What causes right ventricular hypertrophy (RVH) in four months?

Hello,

Welcome to icliniq.com.

I read your query and understood your concern. The reason for your condition is your high BMI (body mass index), which measures 42.4. Your ideal weight should be between 145 to 170 pounds. This obesity is causing strain on the right side of your heart and mild systolic dysfunction. I suggest you follow a strict weight loss program as it will undoubtedly be beneficial for you. It appears to be heart failure with preserved ejection fraction, and it is possible that you have gained a significant amount of weight over the past four months. Additionally, I suggest you get your thyroid profile checked. I hope this has helped you.

Kindly follow up if you have more doubts.

Thank you.

Hello,

Welcome back to icliniq.com.

I read your query and understood your concern. It is reversible. Your tricuspid annular plane systolic excursion is 2.9, indicating that the right ventricle is still functioning normally. Therefore, weight loss should be beneficial. Obese individuals often have increased chamber pressures and volumes, which is likely causing right atrial enlargement. At this point, pulmonary hypertension does not appear to have developed, but the values you provided do not include pulmonary artery pressures.

I hope this helps.

Please revert so I can assist you further.

Thank you.

Hello,

Welcome back to icliniq.com.

I read your query and understood your concern. I have reviewed your attached reports (attachments removed to protect the patient's identity), It seems you have a heart failure with preserved ejection fraction. The resting blood pressure is normal, but as you mentioned, it increases when you are active. That is why your doctor prescribed Losartan, a drug that helps with blood pressure. The dosage is kept very low. I suggest you continue with the weight loss plan and a graded exercise program, which will also help stabilize your blood pressure during exercise. With progress, there might be a chance to gradually reduce and eventually discontinue the use of Losartan. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Hello,

Welcome back to icliniq.com.

I read your query and understood your concern. I would like to inform you that with good control of blood pressure, as you have now, the condition will not progress rapidly. Usually, it takes decades before it increases in severity, particularly concerning shortness of breath. This disease progresses very slowly. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.