Q. Will diet and exercise regress mild concentric LVH?

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, so I quit smoking five days back. Now my blood pressure is around 130-135/90-100 mmHg. I do not have kidney damage, my creatine is 0.88, my thyroid is normal, and I am not diabetic. I currently take Nebistar SA. I am obese, and my total cholesterol is 213. Will mild concentric LVH regress with diet and exercise?

Hello doctor,

Thank you so much for replying.

Should I discontinue Nebistar SA? Can I exercise and go to the gym?

Hi doctor,

Thank you so much for the response.

Do you think with BP and diet control, can I live for another 20 years? I am 31 now, I am very attached to my son, so please tell me my life expectancy.

Hello doctor,

Thank you, doctor.

As per your advice, I continued Aztor 10 mg and my lipids are now well-controlled, LDL is 49 mg/dL, and the rest are all fine. My physician removed Nebistar as it may be causing the heart rate to be 65 to 70. Prescribed Telma is 40/5 mg in the morning and during the evening also Telma is 40 mg. My BP is good throughout the day say less than 130/86 mmHg but in the early morning and morning, It is 130/90 mmHg or higher diastolic even 92 to 94 mmHg .

Doctor, I want to control my morning BP, please tell me what to take and what changes to make. Also, please tell me how bedtime does help in managing BP.