Is it possible to reverse right ventricular hypertrophy?
Patient's Query
Hi doctor,
My right ventricle was moderately dilated, although my systolic function was normal, and my ejection fraction was 65 %. My inferior vena cava was also dilated, although it was less than 20 mm, which is typically based on what I have observed. My issue is, can I reverse right ventricle dilatation or, at the very least, avoid it from worsening?
Also, I am taking a tablet of Propranolol 20 mg twice daily, a tablet of Alprazolam 1 mg twice daily, and a tablet of Norethindrone 35 mg once daily. Please help.
Thank you.
Hello,
Welcome to icliniq.com.
I understand your concern.
RV (right ventricle) and IVC (inferior vena cava) size are related to pulmonary pressures in a structurally normal heart. And their larger dimensions are completely reversible if the source is addressed unless they become too dilated. I do not see it dilating according to the proportions you indicated in your situation. If it is dilated, there must be a cause, such as increased RV (right ventricle) pressure. In the case of IVC (inferior vena cava) with dimension, it should be collapsing periodically. Tricuspid regurgitation, which occurs when the valve's flaps do not close properly, was not visible in your reports (attachment removed to protect patient's identity).
Right ventricle systolic pressure (RVSP) could not be estimated due to an insufficient view. So, in the next echo (echocardiogram), ask them to mention RVSP because, without that, we cannot say if there are raised pulmonary pressures. What has been stated is based on how it appeared to the sonographer (a healthcare professional specializing in ultrasonic imaging devices), which may or may not be pathologically dilated. You can attempt to lose some weight because an increase in body surface area may create some elevated pressures, and losing weight may give you a better view of echo. But, right now, those dimensions are not concerning.
I hope this helps.
Please revert so I can assist you further.
Thank you.
Patient's Query
Hi doctor,
Thank you for your reply.
Yes, I began a weight loss program and have already dropped 40 pounds. I still have a long way to go, but it is a start. So, do you not find anything concerning in my reports right now?
Thank you.
Hello,
Welcome back to icliniq.com.
I understand your concern.
Yes, there is nothing to be concerned about. You may repeat the echo (echocardiogram) after six months. And insist on a good view and measurement of right ventricular systolic pressures (RVSP) because simply claiming RV (right ventricle) dilated does not make sense unless the dimensions are within normal range.
I hope this helps.
Please revert so I can assist you further.
Thank you.
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