Suspected Left Ventricular Hypertrophy in ECG Results - Cardiology

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Electrocardiogram suggestive of left ventricular hypertrophy?


Hello Doctor: I had an electrocardiogram during my health check-up, which indicated "suspected left ventricular hypertrophy." However, I do not have any symptoms or discomfort, nor do I have high blood pressure.
There is no family history of heart disease or hypertension; even the elders in my family have normal blood pressure.
I tend to get anxious when measuring my blood pressure, fearing that a doctor might assume it is related to hypertension and prescribe me antihypertensive medication.
However, when I measure my blood pressure at home, although I still feel a bit anxious, after calming down, it usually falls within the normal range (110-125/75-82).
During this health check-up, I happened to be calm, and my blood pressure reading was 98/72.
In previous military health assessments, I was only noted to have mild mitral valve prolapse, so I believe my condition is normal.
Should I take any action, or is it sufficient to just monitor the situation? Thank you for your response, Doctor.

Sam, 20~29 year old female. Ask Date: 2023/06/23

Dr. He Dongjin reply Cardiology


Hello, Changhua Hospital is concerned about your well-being.

Reply Date: 2023/06/23

More Info


Understanding suspected left ventricular hypertrophy (LVH) on an electrocardiogram (ECG) can be a source of concern, especially when there are no accompanying symptoms or a history of hypertension. Based on your description, it seems you have undergone a health examination that indicated "suspected left ventricular hypertrophy," yet you do not exhibit any symptoms such as shortness of breath, chest pain, or palpitations. Additionally, you have a normal blood pressure range when measured at home, which is reassuring.

Left ventricular hypertrophy is characterized by an increase in the size of the heart's left ventricle, often due to increased workload from conditions like hypertension or aortic stenosis. However, it can also occur in athletes or individuals with a naturally larger heart size. In your case, the absence of hypertension and family history of heart disease is a positive sign. The fact that your blood pressure readings at home are within the normal range further supports the idea that there may not be an underlying pathological cause for the LVH noted on the ECG.

Given that you have experienced anxiety related to blood pressure measurements, it is essential to consider the impact of stress on your readings. Anxiety can lead to temporary spikes in blood pressure, which may not reflect your typical levels. The reading of 98/72 mmHg during your examination indicates that your blood pressure was low at that moment, which is not uncommon in individuals who are anxious or nervous.

In terms of further action, it would be prudent to follow up with your healthcare provider, especially since you have a history of mild mitral valve prolapse noted during previous examinations. While this condition is generally benign, it can sometimes be associated with palpitations or other symptoms. Your healthcare provider may recommend a repeat ECG or an echocardiogram to assess the structure and function of your heart more thoroughly. This can help determine if there is any significant hypertrophy or other abnormalities that need to be addressed.

Monitoring your blood pressure regularly at home is a good practice, as it can provide a more accurate picture of your cardiovascular health. If you continue to have normal readings, it may alleviate some concerns regarding hypertension. Additionally, maintaining a healthy lifestyle, including regular exercise, a balanced diet, and stress management techniques, can contribute positively to your heart health.

In conclusion, while the ECG results suggest suspected LVH, your lack of symptoms, normal blood pressure readings, and absence of a family history of heart disease are encouraging. It is advisable to discuss these findings with your healthcare provider, who can guide you on whether further evaluation is necessary or if monitoring is sufficient. Remember, staying informed and proactive about your health is key, and addressing any concerns with your doctor will help ensure you receive appropriate care.

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