with mild concentric LVH, an LVEF of 60 percent, and a high blood pressure reading of 160/120 mmHg, what medications would you prescribe? One of my family doctors mentioned that beta-blockers (such as Nebivolol) combined with calcium channel blockers are more effective in young patients with mild LVH compared to ACE inhibitors or ARBs. Do you agree with this? Additionally, does mild concentric LVH regress with medication, exercise, and a proper diet? If so, approximately how many years does it typically take?
Kindly advise.
Hello,
Welcome back to icliniq.com.
I understand your concern.
Mild concentric LVH (left ventricular hypertrophy) can regress with good blood pressure control, exercise, and a healthy diet. I fully agree with the medications prescribed to you.
I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.
Thank you.
Patient's Query
Hello doctor,
I hope you are doing well. Please check my latest echocardiogram results. I have mild concentric LVH, and I am very worried at the moment. Could you please advise if I can go to the gym and exercise to help reduce weight? Is it safe for me to do cardio at the gym, lift light weights like dumbbells, and perform push-ups? Given that I am obese, will weight loss, a healthy diet, and blood pressure control help reduce the left atrial diameter (currently 40 mm) and mild LVH?
Is it realistic to expect a reduction in the left atrial diameter from 11 mm to within the 6 to 11 mm range within a year, as my medical exam for work is one year away?
Kindly advise.
Hello,
Welcome back to icliniq.com.
I understand your concern.
You must consult a cardiologist in person. He or she would decide after examining you thoroughly.
I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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