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High blood pressure arrhythmias and lvh

Just a little back ground I am 31 years old male, decently fit, 6’2, 245. I have been on blood pressure medicine since my early 20’s intake meds day and night because I have uncontrollably high blood pressure if I don’t. I have episodes of skipped beats that leave me breathless and are rather scary when they occur. They seem to be close to what is described as ectopic beats. I never had them until I started medication to control high blood pressure. I have had moderate LVH detected on a heart echo 6 years ago. I stay active by working out, typically weightlifting 4-5 days a week and have a low resting heart rate. I don’t use any stimulates, pre workout, protein powders or anything. I have had al levels of blood tested all are normal except slightly elevated cholesterol but triglycerides are good. I can feel when an episode of skipped beats is going to happen as I will start getting these body/nerve twitches first. Usually they occur a couple of times every 3-6 months but recently I’ve had it happen everyday for the last 5 days. I have checked my blood pressure and it’s abnormally higher than normal running 165/90 which is abnormal for me. I have a scheduled visit with my cardio soon to hopefully get answers. My wife has a stethoscope and we listened to her heart and we can easily hear it. My heart is very hard to hear and we can really hear it at all. Is this a bad sign? I typically have a low resting heart rate which dips into bradycardia (below 60). I am muscular but just slightly above an average muscular build again I do not take any supplements. I have also noticed my ecg on the able watch is different than hers. Her R wave points are more pronounced and mine are somewhat lower. Not sure if that means something. Just wondering if anyone has had similar things such as high blood pressure/LVH/and arrhythmias it’s all scary to be honest. I have two small kids and just want to be around for them.
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Avatar universal
I seen a cardiologist and had an ekg done and it came back abnormal possible right bundle branch block with wide QRS. Said this could be benign or it could be something. I am having an echo done on wed and a follow up middle of next month. Hoping it’s all well.
Helpful - 0
Has there been any follow up?
Left ventricular systolic function is normal. Left ventricular ejection fraction appears to be 66 - 70%. • Left ventricular wall thickness is consistent with mild concentric hypertrophy.
• Left ventricular diastolic function was normal.
• Estimated right ventricular systolic pressure from tricuspid regurgitation is normal (<35 mmHg).
Left ventricular systolic function is normal. Left ventricular ejection fraction appears to be 66 - 70%.
Septal wall motion is normal. Normal left ventricular cavity size noted. Left ventricular wall thickness is consistent with mild concentric hypertrophy. All left ventricular wall segments contract normally. Left ventricular diastolic function was normal.
Normal right ventricular cavity size and systolic function noted.
Normal left atrial cavity size noted.
Normal right atrial cavity size noted.
The aortic valve is grossly normal in structure. The aortic valve appears trileaflet. No significant aortic valve regurgitation is present. No hemodynamically significant aortic valve stenosis is present.
The mitral valve is grossly normal in structure. Trace mitral valve regurgitation is present. No significant mitral valve stenosis is present.
Trace tricuspid valve regurgitation is present. Estimated right ventricular systolic pressure from tricuspid regurgitation is normal (<35 mmHg). No evidence of significant tricuspid valve stenosis is present.
The pulmonic valve is grossly normal in structure. There is no significant pulmonic valve regurgitation present. There is no pulmonic valve stenosis present.
No dilation of the aortic root is present.
There is no evidence of pericardial effusion. .

I have a follow up this Tuesday on the results and also my Holter monitor results I can let you know what they say.

973741 tn?1342342773
Hi there. I appreciate your concern for your health and taking it seriously. I also got a lot more serious when I became a parent!  I wouldn't compare to your wife. We try to read things as pedestrians who haven't studied medicine and we can get a skewed idea either of something terrible being wrong when it's not or being normal when it's not. Do 'try' to leave that for the doctor. Since she isn't having issues, why is she getting ecg's? And the listening to each other's hearts with stethoscope. I'll be honest, I DO hear a component of health anxiety here. I get it since you have the same thing I do it sounds like, familial hypertension and crummy cardiovascular genes. But the constant surveillance and checking is a form of ritual that can go on with health anxiety. Do you have anxiety in other areas too?

Now I suffer anxiety too. And my husband can from time to time. I get something called pvc's. Here is a link to read about them: (copy and paste) https://www.mayoclinic.org/diseases-conditions/premature-ventricular-contractions/symptoms-causes/syc-20376757.  

Here is a definition of a pvc from the article: Premature ventricular contractions (PVCs) are extra heartbeats that begin in one of the heart's two lower pumping chambers (ventricles). These extra beats disrupt the regular heart rhythm, sometimes causing a sensation of a fluttering or a skipped beat in the chest.

It feels scary. Especially when you have health anxiety! Here are symptoms:
    Pounding or jumping
    Skipped beats or missed beats
    Increased awareness of the heartbeat

Here are causes:

    Certain medications, including decongestants and antihistamines
    Alcohol or drug misuse
    Stimulants such as caffeine or tobacco
    Increased levels of adrenaline in the body due to exercise or anxiety
    Injury to the heart muscle due to disease

Helpful - 0
They will likely have you wear a holter monitor. My husband's and my pvc's while bothersome to us did fall into a category to be worried about from a doctor's perspective. My husband's went away and mine happen occasional. Caffeine makes them worse, for example.

So, seeing your cardiologist is perfect and the right step to take. Again, they will probably run tests and have you wear a holter monitor to see specifically what is happening.

Your bp rising to 165/90 is always scary. That's what mine was when I started blood pressure medication a year ago. It had been rising and up in that range for a bit though. Not a one off or occasional thing. I had managed mine for a long time with cardiovascular exercise (aerobics, brisk walking, kick boxing, etc. ) and weight management. this got harder and harder as I age. So, finally, meds were important. My doctor said that a couple high readings is okay. But you look for consistency. I don't check my blood pressure that often because it makes me anxious. But they may recommend for a period of time you do and record them to get what really IS the norm (you may already do this given your checking on yourself health wise). Maybe they will need to readjust your bp medication. I take losartin at a low dose. Some day, maybe I'll need a higher dose, for example. IF it is a serious situation with arrhythmia's, you are smart for your doctor to evaluate.

Let me know how it goes!
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