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Doctor insights on: Echo Lvh

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Male 33 echo bordeline lvh increased since las echo mild dilated aorta same as las echo never had high bp should I be worried??

Male 33 echo bordeline lvh increased since las echo mild dilated aorta same as las echo never had high bp should I be worried??

There are a number: Of concerns for a young individual without documented HTN having these echo findings. Although not worrisome at this time or the near future, they should be addressed to avoid long term adverse events. Any family history of hypertrophic cardiomyopathy? Probably best if you follow up with a cardiologist this year. ...Read more

Dr. Edward Kuhnley
2 Doctors shared insights

Echo (Definition)

An echocardiogram (also called an echo) is a type of ultrasound test that uses high-pitched sound waves that are sent through a device called a transducer. The device picks up echoes of the sound waves as they bounce off the different parts of your heart. These echoes are turned into moving pictures of your heart that can be seen ...Read more


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Echo shows mild lvh with mild mitral regurgitation. Cardiologist said its nothing to worry about. Need a second opinion. Is he right?

Echo shows mild lvh with mild mitral regurgitation. Cardiologist said its nothing to worry about. Need a second opinion. Is he right?

Conditionally yes: As long as you're cardiologist is going to monitor you with periodic echocardiograms you have nothing to worry about.

The criteria for prophylaxis prior to a dental procedure or colonoscopy has been updated to state that mild mitral regurgitation does not require antibiotic treatment before or after the treatment. ...Read more

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Echo results:concentric lvh w/ adeq systolic function, dilated left atrium, mild tricuspid reg, pulmonic reg. Mixd plaques no stenosis found. Pls expln.

Echo results:concentric lvh w/ adeq systolic function, dilated left atrium, mild tricuspid reg, pulmonic reg. Mixd plaques no stenosis found. Pls expln.

More info: So I'm a little confused because an echocardiogram can't really see plaques. I can explain the concentric lvh: this means that the heart muscle is thickened; the most common reasons are because of longstanding high blood pressure or narrowing of the aortic valve. ...Read more

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Echo test stated mild LVH. Pwt=1.3cm and swt 1.0. Dr said echo was fine. No advice on what to do on progression. I'm 6'6 230. Is this common?

Echo test stated mild LVH. Pwt=1.3cm and swt 1.0. Dr said echo was fine. No advice on what to do on progression. I'm 6'6 230. Is this common?

Hypertrophy: Mild Hypertrophy comes after a walla >1.1cm. The most important thing to do in these cases is to make sure your blood pressure is under control.
Maybe you are more of an athlete that can expain a little enlargement in the walls. If not I would recommend getting a blood pressure device and take your BP 3 times a day for a week. See what it is doing. IF its high. Time to do some lifestyle changes ...Read more

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70 year old high exercise level recreational road bicyclist with recent reduced exercise tolerance. Echo shows Basal Septal LVH. ACE or ARB?

70 year old high exercise level recreational road bicyclist with recent reduced exercise tolerance. Echo shows Basal Septal LVH. ACE or ARB?

Septal hypertrophy: Asymmetric septal hypertrophy can produce a heart murmur as well as place strain on the left ventricle. If your ejection fraction is perfectly normal and you still have diminished exercise tolerance, diastolic dysfunction is also a factor. Since there is some obstruction to blood flow, relaxation of the ventricle with beta blocker or certain calcium channel blocker like cardizem is preferred thera ...Read more

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What measurements determine LVh on an echo? My lvidd keeps going up from 43mm to 47 and now it's at 50mm. My LV function is normal and PWT 11

What measurements determine LVh on an echo? My lvidd keeps going up from 43mm to 47 and now it's at 50mm. My LV function is normal and PWT 11

The IVS and PLVW: The IVS (interventricular septum) and PLVW (posterior LEFT VENTRICULAR wall) thickness. The major determinants of LV wall thickness are blood pressure and valve status. Similarly, these are the major determinants of LV cavity size. The goal of halting LV cavity enlargement and wall thickening is to keep the BP in the low-normal range. ...Read more

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When diagnosing LVH (iVSd size) which echo IVSd measurement is more accurate:2D or M-mode and at what lowest size in cm IVSd has to be to diagnose LVH

Complementary: Per Dr. Ram: Depends on the condition being investigated.. .. In general M mode measures movement and 2D actual thickness. Both can be subject to operator dependent artifact so that's where need information re why done and what looking for. If remains unclear the cardiologist may order a more accurate transoesophageal echo to sort it out. ...Read more

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Diagnosed with lvh, but no high bp, going for echo, what could be the cause?

Diagnosed with lvh, but no high bp, going for echo, what could be the cause?

Heart valve problem: Lvh (left ventricular hypertrophy) could be due to aortic stenosis, aortic insufficiency, or hypertension, long standing of mitral insufficiency can cause also. Need echo to diagnose. ...Read more

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I hv taken out my echo cardio report and a impression hv been given as concentric lvh. Plz suggest me treatment for it?

I hv taken out my echo cardio report and a impression hv been given as concentric lvh. Plz suggest me treatment for it?

LVH: LVH stands for left ventricular hyper trophy and, if the study is accurate, means that the heart is seeing too much pressure - most commonly this is seen in high blood pressure so if you have high BP make sure that's treated. ...Read more

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My echo shows a posterior wall and septal thickness of 1.3 cm each. It indicates mild concentric LVH with normal systolic function. Should I worry?

My echo shows a posterior wall and septal thickness of 1.3 cm each. It indicates mild concentric LVH with normal systolic function. Should I worry?

Some concern: Concentric hypertrophy of the left ventricle can be due to elevated blood pressure or valvular heart problems although your echocardiogram apparently doesn't demonstrate any valvular abnormality. Your findings are only mildly abnormal and a cardiologist would be best qualified to evaluate and advise you in order to prevent future cardiac problems. ...Read more

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My echo says the following: " there is lvh with diastolic dysfunction and 57% lv ef. There is inferior wall hypokinesis ". What does this mean?

My echo says the following: " there is lvh with diastolic dysfunction and 57% lv ef. There is inferior wall hypokinesis ". What does this mean?

Explanation: Lvh left ventricular hypertrophy which is thickening of the heart muscle wall.
Diastolic dysfunction. There is systole which is the squeezing phase and diastolic which is the relaxing phase.
Lvef left ventricular, ejection fraction is a calculation of heart squeeze
55-65%! is in the normal range at 57%

the bottom heart wall is called inferior and the hypokinesis is a part not the best squeeze. ...Read more

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If echo 2D measures actual thickness of septum and m-mode measures movement, does this means 2D is better to rule out s LVH and m-mode is better for MI?

If echo 2D measures actual thickness of septum and m-mode measures movement, does this means 2D is better to rule out s LVH and m-mode is better for MI?

Neither one. Both: Notorious for measurement errors due to angulation of view & limited imaging windows, varying person to person & skill of echo tech. Best always get all images & video, study yourself. M-Mode=display of single dimension (distance from probe) vs. Time. 2-D=two dimensional display of anatomy (vs. Time if recorded as video). Comparing the 2-D videos "allows" recognizing errors. Http://goo. Gl/Blh6rW. ...Read more

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I had an echo and it says that I have tachycardia, grade I diastolic dysfunction and concentric lvh. Is there anything serious? What does this mean?

I had an echo and it says that I have tachycardia, grade I diastolic dysfunction and concentric lvh. Is there anything serious? What does this mean?

At 19?: This is distinctly abnormal for a 19 year old - are you sure you didn't read your parents' report? This would be a common report in a 50 year old or older and wouldn't be a cause for concern at that age other than to be sure the BP is well controlled. It should not be present in a teenager. ...Read more

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Took an echo that showed normal lv size with concentric remodeling. Normal functioning valves. However my ecg shows potential lvh?

Took an echo that showed normal lv size with concentric remodeling. Normal functioning valves. However my ecg shows potential lvh?

Congruent findings: If ECG mentions possible or potential LVH and then echocardiogram shows "concentric remodeling", probably "concentric LVH", these findings make sense. ECG is not the modality to diagnose LVH, echocardiogram is. Last if these are your findings, treat the underlying cause which is high blood pressure, to prevent long term risk of hypertensive heart disease. ...Read more

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Echo said I had moderately dilated left ventricle another said it was not a few months later. Still get possible LVH on ekg. Don't know what to do.

Echo said I had moderately dilated left ventricle another said it was not a few months later. Still get possible LVH on ekg. Don't know what to do.

Test Result: Sometimes a test measurement will look abnormal on one evaluation and then normal on another simply due to minor differences in operator skill, type of machine used, the interpreting MD's skills, or simple errors. Test Results always need to be interpreted with consideration of the individual patient's issues in conjunction with a physical examination and correlation with all available data. ...Read more

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Cause of hot, on-fire warm burning in left chest during exercise (also during rest)? Stress echo oct 15 normal (but Sx since). CMRI normal, mild LVH.

Cause of hot, on-fire warm burning in left chest during exercise (also during rest)? Stress echo oct 15 normal (but Sx since). CMRI normal, mild LVH.

Left chest burning: May be GERD/ reflux. Try ranitidine 150 qd and or prevecid 30 qd and see if helps. Sometimes can have costochondritis which is irritation of chest wall, then you would feel pain when pressing on chest -motrin can help>Check gb. In the echo was the septum symmetric or asymetric as septal asymmetry can cause chest pain. May also rarely have spasm as opposed to actual atherosclerosis f/u/ w/ doc ...Read more

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Echo on 19/05/2015 conclusion: nrml sized card chambers no lv rwma no lv clot. Edd 4cm, ivs 1cm ef 70% Y'day and 2day ecg at diff hosp. Shows lvh abnrm?

Echo on 19/05/2015 conclusion: nrml sized card chambers no lv rwma no lv clot. Edd 4cm, ivs 1cm ef 70% Y'day and 2day ecg at diff hosp. Shows lvh abnrm?

Different technos: Echocardiogram provides good detail of anatomy and function, i.e. Wall thickness and squeezing function of left ventrical (LVEF) as well as valvular function.

EKG details spread of electrical current through the heart. Electrical changes are sometimes suggestive of wall thickness increases, but is correlation is poor.

Believe the echo. ...Read more

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Just visited another dr. And he suggested Hyzaar (losartan and hydrocholorthiazide) 100/25 instead of current med lisinopril 20/12.5 Have LVH of. 1 found during echo. BP was 117/72 why?

Just visited another dr. And he suggested Hyzaar (losartan and hydrocholorthiazide) 100/25 instead of current med lisinopril 20/12.5 Have LVH of. 1 found during echo. BP was 117/72 why?

BP: BP of 117/72 is good whether because of the meds or other. Not enough information here re the echo or LVH. You should discuss with your doctor and ask all your questions answered. There are many reasons for LVH if present, BP is just one of them. Don't know what you mean by LVH of. 1 ...Read more

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3 months back echo normal. Stress test @ -ve. 1 mnth bak had dns surg. Had nerve peeling pain on chest. Doc said it is nccp. ECG shows LVH now. Wry?

3 months back echo normal. Stress test @ -ve. 1 mnth bak had dns surg. Had nerve peeling pain on chest. Doc said it is nccp. ECG shows LVH now. Wry?

LVH is nonspecific: ECG often will show LVH on one occasion and not show it on another. The ECG is not very accurate for LVH. The echo is a much more accurate test for LVH. It is unlikely u developed LVH over the past 3 months. Use the echo reading to determine if you have LVH. Deviated Nasal Septum surgery would have nothing to do with LVH. I don't know what u mean by nerve peeling but it doesn't sound like heart. ...Read more

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I am experiencing shortness of breath (time frame: gradual onset) (severity: moderate) (worsened by: exercise or physical activity) abnormal echo 3 years ago with LVH, elevated RVSP, now ekg & stress test show RAE but current echo normal?

I am experiencing shortness of breath (time frame: gradual onset) (severity: moderate) (worsened by: exercise or physical activity) abnormal echo 3 years ago with LVH, elevated RVSP, now ekg & stress test show RAE but current echo normal?

Improved echo: Your improved left ventricular enlargement suggests that there may have been improvement in systemic hypertension or a viral cardiomyopathy, for example. You didn't mention it the ejection fraction was reduced at that time which could have explained the shortness of breath and pulmonary hypertension. Because you're still experiencing dyspnea, maybe a consultation with a pulmonologist is indicated ...Read more

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At 5yr old heart murmur, normal echo @7yrs chest pain, heartrate 61, normal 24 hr holster, abnormal ecg pointing to lvh. What's goin on?!?

At 5yr old heart murmur, normal echo @7yrs chest pain, heartrate 61, normal 24 hr holster, abnormal ecg pointing to lvh. What's goin on?!?

Chest pain: The reason for the chest pain is not probably cardiac. Other causes like acid reflux or musculsketal chest pain that could cause it. The LVH on the echo doesn't mean anything. ...Read more

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sob, heart fluttering, upper back pain, acid reflux, arthritis., abnorm. Ekg, stress test ok, echo-mild LVH, holter waiting result. What is causing?

sob, heart fluttering, upper back pain, acid reflux, arthritis., abnorm. Ekg, stress test ok, echo-mild LVH, holter waiting result. What is causing?

Work up: Sounds good so far.
Discuss with the cardiologist when all the testing and blood testing done.
Reflux can mimic heart pain.
May need work up for that also-- scope and medications. ...Read more

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What does Ischemia- lateral lead LVH+ mean?

What does Ischemia- lateral lead LVH+ mean?

I assume: You mean your EKG suggest lateral ischemia and LVH (which is short for left ventricular hypertrophy). Interpreting ischemic changes is difficult without knowing the history behind the EKG, but from what you mention it appears that you have some changes on your EKG that "could" be related to coronary disease. LVH on EKG suggests that the left side of your heart "could" be thickened. ...Read more

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What is the risk of have mild concentric lvh and what precautions do we need to take?

What is the risk of have mild concentric lvh and what precautions do we need to take?

Sort out cause: Lvh is a sign (usually) of increased cardiac workload, like long standing and sub optimally treated high blood pressure or heart valve disorders. Heritable or congenital causes do exist. Talk to your doctor to sort out the cause (s), and treat them to target ranges. Prognosis may be tied to lvh, and mitigated by successful treatment of the causes, with subsequent reduction of lvh. ...Read more

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What does mild LVH mean? & what does very dynamic systolic function mean? On copy of my medical record.

What does mild LVH mean? & what does very dynamic systolic function mean? On copy of my medical record.

Thickened heart: LVH stands for left ventricular hypertrophy. The LV is thicker than normal. Most common reason is high blood pressure. There r other possible reasons ie diabetes, heart valve problems, genetic heart disease. The hyperdynamic term means the contraction is more vigorous than normal owing to the thickness. I suggest a consultation with a cardiologist for further eval/treatment ...Read more

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What's the treatment for syncope lvh?

What's the treatment for syncope lvh?

Provocative ECHO: Make sure you don't have hypertrophic cardiomyopathy physiology. You're too young to be having lvh. If this is about you, look at control of your blood pressure immediately and get a referral to a competent cardiologist. I can give you some good names in the chicago region if you need them. Cheers! ...Read more

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Concerns of having lvh & what is treatment?

LVH: Left ventricular hypertrophy can be an ECG only diagnosis or can be a structural abnormality with varied causes. The cause dictates the treatment. ...Read more

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If you have lvh, will your hr be higher than someone without lvh?

If you have lvh, will your hr be higher than someone without lvh?

Not necessarily: Not always. It depends what caused the LVH (e.G high blood pressure) and what other cardiac problems you have (e.G arrhythmia, leaky valves). ...Read more