HomeAnswersCardiologyleft ventricular hypertrophyI have been suffering from borderline left ventricular hypertrophy (LVH) and anxiety for the past two years. How to manage it?

How can I manage my LVH along with the anxiety issues?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At November 30, 2023
Reviewed AtJanuary 9, 2024

Patient's Query

Hello doctor,

I am 33 years old and have been feeling anxious for the past two years. A while ago, I discovered a slight heart condition called borderline left ventricular hypertrophy (LVH). I am taking medications like calcium channel blockers and ARB (angiotensin receptor blockers). Knowing about this heart condition has made me even more anxious. I have been feeling uncomfortable in my chest and also have dizziness. I would appreciate any advice you could give me on managing my LVH and dealing with my anxiety. My last test was ECG two years ago, so I am unsure what to do next. Please help.

Thank you.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

No need to worry; this is just a compensatory change in the heart in response to high blood pressure. It is similar to how bicep muscles hypertrophy in response to exercise. It will gradually improve as your blood pressure comes under control over time. Our primary focus is not on the LVH (left ventricular hypertrophy), as it typically does not create future problems. Instead, our target is to lower your blood pressure, which is the underlying cause, and you are already taking medication for it. So, it is essential to monitor your blood pressure regularly and keeping it in check is essential.

As a young person with hypertension, you should first evaluate the cause of your high blood pressure. I suggest you do tests like kidney function tests, renal artery Doppler, Serum cortisol, and a 24-hour urinary metanephrines test. Additionally, get your lipid profile and blood sugar levels checked. I suggest the following treatment plan:

  1. To maintain a healthy lifestyle, avoid fatty, oily, and high-calorie foods.

  2. Opt for a low-salt diet and monitor your blood pressure regularly, initially three times a day for a week and then once or twice a week.

  3. Consider adjusting your medication if your blood pressure consistently exceeds 140/90 mmHg (millimeters of mercury).

  4. Incorporate regular exercises such as brisk walking or jogging for at least 30 minutes a day, five days a week.

  5. Include plenty of green leafy vegetables, fruits, and fish in your diet while avoiding meat. Also, quit smoking and limit alcohol intake if applicable.

  6. Consider getting an ECG (echocardiogram) done to rule out any cardiac causes of chest discomfort.

  7. I suggest you take antacids like tablet Pan DSR (Domperidone and Pantoprazole) before breakfast once daily for two weeks if you experience acidity.

    I hope this helps.

    Please revert in case of further queries.

    Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sagar Ramesh Makode
Dr. Sagar Ramesh Makode

Cardiology

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