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Will hypertension cause early death?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 40-year-old male, weighing 216 pounds and standing six feet tall. Last month, I experienced a choking sensation and was rushed to the hospital, where I learned that my blood pressure was very high. In fact, I have been hypertensive for some time now. I underwent a series of tests, including lipid panels, an ECG, and an echocardiogram. The cardiologist informed me that I have left ventricular hypertrophy, which has scared me to death.

The following are my echocardiogram results: the chamber summary is normal except for dilation of the left atrium. The measurements are as follows: LAD 30.4 mm, IVSD 13.8 mm, IVIDD 50.8 mm, PWD 12.3 mm, IVSS 16.3 mm, lVIDD 34.6 mm, EDV 130.9 mL, ESV 41.5 mL, SV 89.4 mL, EF 68.32%, FS 35.82%, IV mass 337.3 g, IV mass-c 270.4 g, LAD 34.6 mm, and RVD 34.6 mm. Both diastolic and systolic functions are normal. The wall motion of the left ventricle and contractility are normal. The aortic valve is normal, the mitral valve is normal, the pulmonary valve is normal, the IVC is normal, and the pericardial space is normal. The tricuspid valve is also normal.

The cardiologist did not specify the type of hypertrophy I have, and I would like to know what it is, please. Am I at risk of sudden death? I am on aggressive blood pressure control, taking Losartan 50 mg and Carvedilol 6.25 mg. My blood pressure is consistently under 120/80. I eat a lot of fruits and vegetables and walk for 30 minutes four times a week. Will the left ventricular hypertrophy regress over time, and can I live for another 40 years?

Please advise.

Answered by Dr. Talapatra Ritendra Nath

Education:

MBBS

Professional Bio:

Dr. Talapatra Ritendra Nath is a Cardiologist with 15 years of clinical experience. He pursues his MBBS from Calcutta University and DNB in General Medicine at the National Board of Examinations. He deals with disorders of the heart such as congenital heart defects, coronary artery disease, heart failure, and valvular heart disease. Currently, he is working in Charnock Hospital, Kolkata, West Bengal.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

You are not likely to experience sudden death. You have been hypertensive for a long time, which is why you are experiencing left ventricular hypertrophy due to left ventricular remodeling. If you manage your hypertension effectively, there can be reverse remodeling of your heart, and your left ventricle (LV) will normalize over time. I suggest that you take your prescribed medications, which include an ARB (angiotensin receptor blocker) and a beta blocker, as these will help your heart return to normal in due course.

I hope this information helps.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At February 12, 2018
Reviewed At October 25, 2024

Education:

MBBS

Professional Bio:

Dr. Talapatra Ritendra Nath is a Cardiologist with 15 years of clinical experience. He pursues his MBBS from Calcutta University and DNB in General Medicine at the National Board of Examinations. He deals with disorders of the heart such as congenital heart defects, coronary artery disease, heart failure, and valvular heart disease. Currently, he is working in Charnock Hospital, Kolkata, West Bengal.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Talapatra Ritendra Nath is a Cardiologist with 15 years of clinical experience. He pursues his MBBS from Calcutta University and DNB in General Medicine at the National Board of Examinations. He deals with disorders of the heart such as congenital heart defects, coronary artery disease, heart failure, and valvular heart disease. Currently, he is working in Charnock Hospital, Kolkata, West Bengal.

This doctor is not available for online consultations on the platform anymore.

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