Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

147 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes breathlessness, LVH and mild LA dilation?

Answered by
Dr. Priyank Mody


Practicing since :2009

Answered : 910 Questions

Posted on Wed, 4 Nov 2015 in Hypertension and Heart Disease
Question: Dear Doctor,
Thi's is regarding my father aged 52 years. He recently feels breathlessness so we need 2d eco and here were the findings.
Lv shows LVH
LA is dilated
Overall LVEF of 55%
Mils inferolateral hypokinesia noted
LVH/Ischaemic heart disease with dilated LA
Preserved LV function
I am a bit worried so please let me know what does this mean and what's the treatment and is this reversible ..
Answered by Dr. Priyank Mody 15 minutes later
Brief Answer:
Heart as cause of breathlessness should be ruled out, it's reversible

Detailed Answer:
Hello XXXX, I am Dr Mody and I would be addressing your concern about your father.
Let me elaborate on the exho report.
The LVH and mild LA dilation is due to long standing hypertension and points towards the fact that it has not been properly controlled.
So here I would request you to keep monitoring the blood pressure and likewise titer the medication dose, I would like to inform you that left ventricular hypertrophy is reversible and with good control of hypertension withen 6 months to a year it will start improving

Now coming to important feature of breathlessness.
If your father gets breathlessness will climbing stairs or any kind of exertion and by taking some rest he is better, if he has any kind of chest pain or palpitations and apart from hypertension, he has other risk factors like obesity, is a smoker than the cause in most probability is the heart. Also the slight wall motion abnormality in echo points towards the same.
Now if your father is an active person and can walk, an ideal way forward would be :
A treadmill stress test in a hospital setting and symptom limited, should be done to objectively evaluate the ecg and symptoms reproduction on exercise.
If the TMT is positive he should proceed ahead with angiography to know the anatomy of his coronary artery.
If negative may evaluate other factors like lung function, anemia, thyroid for cause of breathlessness.
You may revert back with TMT report so I can guide you further.
Regards Dr Priyank Mody, Cardiologist, XXXXXXX
Above answer was peer-reviewed by : Dr. Sonia Raina

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Medical Procedures
Lab Tests
Medical Topics

Recent questions on  Chest pain

doctor1 MD

Hello. My normal heart rate is about 100 - 120 bpm. I had palpitations occasionally but I never went to see the doctor as I thought it was normal although they usually lasted from 5 to 10 minutes. Last year when I was 24 weeks pregnant, I had a heart palpitation (while I was resting) and my heart rate went up to 240 bpm. It was only after I got injected with adenosine (35mins later) did my heart rate went down to 120bpm. The doctors diagnosed me with an SVT. Due to that, I requested to deliver my baby through C-section. This year, I'm pregnant again and I still go for my scheduled appointments every few months with the cardiologist. Only now he does not think it sounds like I have SVT. This year I will deliver my baby normally but I'm still quite worried about my heart. My question is, if I don't have SVT, what kind of heart condition do I have? I still have palpitations sometimes, my heart rate is never below 100bpm, I always feel fatigued and chest pain and short of breath. Thank you.

doctor1 MD

I have everyday nausea, light chest pains, heart skips beats, everyday headaches, my body is weak, no energy! When I gym I get sick... Muscle pains, cramps and pains every where, sleeplessness, when I sleep I fall into such a deep sleep that I struggle to wake up! I went for numerous blood test, insomnia tests and every thing that goes with it...! Tests negative and I m getting so hopeless, please is there anything you could help me with so I can feel human again! I love sports but its a struggle!

doctor1 MD

Over the last 7-8 years I had recurring chest pain . A series of tests were done including ECGs, stress test, halter test, Percentine perfusion test and CT scan andin late 2011 my cardiologist concluded that the symptoms were not heart related. Over the last two months my symptoms have returned: chest pain radiating into left arm, left side rib cage, chronic headache, sometime severe usually pressure in the ears and around them. Usually I wake up very early in the morning with chest pain, sometime palpitations and headache. Today I had a severe attack of headache as if my head is in a vice. It continues. I suffer from Acid reflux, somewhat hi blood pressure ( highest readinfg 139/ 78; average of last 11 readings 128/72) hi cholesterol, hypo thyroid (TSH up to 21.8). I am on Nexium 40mg, Metoprolol 50mg, Lipitor 20mg and El Troxin 0.075. My Endicronologist is trying to calibrate the Eltroxin dose. He thinks my symptoms are not Thyroid related. I have been trying to get an appointment with my GP since june 25. She is on holiday and the earliest appointment I got is August 17. My symptoms -- chest pain, headache, radiating pain in shoulder blade, sometimes left ribs, pressure in the eyes, ears continue and I think progressively getting worse. I was treated for prostate 8 years ago, monitored annually the PSA has been much below zero, negligible sometime difficult to trace. Sorry for such a complicated story. I do not know what to do. Should I go to the emergency everyday???? Will appreciate any suggestions

doctor1 MD

Dear Sir, I am suffering from left side chest pain from nearly 2 years, 6 months before i was undergone endoscopy which shows that i am having Hiatus Hernia the doctor suggested for sompraz L, Zinetac whic hi was taking for 6 months now the doctor has prescribed me Pantocid Capsule in the morining and Franxit in the evening but still i am suffering from chest pain kindly suggest. Arvind Chopade YYYY@YYYY

doctor1 MD

getting pain in some parts of chest in random time any type of injections for D3 and B12 and dose for same as per reports

doctor1 MD

I started having symptoms about 7 weeks ago. Head congestion, then chest congestion, some fever, a cough, shortness of breath , and now pain in my chest under my left breast. (always after eating or drinking and random, when not, pain is worse...

doctor1 MD

i. I am 30 year old obese when I tried to laugh too hard had strange feeling in head for a second.later next day I laughed even harder this time felt like head was holding or dizzy kind of like passing out it stopped when I stoped laughing feeling...