Thanks for writing to us.
Left ventricular hypertrophy
and grade 1 diastolic dysfunction on echo is due to your uncontrolled hypertension
You need not worry about grade 1 diastolic dysfunction ,it is not a major problem.
At present you are taking
Tab.CoAprovel 300/12.5 mg tablet contains 300 mg irbesartan and 12.5 mg hydrochlorothiazide and tab.Amlor 5mg.You have been already started on three antihypertensive drugs.
Now, what you need is strict monitoring of blood pressure and to maintain blood pressure below 130/80 mm of Hg.
Hypertension is rare below age of 40 years and you are of age 23 hence you should evaluated for young hypertension.Young hypertension has many causes including renal artery stenosis
,coarctation of aorta,aortic dissection,pheochromocytoma,chronic kidney disease
Hence get physician opinion for clinical correlation and further investigation for cause of hypertension and management.
Hope this could help you.
wish you good health.