hi and welcome to healthcare magic. well your
high blood pressure made your left ventricle ( the main pumping portion of heart) to pump against the high pressure and thus has become hypertrophied...just like any other muscle built strong with heavy exercise, this is compensatory response for your high blood pressure. BUT THIS IS JUST TRANSIENT BECAUSE THEN THE LONGER THE BLOOD PRESSURE IS HIGH THE MORE THE HEART HAS TO WORK AGAINST EXTRA RESISTANCE AND THUS THERE IN FUTURE IS A CHANCE THAT IT MAY FAIL OUT... you should keep your blood pressure controlled very optimally. you have additional risk factors like
diabetes and deranged cholesterols... strict sugar control and keeping low than normal ( as you are diabetic) cholesterol is mandatory. your heart is working more and thus has to consume more
oxygen than if you has controlled blood pressure , so there is compromise of the muscle movements AS SEEN ON ECHO..ANTEROLATERAL WALL HYPOKINESIA.... this indicates that the blood supply to that portion of the heart is reduced due to stress of
uncontrolled BP , thus it is mandatory to see a cardiologist who may advise a
stress test ETT , so that ischemia/angina can be ruled out , if present treated accordingly..ideally an
ANGIOGRAPHY TO BE PERFORMED TO SEE THE STATUS OF ALL YOUR HEART BLOOD VESSELS AND SEE THE EXTENT OF NARROWING IN IT THAT IS CAUSING THIS HYPOKINESIA. PEOPLE WITH DIABETES ARE 4 TIMES MORE PRONE TO HAVE
ISCHEMIC HEART DISEASE. TAKE CARE AND FOLLOW UP WITH A CARDIOLOGIST . THANKS