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Is concentric left ventricular hypertrophy reversible?

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Posted on Thu, 12 May 2016
Question: Hi I m 35 yr old male ...I have hypertension hereditary and from last 4 months I am regular gym going and weight lifting...a week ago I got dignosed with concentric lv hypertrophy with distolic dyfunction. .
Can it be reversed as I stoped going to gym and started medication of telvas beta 25 and changes lifstyle like yoga and all..
Can I still go to gym or should avoid ths
Thanks XXXXXXX
doctor
Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I understand your concern and would explain that concentric left ventricular hypertrophy can not be reversed. It is a progressive disorder, but its progression can be delayed and even stopped if risk factors (arterial hypertension) are maintained under control.

I recommend you to closely monitor your blood pressure (values below 130/85 mmHg are recommended).

Some lifestyle modifications:

- A lot of physical activity (Yoga, gym, walking, recreational sports) are recommended. You can go to the gym, because a lot of physical activity is really helpful to maintain a normal blood pressure. I would recommend avoiding only straining physical activity.
- Diet modifications ( reduce salt and caffeine intake, Mediterranean diet would be helpful)
- Lose weight if you are overweight. This will help maintain a normal blood pressure.
- Avoid alcohol intake or smoking.

Hope you will find this answer helpful!

Best wishes,

Dr. Iliri


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (11 minutes later)
Hi
Thanks for consulation.
Pl Let me know that my age is just 35 and hw come I came under this disease as I studied that this disease affects only the person of age 60 plus...now is it grade 1 lv disease??
Shl I ignore the disease as I m getting more stressed bcoz of it ...thinking like anything abt my life...
doctor
Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello again!

I would explain that there are two types of hypertrophic cardiomyopathy:

- congenital from genetic disorders
- induced by uncontrolled high blood pressure.

I would like to review your cardiac ultrasound reports if you could upload them and also the your genetic tests (or doctor's conclusions), to give a more professional opinion on your clinical situation.

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 8388 Questions

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Is concentric left ventricular hypertrophy reversible?

Brief Answer: I would recommend as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! I understand your concern and would explain that concentric left ventricular hypertrophy can not be reversed. It is a progressive disorder, but its progression can be delayed and even stopped if risk factors (arterial hypertension) are maintained under control. I recommend you to closely monitor your blood pressure (values below 130/85 mmHg are recommended). Some lifestyle modifications: - A lot of physical activity (Yoga, gym, walking, recreational sports) are recommended. You can go to the gym, because a lot of physical activity is really helpful to maintain a normal blood pressure. I would recommend avoiding only straining physical activity. - Diet modifications ( reduce salt and caffeine intake, Mediterranean diet would be helpful) - Lose weight if you are overweight. This will help maintain a normal blood pressure. - Avoid alcohol intake or smoking. Hope you will find this answer helpful! Best wishes, Dr. Iliri