Will diet and exercise help regress mild concentric LVH?
Patient's 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 smoked for the past five years, but I have now quit. I am currently taking Nebivolol 5 mg and Amlodipine 2.5 mg. My diastolic blood pressure was elevated, which prompted me to quit smoking five days ago. Now, my blood pressure is around 130 to 135/90 to 100 mmHg. I do not have kidney damage, as my creatinine level is 0.88 mg/dL. My thyroid function is normal, and I am not diabetic. I am classified as obese, and my total cholesterol is 213 mg/dL. Will mild concentric LVH regress with diet and exercise?
Please advise.
Hello,
Welcome to icliniq.com.
Do not worry; it is important to quit smoking and drinking alcohol completely and permanently. Do not resume these habits, as they will adversely affect your health. I suggest considering the following medications. Please consult your specialist doctor, discuss these options with them, and start taking the medications only after receiving their consent. Take a tablet of Atorvastatin once daily after dinner and a tablet of Ramipril one tablet before breakfast to help lower your blood pressure. Your target blood pressure should be 120/80 mmHg. Additionally, avoid fried, fatty, salty, and spicy foods.
Thank you.
Patient's Query
Hello doctor,
Thank you so much for the reply.
Should I discontinue Nebivolol and S-Amlodipine? Can I exercise and go to the gym?
Hello,
Welcome back to icliniq.com.
Continue taking all your medications, and start the two medicines I have suggested after consulting your doctor. One medication is for lowering cholesterol, and the other is for reducing blood pressure. Avoid going to the gym for now; instead, you can go for walks. Weight control will further assist you in your health journey.
Patient's Query
Hello doctor,
Thank you so much for the reply.
Do you think that with blood pressure and diet control, I can live for another 20 years? I am 31 now, and I am very attached to my son, so please tell me about my life expectancy.
Hello,
Welcome back to icliniq.com.
I believe you will live for another 40 to 50 years. Yes, regularly check your blood pressure, maintain a disciplined lifestyle, and you will do well.
Patient's Query
Hello doctor,
Thank you so much for the reply.
As per your advice, I continued taking Atorvastatin 10 mg, and my lipid levels are now well-controlled, with an LDL of 49 mg/dL, and the rest are all fine. My physician discontinued Nebivolol, as it may be causing my heart rate to be between 65 and 70. I was prescribed Telmisartan 40 mg to take in the morning, and I also take Telmisartan 40 mg in the evening.
My blood pressure is good throughout the day, typically less than 130/86 mmHg, but in the early morning, it is 130/90 mmHg or higher, with the diastolic reaching 92 to 94 mmHg. Doctor, I want to control my morning blood pressure; please advise me on what to take and what changes I should make. Additionally, please explain how bedtime routines can help in managing blood pressure.
Hello,
Welcome back to icliniq.com.
Your TMT (treadmill test) result is negative. Please aim to achieve a BMI (body mass index) of around 25, as this will help lower your blood pressure further. Are you taking Ramipril 2.5 mg in the morning? It will help reduce your blood pressure more effectively. I suggest continuing your current medication along with Ramipril. Additionally, please stop smoking and drinking alcohol, and start walking for 30 to 40 minutes daily while following the recommended diet.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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