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Writer's pictureSaneka Chakravarty, MD, FACC

Do you have “left ventricular hypertrophy”? How does that impact your life?

Updated: Aug 8, 2023

Left ventricular hypertrophy, a term denoting the thickening of heart muscles, echoes the response seen in muscles throughout our body when faced with stress and strain.

This phenomenon can stem from different origins – a normal bodily adaptation, as seen in finely tuned athletes, or a result of the heart toiling against heightened pressure, such as in cases of high blood pressure or sleep apnea.

In rarer instances, genes weave a story of inheritance, orchestrating the heart's muscles to bulk up, a condition christened hypertrophic cardiomyopathy.

But is there a downside to "hypertrophy"? For while it ushers in a mightier heart swathed in muscle, the tale takes a twist. Beyond a certain juncture, the heart's once supple rhythm falters. What was once a pliable balloon morphs into a less flexible rubber sphere, curtailing its capacity to cradle blood – from a capacious glass to a modest cup.

Now, how does this unfold in your daily life? When you embark on physical exertion, your heart must accommodate an amplified flow of blood, catering to heightened oxygen needs. Yet, when its elasticity wanes, blood pools within the lungs, a shortness of breath unfurls.

This progression unfurls subtly, encroaching upon even restful moments, casting shadows of diastolic heart failure.

The heart's augmented musculature can unfurl a symphony of rhythm disturbances, accompanied by scars. In a choreographed sequence, the heart's bottom chamber's rigidity reverberates upward, stretching the top chamber and possibly orchestrating atrial fibrillation, a common rhythm anomaly that elevates stroke risk.

So, what's the strategy? Optimum action is prevention itself: the tapestry woven by maintaining ideal body weight, steadying blood pressure, embracing regular exercise, and tending to sleep apnea, diabetes, and cholesterol levels.

And if the tide has already swept in? There's still hope – the tide can reverse, wholly or in part, guided by the same measures.

For those ensnared by hereditary threads, consulting a medical guide becomes the prudent path, as the course of treatment sprawls across various avenues, adapting to the individual scenario.

Who should seek screening? Those tethered to shortness of breath during exertion or rest, grappling with unruly blood pressure, displaying abnormal ECG readings, or bearing familial echoes of hypertrophic cardiomyopathy.

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