Left Ventricular Hypertrophy and Its Impact on Your Health

Ventricular septal hypertrophy and left ventricular hypertrophy?

Last September, the military health examination report indicated suspected left ventricular hypertrophy and myocardial ischemia.
Since I just received the report a few days ago, I have been actively visiting two hospitals and clinics for follow-up tests, including electrocardiograms and echocardiograms.
Both locations confirmed left ventricular hypertrophy, and the clinic also found that the interventricular septum is thicker than normal.
The doctor prescribed medication for treatment, which I need to take long-term.

I would like to ask, I have a habit of jogging regularly, running between 3 to 10 kilometers each time, and I usually run every day when I have time.
I do not feel discomfort or significant shortness of breath while running.
However, I occasionally experience mild, brief chest pain, temporary dizziness, low blood sugar, and palpitations, although these occurrences are not frequent.

Could these issues be related to my heart condition? Can I continue jogging, and is it safe for me to drink coffee and tea? What should I avoid, and what dietary precautions should I take? Thank you, doctor.

Hui, 50~59 year old female. Ask Date: 2017/02/22

Dr. He Dongjin reply Cardiology

Hello, I cannot comment on your report without seeing it.
Ventricular hypertrophy in runners can occur, and occasional mild, transient chest pain, brief dizziness, hypoglycemia, and palpitations are likely unrelated.
You should be able to continue jogging, and it is normal to drink coffee and tea as part of your routine.
Take care, and Changhua Hospital is concerned about your well-being.

Reply Date: 2017/02/22

More Info

Left ventricular hypertrophy (LVH) is a condition characterized by the thickening of the heart's left ventricle, which can result from various factors, including high blood pressure, heart valve disease, and intense physical training. Given your situation, where you have been diagnosed with LVH and have experienced symptoms such as chest pain, dizziness, and palpitations, it is essential to understand the implications of this condition on your health and lifestyle.

Understanding Left Ventricular Hypertrophy
1. Causes of LVH: The most common cause of LVH is chronic hypertension (high blood pressure), which forces the heart to work harder to pump blood. Other causes can include aortic stenosis (narrowing of the aortic valve), hypertrophic cardiomyopathy (a genetic condition), and intense athletic training. In your case, your history as an athlete may have contributed to the development of LVH, especially if you engaged in high-intensity training without proper monitoring of your cardiovascular health.

2. Symptoms and Risks: While some individuals with LVH may be asymptomatic, others can experience symptoms like chest pain, shortness of breath, palpitations, and even fainting. The thickened heart muscle can lead to complications such as arrhythmias (irregular heartbeats), heart failure, and an increased risk of cardiovascular events like heart attacks. The symptoms you described, including occasional chest pain and dizziness, warrant careful evaluation, as they could be related to your heart condition.

3. Impact on Health: LVH can lead to a decrease in the heart's efficiency and increase the risk of heart-related complications. It is crucial to manage any underlying conditions, such as hypertension or valve issues, to prevent further progression of LVH. Regular follow-ups with a cardiologist are essential to monitor your heart's condition and adjust treatment as necessary.

Lifestyle Considerations
1. Exercise: Regular physical activity is generally beneficial for heart health; however, with LVH, it is vital to tailor your exercise regimen. Since you have a habit of jogging, it is advisable to continue but at a moderate intensity. Pay attention to your body’s signals—if you experience chest pain, dizziness, or excessive fatigue, you should stop exercising and consult your physician.

2. Diet: A heart-healthy diet is crucial. Focus on consuming fruits, vegetables, whole grains, lean proteins, and healthy fats. Limit your intake of salt, saturated fats, and sugars, as these can contribute to high blood pressure and worsen LVH. Staying hydrated is also important, especially if you are active.

3. Caffeine and Stimulants: Moderate consumption of caffeine (from coffee and tea) is generally acceptable for most individuals; however, if you notice that caffeine exacerbates your symptoms (like palpitations or anxiety), it may be wise to reduce your intake. Always discuss with your healthcare provider about your caffeine consumption, especially in relation to your heart condition.

4. Monitoring Symptoms: Keep a log of your symptoms, including when they occur and their intensity. This information can be valuable for your healthcare provider in assessing your condition and making necessary adjustments to your treatment plan.

5. Medication Compliance: Since your doctor has prescribed medication for your condition, it is crucial to adhere to the prescribed regimen. Medications may include antihypertensives or other agents to manage your heart condition effectively.

Conclusion
In summary, while left ventricular hypertrophy can pose health risks, with appropriate management, lifestyle modifications, and regular medical follow-up, many individuals can lead active and fulfilling lives. It is essential to maintain open communication with your healthcare provider, report any new or worsening symptoms, and adhere to your treatment plan. Always consult your physician before making significant changes to your exercise routine or diet, especially given your heart condition.

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