How to improve LVID along with hypertension and IgA nephropathy?

Question

Hello doctor,

I am a 62-year-old male with hypertension and IgA nephropathy for the past 12 years, which have been treated with the tablet Cardace 10 mg, Stamlo 5 mg, Lipitor 10 mg, and fish oil capsules. In addition, I have had benign prostrate hyperplasia (Grade 2) for the past six years. I have taken the tablet Urimax 0.40 mg for the past five months. I also have multiple thyroid nodules. My blood pressure is 130/80 mm of Hg. I have attached my latest echocardiogram report. Please review the reports and answer the following questions. The report does not mention the reference range for the various dimensions taken. What are the reference values for LVID, LVPW, and IVS? To determine left ventricular hypertrophy, which values are taken into consideration? My LVID was 4.7 cm three years ago and increased to 5.1 cm one month ago. Is this a cause for concern? What could be the reason for such an increase? What steps can be taken to improve a high LVID? I want to reduce the LVID. Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I feel your report (attachment removed to protect the patient's identity) is normal. An increase in dimension may be related to an error during calculation, which is very common. Rest all parameters like ejection fraction are normal. It might be a normal dimension for your body habits. Nothing needs to be done to improve it. There is no fixed value for other dimensions. Various studies show different values because these dimensions vary from one individual to the other according to their habits and body requirements. We see a large variation in height and weight, leading to very high variations in these parameters.

We commonly see such dimensions in normal individuals. So, I feel this is normal for you. However, these values may not apply to all individuals due to large variations in normal values. Your indexed LVED (left ventricular end-diastolic pressure) is around 29 mm of Hg, and other dimensions are fine (normal up to 10 mm).

In case of further queries, please revert.

Thank you