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Old 02-12-2008, 05:39 PM   #1
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Blood Pressure and Thickened Heart Muscle

A vist to my internist today disclosed in an EKG thickened heart muscle and now I am awaiting an Echo test. He mentioned this is caused by blood pressure and is reversible. I would imagine someone on this board could tell me more about this. He didn't use a name, but could this be ventricular hydrotropy or something else? I am seriously nervous and can't stop thinking that the Echo will show something more sinister. What he did say is that medication will be quite useful with this type of problem so I presume I'll be put on blood pressure pills again. SO NOT HAPPY! Is this a common disorder? Thanks for your replies. Have a good nite.

 
Old 02-12-2008, 05:42 PM   #2
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Re: Blood Pressure and Thickened Heart Muscle

Sorry, the correct term in my prior post should have read Left Ventricular Hypertrophy.

 
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Old 02-12-2008, 07:50 PM   #3
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Re: Blood Pressure and Thickened Heart Muscle

Hi Mom,

The ECG is an unsensitive tool for diagnosis of left ventricular hyperthrophy. It only detects between 20-50% of LVH. You'll have to keep in mind that sometimes there are false positive or false negative results. There are other and better tests for diagnosing this condition, such as the one you'll be having. Hypertensive people with a target organ damage with heart failure almost always show evidence of LVH.

Did you have a chest x-ray done? If the LVH is present, it will show an abnormal shape of your heart, including any enlargments. However, it is no more reliable as a diagnostic test than an ECG. LVH is often associated with LV diastolic dysfunction.

The LVH is diagnosed if the thickness of myocardium is >1.1cm. The good news is that it is not permanent - it is reversible with a reduction in blood pressure.

The echocardiogram you'll be having will show any remodeling of the LV, overall mass of the LV, valve size and function, chamber sizes and assess the biventricular systolic and left ventricular diastolic functions. It will also determine your ejection fraction. This test is much better than an ECG.
Should you be diagnosed with LVH, it is not such a great concern as long as your blood pressure remains well controlled.

Good luck and try not to worry!
flowergirl

Last edited by flowergirl2day; 02-12-2008 at 08:43 PM.

 
Old 02-12-2008, 08:37 PM   #4
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Re: Blood Pressure and Thickened Heart Muscle

I hope you do get your BP and anxiety under control, espcially since I read that you also have diabetes. You need to find the right medical team that you can trust.
My prayers are with you.

 
Old 02-13-2008, 05:49 AM   #5
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Re: Blood Pressure and Thickened Heart Muscle

Thanks you both for your postings and good wishes. I'll try to remain calm.

 
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