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  • Doctor appointment

    [Doctor appointment]

    Author: Susan Dearinger (---.cox-internet.com)

    Date: 07-09-02 18:32

    Well, my dear hubby agreed to go the local cardiologist today. This local doctor did not agree with the Dallas doctor. He said that my husband's left ventricular thickening was probablyl not due to weightlifting. That the left ventricular wall thickness was almost 40% and they allow 10 to 15% thickening for athletes. However, since my hubby is not having any symptoms, he didn't want to "rock the boat" by adding any meds, etc...

    He said it is NOT Hypertrophic Cardiomyopathy but is Left Ventricular Hypertrophy. My husband's BP is excellent, so the thickening could not be caused by that. There is no evidence of infection or virus. The doc wants us to come back in a year for another echo to see if the heart is getting larger or if the thickening is regressing. He did advise him to focus on aerobics instead of weightlifting.

    The measurements of the first echo done in April are septum - 1.58, posterior wall - 1.52. The second echo done at the end of May (I don't know how to deciper this...) LA - 45mm, IVS - 17mm, LVPW - 13mm, LVEDD - 51mm, LVEDS - 28mm.

    So what do I do with this? Should I let it rest and wait a year? Should I drag him to yet another doctor? What do you folks think?

    Thanks for any input,

    Susan Dearinger

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    [Re: Doctor appointment]

    Author: Dora (---.proxy.aol.com)

    Date: 07-09-02 21:37

    Hi

    I am kind of confused at your doctor saying your husband has Left Ventricular Hypertrophy and not Hypertrophic Cardiomyopathy. When I read this I had to go back to the home page and look at the discription of Hypertrophic Cardiomyopathy, and as I had thought it says that Left Ventricular Hypertrophy is Hypertrophic Cardiomyopathy. If I am not reading this right would some body please help me understand this.

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    [Re: Doctor appointment]

    Author: Susan Dearinger (---.cox-internet.com)

    Date: 07-09-02 21:58

    Dora,

    Hi. I too have been confused by this throughout my husband's ordeal. I have asked the doctors over and over again if this is HCM and they say that it is not. But then it sounds just like it. I cannot tell the difference either. I hope that someone will address this too.

    Thanks,

    Susan Dearinger

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    [Re: Doctor appointment]

    Author: Sarah B-Board Moderator (---.tnt3.chiega.da.uu.net)

    Date: 07-10-02 23:24

    Dear Susan

    Here is the Cleveland Clinic's take on LVH, which I think you will find very helpful:

    Left ventricular hypertrophy (LVH) is an enlargement of the left pumping chamber of the heart and may be due to several different things. The most common cause is high blood pressure. Other causes are due to exercise (athletic hypertrophy) and congenital (hypertrophic cardiomyopathy or HOCM).

    The diagnosis of LVH is usually made by echocardiogram. The walls of the ventricle can be measured and a thickness of greater than 1.5 cm is considered enlarged. Athletic hypertrophy is usually less than this thickness and will return to normal size with cessation of the activity. HOCM may be diagnosed in the absence of other causes of LVH and with the presence of a family history.

    The treatment of LVH depends on the cause. Hypertensive LVH is treated by controlling the blood pressure. Some antihypertensive drugs may cause LVH to regress but this is controversial. Athletic hypertrophy does not require treatment. HOCM is a rare condition that should be followed by a cardiologist with expertise in this area. It may require medical or surgical management.

    Long term prognosis of LVH is good. There is an increased propensity to heart failure (see previous questions on heart failure) so a correct diagnosis and proper treatment is essential to decrease this risk.

    If athletic hypertrophy is suspected then your doctor may ask you to stop exercising for a time. If the LVH is due to high blood pressure then it may not be necessary to stop exercise.

    My two cents would be that if the blood pressure is out, and athletics are out, then it is probably HCM and a call to the HCMA office at 973-983-7429 is warranted to find a better doctor.

    Good luck

    Sarah
    NOTE: This is a post from the previous forum message board.

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