Treatment FAQ

what is concentric left ventricular hypertrophy treatment

by Dr. Dayana Weissnat I Published 3 years ago Updated 2 years ago
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Left ventricular hypertrophy due to hypertrophic cardiomyopathy may be treated with medication, a nonsurgical procedure, surgery, implanted devices and lifestyle changes. Amyloidosis. Treatment for amyloidosis includes medications, chemotherapy and possibly a stem cell transplant.Nov 25, 2020

Medication

Concentric left ventricular hypertrophy is an abnormal increase in left ventricular myocardial mass caused by chronically increased workload on the heart, most commonly resulting from pressure overload-induced by arteriolar vasoconstriction as occurs in, chronic hypertension or aortic stenosis.

Procedures

This may include aortic valve replacement or repair, or the implantation of a pacemaker or defibrillator. If left for too long, left ventricular hypertrophy can only be sufficiently treated under the care of a skilled cardiologist.

Self-care

If left ventricular hypertrophy is caused by high blood pressure, treating high blood pressure can help ease your symptoms and may reverse left ventricular hypertrophy.

Nutrition

A diet high in fruits, vegetables, whole grains and good fats, and reduced amounts of refined carbohydrates, sodium and saturated fats Blood pressure medication might also help prevent further enlargement of the left ventricle and even shrink your hypertrophic muscles. Your doctor might recommend medications including:

What is concentric left ventricular hypertrophy?

What are the treatment options for left ventricular hypertrophy?

Can high blood pressure reverse left ventricular hypertrophy?

How can I reduce the size of my left ventricle?

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Can Left ventricular hypertrophy be corrected?

LVH can often be corrected by treating the underlying problem causing the heart to work too hard. Depending on the type of damage that has occurred, treatment measures may include medications and heart-healthy lifestyle changes to help reduce the pressure in the heart.

Can mild concentric Left ventricular hypertrophy be reversed?

It appears that mild LVH among ambulatory hypertensive patients does not carry an additive arrhythmogenic risk and can be successfully reversed with the appropriate antihypertensive therapy, with no need of additional antiarrhythmic management.

How serious is Left ventricular hypertrophy?

Left untreated, LVH (and related underlying heart conditions) increases your risk of serious heart disease or even death. Treatment to slow or stop the progression of left ventricular hypertrophy lowers the risk of severe heart damage.

What does concentric Left ventricular hypertrophy mean?

Concentric left ventricular hypertrophy is an abnormal increase in left ventricular myocardial mass caused by chronically increased workload on the heart, most commonly resulting from pressure overload-induced by arteriolar vasoconstriction as occurs in, chronic hypertension or aortic stenosis.

How long can you live with left ventricular hypertrophy?

Our findings also have implications for the identification of patients at low risk for sudden death. In patients with mild hypertrophy (maximal wall thickness, ≤19 mm), the rate of sudden death was close to zero 10 years after the initial evaluation and was less than 3 percent at 20 years.

How do I reduce my LV mass?

Among the antihypertensive agents ACE inhibitors appeared to have the greatest ability to reduce LV mass in the subjects with LVH at baseline. Larger interventional studies are needed to determine whether ACE inhibitors are superior to other anti-hypertensive agents in LVH regression in chronic renal failure patients.

Is left ventricular hypertrophy a death sentence?

Typically, LVH resulting from hypertension does not predispose one to sudden death. However, patients who have severe LVH for no apparent reason, a condition called hypertrophic cardiomyopathy, may in some cases have a higher risk of sudden death.

How is mild concentric LVH treated?

Getting blood pressure under control should ease the LVH condition. In most cases, the medications are taken to maintain regular blood pressure help prevent further enlargement of the heart and help reverse LVH.

Can the left ventricle repair itself?

The heart is unable to regenerate heart muscle after a heart attack and lost cardiac muscle is replaced by scar tissue.

What causes concentric hypertrophy?

In the heart, concentric hypertrophy is related to increased pressure overload of the heart, often due to hypertension and/or aortic stenosis. The consequence is a decrease in ventricular compliance and diastolic dysfunction, followed eventually by ventricular failure and systolic dysfunction.

Does LVH lead to heart failure?

An enlarged or thickened heart — a condition doctors call left-ventricular (LV) hypertrophy — can lead to heart failure. It also may double the risk of dementia and cognitive impairment. “Hypertrophy is not normal.

What is the best treatment for hypertrophic cardiomyopathy?

Medications to treat hypertrophic cardiomyopathy and its symptoms might include:Beta blockers such as metoprolol (Lopressor, Toprol-XL), propranolol (Inderal, Innopran XL) or atenolol (Tenormin)Calcium channel blockers such as verapamil (Verelan, Calan SR,) or diltiazem (Cardizem, Tiazac)More items...•

What are the factors that increase the risk of left ventricular hypertrophy?

Risk factors. In addition to hypertension and aortic valve stenosis, factors that increase your risk of left ventricular hypertrophy include: Age. Left ventricular hypertrophy is more common in older people. Weight. Being overweight increases your risk of high blood pressure and left ventricular hypertrophy.

Why does my left ventricular muscle work harder?

Abnormal tissue around the heart muscle cells is a result of several rare conditions. Factors that can cause your heart to work harder include: High blood pressure (hypertension). This is the most common cause of left ventricular hypertrophy.

What is the name of the disease that separates the left ventricle from the large blood vessel leaving your heart?

More than one-third of people show evidence of left ventricular hypertrophy at the time of their diagnosis with hypertension. Aortic valve stenosis. This disease is a narrowing of the aortic valve that separates the left ventricle from the large blood vessel leaving your heart (aorta).

What causes a heart to be enlarged?

The most common cause is high blood pressure. Left ventricular hypertrophy is enlargement and thickening (hypertrophy) of the walls of your heart's main pumping chamber (left ventricle). The thickened heart wall loses elasticity, leading to increased pressure to allow the heart to fill its pumping chamber to send blood to the rest of the body.

Can left ventricular hypertrophy cause congestive heart failure?

Left ventricular hypertrophy is more common in people who have uncontrolled high blood pressure. But no matter what your blood pressure is, developing left ventricular hypertrophy puts you at higher risk of congestive heart failure and irregular heart rhythms.

Does left ventricle hypertrophy cause stiffness?

It's unclear whether this athle tic type of left ventricle hypertrophy can lead to stiffening of the heart muscle and disease. Abnormalities in heart muscle cell structure that result in increased heart wall thickness include: Hypertrophic cardiomyopathy.

Do African Americans have a higher risk of left ventricular hypertrophy than white people?

African Americans may have a higher risk of left ventricular hypertrophy than white people with similar blood pressure measurements. Sex. Women with hypertension are at higher risk of left ventricular hypertrophy than are men with similar blood pressure measurements.

Why is my left ventricular hypertrophy congenital?

Most are due to problems related to obesity and an unhealthy lifestyle, but some causes are congenital (present at birth). The following are various causes of left ventricular hypertrophy: High blood pressure (hypertension): By far the most common cause of left ventricular hypertrophy, as more than one-third of people with high blood pressure show ...

What are the risk factors for left ventricular hypertrophy?

Risk factors that contribute to the development of left ventricular hypertrophy are: Age: It’s seen more commonly in older individuals. Weight: Being overweight increases your risk of developing high blood pressure and subsequent ly makes the heart work harder, eventually leading to left ventricular hypertrophy.

What is the left ventricle?

Left ventricular hypertrophy is a condition where the muscle wall becomes thickened (hypertrophied). The left ventricle is the strongest and most muscular chamber of the heart, as it is responsible for pumping blood into the circulatory system. If it were compromised, as is the case of left ventricular hypertrophy, it will have significant negative effects on the entire body.

How to prevent heart disease?

Drink alcohol in moderation. Perform regular exercise. Similar to other diseases, prevention is the best form of treatment. Watching what you eat, making time to exercise, and quitting bad habits like smoking will give you the best chance of preventing heart problems.

What is the condition where the heart is abnormally thick?

Hypertrophic cardiomyopathy: A genetic condition that commonly affects athletes and is characterized by the heart becoming abnormally thick, causing it to block blood flow. The heart has to work harder to overcome this, and it could result in instant death.

Which chamber of the heart controls the flow of blood?

Aortic valve stenosis: Each chamber of the heart has valves that control the flow of blood in and out of them. The left ventricle relies on the proper functioning of the aortic valve to allow blood to be released into the circulatory system.

What is the best imaging device to see how much blood flows through the heart?

It can reveal thickened muscle tissue, how much blood flows through the heart with each beat, and other cardiac abnormalities. Magnetic resonance imaging (MRI): A sensitive imaging device that allows for detailed images of the heart to be taken, revealing any abnormalities.

Why does the left ventricle get thicker?

Sometimes problems such as aortic stenosis or high blood pressure overwork the heart muscle. In response to this pressure overload, the inner walls of the heart may respond by getting thicker. These thickened walls can cause the left ventricle to weaken, stiffen and lose elasticity, which may prevent healthy blood flow.

How to correct LVH?

LVH can often be corrected by treating the underlying problem causing the heart to work too hard. Depending on the type of damage that has occurred, treatment measures may include medications and heart-healthy lifestyle changes to help reduce the pressure in the heart.

Why is it important to treat LVH early?

Arrhythmias. Enlargement of the aorta. It's important to treat the causes of LVH early because it can lead to severe problems such as heart failure, sudden cardiac arrest and ischemic stroke.

Can LVH be diagnosed without symptoms?

However, a routine electrocardiogram or echocardiogram can usually diagnose LVH, even before symptoms become noticeable. MRI imaging of the heart can also diagnose LVH.

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Overview

Symptoms

Causes

Risk Factors

Medically reviewed by
Dr. Kabir Sethi
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment depends on the underlying cause. For example, in case of high blood pressure causing the condition, medication and lifestyle modifications are recommended. Structural abnormalities such as valve diseases need surgical treatment.
Medication

Angiotensin-converting enzyme (ACE) inhibitors: Help in vasodilation, hence lowering the blood pressure. Improves blood flow and decreases the workload of the heart.

Captopril . Lisinopril


Angiotensin II receptor blockers (ARBs): Help in vasodilation.

Losartan


Beta blockers: Help lower heart rate, and reduce blood pressure.

Atenolol


Diuretics: Facilitate blood flow by lowering hypertension.

Hydrochlorothiazide


Calcium channel blockers: Prevent calcium from entering the cells and lower blood pressure.

Amlodipine . Diltiazem

Procedures

Aortic valve replacement: To correct aortic valve stenosis. The narrowed valve is repaired or completely replaced.

Self-care

Always talk to your provider before starting anything.

  • Patients of athletic hypertrophy are asked to stop exercising for a few months.
  • Have a low-sodium diet.
  • Stop smoking.
  • Maintain a healthy height-to-weight ratio.

Nutrition

Foods to eat:

  • Foods rich in vitamin B1 such as beans, cauliflower, broccoli, asparagus
  • Low sodium foods such as milk, corn, eggs, cream cheese

Foods to avoid:

  • Salty Foods
  • Fatty Foods such as fast Foods, deep fried Foods, lard and butter
  • Alcohol consumption

Specialist to consult

Cardiologist
Specializes in the diagnosis and management heart related disorders.

Complications

Prevention

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