LVH

[kenhimura]

Dear Doc, Im 34 years old male. HPT since 2004 on  Perindopril 6mg (ACE Inhibitors). Last January i have palpitations. ECG shown Probable LVH. I haven't done my Echo yet. Back then with ACE inhibitor my BP were not well controlled. So the Dr. change it to ARB Co-Approvel. I check my BP 3 times a day since February. My BP now are well controlled ranging from 105/66 - 136/85mmHg but usually its <130/90mmHg. I also developed obstructive airway disease with difficulty in breathing occasionally. I was an active smoker for the last 10 years but has stopped last 4 months. The Dr. prescribed me MDI Becotide and MDI Atrovent. When I'm exercising (jogging) i noticed that my pulse rate are very rapid around 150-160BPM. Please advise on my prognosis and how can i change my life style so that maybe i will have a better chance. How about the LVH? Thank you.

[kenkeith]

QUOTE: " Please advise on my prognosis and how can i change my life style so that maybe i will have a better chance. How about the LVH? Thank you".

We are not medical doctors on this forum, but your questions can be addressed to provide a perspective and information you can discuss with your doctor.  Your personal doctor has your health history, other tests, symptoms, medication, etc. and is in the best position to discuss your medical concerns and specific information for your condition would not be reliable from any other source.

It appears you have high blood pressure based on the medication you are taking and high blood pressure can cause LVH.  Also, a respiratory condition can compound the problem of LVH.

Left ventricular hypertrophy is an enlargement of the heart's pumping chamber.  When there is high resistence (high blood pressure) from contricted vessels the heart works harder to pump blood into circulation and the left ventricle enlarges.  An enlarged LV, if not effectively treated, will lose its ability to pump enough blood into circulation to meet the system's demand for oxygenated blood.

Medication that controls your blood pressure reduces the heart's workload and oftened the LV  returns to normal size. Your COPD should treated with everything from bronchodilators, steroids, aerosol therapy and antibiotics, to pulmonary rehabilitation, oxygen therapy.  When there is a COPD the heart works harder than normal to provide oxygen to heart cells that are deficit from COPD condition....that would include a faster heart rate, etc.

Thanks for your sharing and if you have any further questions or comments you are welcome to respond.  I wish you well going forward, take care,

Ken