Left ventricular hypertrophy of the heart signs on ECG and treatment

Eccentric, obstructive, and concentric hypertrophy of the left ventricle lend themselves poorly to therapeutic effects. But modern medical technologies can significantly stabilize the patient’s condition. The treatment tactics are mostly complex.

To restore the natural rhythm of the heart muscle, beta-blockers are prescribed (Propranolol, Anaprilin, Metapropol, Atenolol).

Calcium channel blockers (Verapamil, Procardia) correct the blood supply to the heart and central systems of the body, have a vasodilating effect.

ACE inhibitors – Kapoten, Zestril, Enalapril. Reduce blood pressure.

Anticoagulants (Warfarin, Indandion derivatives) prevent the appearance of blood clots in the ventricle.

Sartans (Lorista, Valsartan) are first-line drugs in the treatment of hypertension and the prevention of brain strokes.

If drug therapy is ineffective, surgical methods are used. The following surgical interventions are shown:

  • Operation Morrow – fragmented myocardial removal in the area of ​​the interventricular septum;
  • Mitral valve replacement;
  • Replacement or transplantation of the aortic valve;
  • Commissurotomy – separation of adhesions at the mouth of the main artery, fused as a result of stenosis (narrowing);
  • Coronary stenting (insertion of an implant expander into the lumen of an artery).

In cases where the treatment of left ventricular hypertrophy does not give the expected results, a cardioverter defibrillator or pacemaker is sutured. Devices are designed to restore the correct heart rhythm.

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If the cardiologist approved, you can use the following tools:

  • Infusions of flowers of cornflower, lily of the valley, hawthorn;
  • Hypericum infusion with honey;
  • A mixture of garlic and honey in equal parts;
  • Mixed decoction of rosemary, motherwort and cough;
  • A decoction of parsley stalks in red wine.

A good effect is provided by the long-term use of baked milk with strawberry jam, grated cranberries with sugar, dried fruits, raisins, dried apricots.

Many patients are interested in what it is – concentric hypertrophy of the left ventricle, since it is important to determine the peculiarity of the course of the disorder and its manifestation for timely treatment. An intense load on the heart occurs with prolonged negative exposure to high blood pressure.

With the occurrence of such a pathology, the heart muscle functions practically for wear. Thickening and enlargement of the walls of the myocardium cannot last very long, since as the disease progresses there is a high risk of acute ischemia. In addition, pathology can lead to sudden cardiac death.

In order to conduct treatment and reduce the risk of dangerous complications, you must understand what it is – concentric hypertrophy of the left ventricle, and how dangerous it is to life.

Treatment of concentric left ventricular myocardial hypertrophy must be timely and comprehensive and takes a lot of time. Therapy is aimed at eliminating the main causes that provoked such a pathology, and involves adjusting the pressure to restore normal values ​​with the constant use of antihypertensive drugs. With high vascular resistance, therapy is aimed at eliminating the existing pathology with the help of medications.

Treatment is to slow the development of the disorder. This can be achieved by organizing a healthy lifestyle, which implies the normalization of nutrition, adherence to the daily regimen. Consumed foods must be rich in polyunsaturated fats, since the latter help reduce the risk of atherosclerosis. The food should contain vitamins and minerals necessary for the body.

In addition, you need to devote enough time to sleep and rest, moderate exercise. If there is obesity, then you should definitely reduce weight, since this deviation is one of the causes of the development of the disease. Of the physical activities, it is best to give preference to aerobics or swimming. In any case, you can engage in sports after consulting a doctor. Refusal of existing bad habits has a positive effect on the whole body.

For treatment, medication is necessarily used. A person should take medicine throughout his life – the only way to achieve normalization of health. Cardiologists often prescribe antiarrhythmic drugs and beta-blockers.

If all these measures do not bring the required result, then doctors can recommend surgery. Surgical intervention involves the removal of a hypertrophied region of the heart muscle. Such an operation is very complicated, therefore it is used in the most exceptional cases.

With the ineffectiveness of conservative methods, surgical intervention is indicated. As a rule, it is performed using one of the main methods: myoseptectomy or transplantation of a donor organ. In the first case, resection of hypertrophic tissues is performed.

Surgical treatment is often accompanied by stenting of the coronary arteries, angioplasty, dissection of adhesions and prosthetics of the valves (in cases where their insufficiency is diagnosed).

Drug therapy and surgical intervention are important stages on the path to getting rid of the disease. But the effectiveness of such methods is minimal if the patient does not change the regime of the day and does not make adjustments to the diet.

Against the background of hypertrophy, myocardial elasticity decreases. In order to restore it, you must adhere to the following nutritional rules:

  • All dishes should be boiled, baked or steamed.
  • It is necessary to include meat in the diet, but exclusively non-fat varieties.
  • During each meal you need to use some product from the following list: nuts, cereals, fruits, vegetable oil, vegetables, kefir, jelly, fruit drinks.
  • Confectionery and fresh bread should be excluded from the diet.
  • It is strictly forbidden to use alcohol-containing drinks.
  • The amount of water should be reduced.
  • It is necessary to eat 4-6 times a day. Moreover, the size of one serving should not exceed 200 g.

People with myocardial hypertrophy are shown a good rest. But this does not mean that lifestyle should be inactive. All patients are shown moderate physical activity.

Left ventricular hypertrophy, the treatment of which is always necessary with the normalization of lifestyle, is often a reversible condition. It is important to give up smoking and other intoxications, reduce weight, correct hormonal imbalance and dyslipidemia, and optimize physical activity. In the treatment of left ventricular hypertrophy, there are two directions:

  • Prevention of LVH Progression
  • An attempt to remodel myocardium with a return to normal cavity sizes and thickness of the heart muscle.

Further, the main cause leading to hypertrophy is treated (correction of arterial hypertension and treatment of myocardiopathy).

  • Beta-adrenergic blockers can reduce the load by volume and pressure, reduce myocardial oxygen demand, solve some of the problems with rhythm disturbances and reduce the risks of heart catastrophes – Atenolol, Metoprolol, Betolok-Zok, Nadolol.
  • Calcium channel blockers become the drugs of choice for severe atherosclerosis. Verapamil, Diltiazem.
  • ACE inhibitors are drugs that lower blood pressure and significantly inhibit the progression of myocardial hypertrophy. Enalapril, Lisinopril, Diroton are effective for hyperonia and heart failure.
  • Sartans (candesartan, losartan, valsartan) very actively reduce the load on the heart and remodel the myocardium, reducing the mass of hypertrophied muscle.
  • Antiarrhythmic drugs are prescribed in the presence of complications in the form of heart rhythm disorders. Disapiramide, Quinidine.
  • decreases obstruction at the exit of the left ventricle
  • patient’s life expectancy is increasing
  • rhythm disturbances, fainting, angina pectoris do not develop
  • heart failure does not progress
  • quality of life improves.

Thus, left ventricular hypertrophy should be suspected, diagnosed and corrected as early as possible. This will help to avoid serious complications with reduced quality of life and sudden death.

On the recommendation of the attending cardiologist, you can supplement the main course with the use of herbal remedies. Alternative treatment of left ventricular hypertrophy involves the use of viburnum berries without heat treatment at 100 g per day. It is useful to use flax seeds that have a positive effect on heart cells. Recommend:

  • take a spoonful of seeds;
  • add boiling water – liter;
  • hold in a water bath for 50 minutes;
  • to filter out;
  • drink per day – dose of 100 g.

In the treatment of HCMP, oat infusion has good reviews to regulate the functioning of the heart muscles. Prescription healers require:

  • oats – 50 grams;
  • water – 2 glass;
  • warm up to 50 degrees;
  • add 100 g of kefir;
  • pour the juice of a radish – half a glass;
  • mix, stand for 2 hours, strain;
  • put 0,5 tbsp. honey;
  • dosage – 100 g, three times a day before meals;
  • course – 2 weeks.

Development mechanism

From the moment a newborn baby is born, the baby’s heart is subjected to certain loads. Over time, their intensity increases. Nature conceived that the heart must withstand numerous loads. The indicator of organ strength directly depends on the state of the myocardium.

If the heart is exposed to significant stress, it needs more blood. This increases the frequency of contractions of the body. If the influence of a negative factor (loads) is permanent, the heart begins to work faster. This is necessary in order to pump blood in a timely manner and deliver it to all organs and systems. If the heart is not able to work in such a rhythm, the elastic properties of the myocardium are lost, gradually it increases in size.

Over time, pathology progresses. The danger of the disease lies in the fact that many people live for years with myocardial hypertrophy and do not even know about it, writing off the warning signs to other existing ailments or overwork. However, the lack of treatment can be fatal.

Illness in a child

In childhood, concentric hypertrophy of the left ventricle of the heart can be an acquired or congenital form of pathology. The acquired form of the disease is mainly due to carditis, heart defects, pulmonary hypertension. Symptoms of pathology in a child can be very different. A newborn baby becomes restless and noisy, or vice versa – lethargic, refuses to feed.

An older child is able to accurately indicate the nature of the complaints. He is worried about heart pain, lethargy, pallor, fatigue, shortness of breath. The tactician for the treatment of concentric hypertrophy of the left ventricle is selected by the cardiologist after the examination.

Factors for the occurrence of the disease

The walls of the ventricular chambers consist of three layers:

  1. Endocardium is an inner shell with a smooth surface that facilitates blood flow.
  2. Myocardium is muscle tissue, the most powerful part of the wall.
  3. Epicardium – the outer layer that protects the muscle.

Since the main responsibility for pumping blood rests on the LV, nature has provided for it a certain margin of safety. The left chamber is larger than the right (the LV size is one third of the total volume of the cardiac cavities), its muscle tissue is noticeably more powerful. The average thickness of the myocardium in different parts of the LV varies from 9 to 14 mm.

If the muscles of the chamber undergo an increased load (increased pressure or a significant amount of blood), the organ is forced to adapt to these conditions. The compensatory LV response is the proliferation of cardiomyocytes (cardiac muscle cells). LV walls are compacted and gradually lose elasticity.

Excessive stress on the LV is based on congenital or acquired heart disease.

Hereditary anomalies include:

  • Genetic defects. They arise as a result of a mutation of one of the genes responsible for the synthesis of heart proteins. In total, about 70 persistent changes were found in these genes that cause the growth of the LV myocardium.
  • Congenital malformations: decrease in aortic diameter (coarctation), ventricular septal defect, infection or absence of the pulmonary artery. It is with hereditary defects of the heart muscle that hypertrophy of the left ventricle in children is associated. Here the main form of therapy is surgery.
  • Congenital narrowing of the aortic valve (LV outlet, through which blood is ejected into the artery). Normally, the valve area is 3-4 square meters. cm, with stenosis, it narrows to 1 square. cm.
  • Mitral insufficiency. A flap defect causes backflow to the atrium. Each time during the relaxation phase, the ventricle is full of blood (volume overload).

Acquired left ventricular myocardial hypertrophy can develop under the influence of certain diseases and factors:

  • Arterial hypertension. It holds the first place among the pathologies that cause myocardial compaction (90% of cases). Muscle tissue grows due to the fact that the body is constantly working under pressure overload;
  • Atherosclerosis of the aorta. On the walls of the aorta and in its valve, cholesterol plaques are deposited, which are later calcified. The walls of the main artery lose their elasticity, which interferes with the free flow of blood. LV muscle tissue, experiencing increasing tension, begins to increase its volume;
  • Coronary heart disease;
  • Diabetes;
  • Overeating, heavy weight, obesity;
  • Protracted stress;
  • Alcoholism, smoking;
  • Adinamia;
  • Insomnia, emotional instability;
  • Hard physical work.

Pathology occurs when the heart is regularly subjected to high loads. The latter often accompany arterial hypertension or hypertension.

In addition, the following diseases and conditions often become causes of myocardial hypertrophy:

  • Congenital heart defects. These include: aortic stenosis, one ventricle, impaired communication between departments, pulmonary hypoplasia or artesia.
  • Heart defects of an acquired nature. The organ is subjected to high loads during narrowing of the aortic valve and mitral regurgitation.
  • Cardiomyopathy
  • Coronary heart disease.
  • High-intensity physical activity. For this reason, myocardial hypertrophy often develops in athletes.
  • Fabry’s disease.
  • Overweight.
  • Atherosclerosis.
  • Diabetes.
  • Low-activity lifestyle.
  • Frequent episodes of obstructive sleep apnea.
  • Tobacco smoking.
  • Excessive consumption of alcohol-containing drinks.

Sometimes an increase in the size of the right or left ventricle of the heart occurs in completely healthy people. Athletes are at risk, as they regularly expose the body to high-intensity stress. In such cases, it is customary to talk about physiological myocardial hypertrophy. With an increase in one or both departments in size, it is necessary to reduce the intensity of the loads.

Hypertrophy may be asymmetric or concentric in nature. In the first case, the shape and size of the upper, middle or lower part of the left ventricle of the heart changes. Often a septum separating departments is involved in the pathological process. This type of myocardial hypertrophy is diagnosed in 50% of cases.

Concentric hypertrophy is much less common. It is characterized by a decrease in the size of the cavities, impaired heart rhythm and diastolic function of the organ. In most cases, concentric hypertrophy of the left ventricular myocardium is diagnosed, less often – the right. This is due to the fact that the work of the latter largely depends on the functioning of the lungs.

The involvement of both departments in the pathological process is extremely rare.

It is customary to separate the primary and secondary causes of hypertrophic myocardial development. The former are influenced by:

  • viral infections;
  • heredity;
  • stress;
  • alcohol consumption;
  • physical overload;
  • excess weight;
  • toxic poisoning;
  • changes in the body during pregnancy;
  • drug use;
  • lack of trace elements in the body;
  • autoimmune pathologies;
  • malnutrition;
  • smoking.

Secondary causes of myocardial hypertrophy provoke such factors:

  • mitral valve insufficiency;
  • arterial hypertension;
  • heart defects;
  • neuromuscular diseases;
  • imbalance of electrolytes;
  • parasitic processes;
  • pulmonary diseases;
  • IHD;
  • aortic stenosis;
  • violation of metabolic processes;
  • ventricular septal defect (MJP);
  • lack of oxygen in the blood;
  • endocrine pathology.

More often hypertrophy affects the walls of the left ventricle. One of the causes of LVH is high pressure, which makes the myocardium work in an accelerated rhythm. Due to arising overloads, the left ventricular wall and MJP increase in size. In this situation:

  • myocardial muscle elasticity is lost;
  • blood circulation slows down;
  • normal heart function is disturbed;
  • there is a danger of a sharp load on it.

Left ventricular cardiomyopathy increases the heart’s need for oxygen and nutrients. It is possible to notice changes in LVH during instrumental examination. Low emission syndrome appears – dizziness, fainting. Among the signs accompanying hypertrophy:

  • angina pectoris;
  • pressure drops;
  • heartache;
  • arrhythmia;
  • weakness;
  • high blood pressure;
  • bad state of health;
  • shortness of breath at rest;
  • headache;
  • fatigue;
  • palpitations with light loads.

An increase in the wall of the right ventricle is not a disease, but a pathology that appears with overloads in this department. It occurs due to the receipt of a large amount of venous blood from large vessels. The cause of hypertrophy can be:

  • congenital malformations;
  • defects of the interatrial septum, in which blood enters the left and right ventricles simultaneously;
  • stenosis;
  • obesity.

Hypertrophy of the right ventricle is accompanied by symptoms:

  • hemoptysis;
  • dizziness;
  • night cough;
  • fainting;
  • chest pain;
  • shortness of breath without exertion;
  • bloating;
  • arrhythmia;
  • signs of heart failure – swelling of the legs, enlarged liver;
  • malfunctioning of internal organs;
  • cyanosis of the skin;
  • heaviness in the hypochondrium;
  • expansion of veins on the stomach.

One of the signs of the development of the disease is hypertrophy of the MJP (interventricular septum). The main cause of this disorder is gene mutations. Hypertrophy of the septum provokes:

  • ventricular fibrillation;
  • atrial fibrillation;
  • mitral valve problems;
  • ventricular tachycardia;
  • violation of the outflow of blood;
  • heart failure;
  • cardiac arrest.

Hypertrophy of the interventricular septum can provoke an increase in the internal volume of the heart chambers. This expansion is called myocardial dilatation. In this position, the heart cannot perform the function of a pump, there are symptoms of arrhythmia, heart failure:

  • fatigue;
  • weakness;
  • dyspnea;
  • swelling of the legs and arms;
  • rhythm disturbances;

Quite often, concentric hypertrophy of the left ventricle occurs in the presence of a genetic predisposition. The situation may worsen with obesity and high blood pressure. Quite often, a disease develops for reasons such as:

  • damage to the mitral valve;
  • arterial stenosis;
  • excess weight;
  • high pressure;
  • hypertrophic cardiomyopathy;
  • stress;
  • pulmonary diseases.

The mitral valve regulates blood circulation in the chambers of the heart muscle. If its functioning is disturbed, hypertrophy may develop. Among other reasons, it is necessary to highlight excess weight, which leads to the development of numerous disorders in the body, including the occurrence of cardiovascular pathologies.

Often expressed concentric hypertrophy of the left ventricle develops due to arterial hypertension. Often other disorders also join this condition, which are clearly visible when conducting an electrocardiogram.

The formation of minor concentric left ventricular myocardial hypertrophy is considered the norm in people who have been professionally involved in sports for a long time. With constant training, the load on the heart is quite strong and constant. As a result, the walls of the left ventricle become somewhat thicker.

Despite the fact that this is considered the norm, it is important not to miss the moment when moderate concentric hypertrophy of the left ventricle passes into a more complex form. In this regard, athletes are constantly under the supervision of doctors who know for sure in which sport this condition is permissible, and in which it should not be.

Another reason for the formation of such a pathology is ischemia. In this case, the myocardium experiences a periodic or constant lack of oxygen. Muscle cells without the additional supply of energy substrates do not work as efficiently as they should be normal. Therefore, the remaining cells have to function with a much greater load. Gradually, a thickening of the heart muscle occurs.

Symptoms

The risk of myocardial disease in asymptomatic for a long time. Often diagnosed by chance during physical examinations. With the development of the disease, there may be signs of myocardial hypertrophy:

  • pain in the chest;
  • heart rhythm disorder;
  • shortness of breath at rest;
  • fainting;
  • fatigue;
  • labored breathing;
  • weakness;
  • dizziness;
  • drowsiness;
  • edema.

With left ventricular hypertrophy of a concentric type, the symptoms may vary slightly. Sometimes for a long time the signs of the violation are completely absent, and the patient is not aware of the presence of pathology until it is detected during the diagnosis. The asymptomatic course of the disease can last several years in a row.

Recognizing concentric hypertrophy of the left ventricle is possible by the presence of angina pectoris, which often develops against the background of ongoing changes in the heart muscle and its functionality. The heart thus greatly increases in size, since a greater supply of oxygen is required.

In some cases, atrial fibrillation develops, characterized by atrial fibrillation and myocardial oxygen starvation. Often, the patient is faced with a condition in which there is literally a sinking heart, as well as a cardiac arrest. The disease in all cases is accompanied by severe shortness of breath, which can worsen even with minor exertion. In addition, among the main symptoms of concentric hypertrophy of the walls of the left ventricle, it is necessary to distinguish such as:

  • headache;
  • arrhythmia;
  • pressure instability;
  • heartache;
  • insomnia;
  • discomfort in the chest area.

Such a disease often leads to heart failure and myocardial infarction. If dangerous symptoms occur, you should immediately consult a doctor. If there is a predisposition to the development of such a pathology, a comprehensive diagnosis is required annually.

Myocardial hypertrophy is an insidious disease. This is due to the fact that most people do not even suspect of an ailment and live with it for years. As a rule, the disease is detected at random during the examination, appointed for a completely different reason.

As the pathological myocardial hypertrophy progresses, the first alarming signs begin to appear. As a rule, they arise already at a late stage, when the work of the heart is significantly impaired.

In order to prevent the transition of the disease to a severe form, it is necessary to consult a doctor if there are even mild symptoms. These include:

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As the pathology develops, the following signs of myocardial hypertrophy appear:

  • Swelling of the face in the evening.
  • Dry cough.
  • Heart rhythm disorders.
  • Constant drowsiness or, conversely, insomnia.
  • Increased fatigue.
  • Weakness.
  • Frequent episodes of headache.
  • Blood pressure jumps.
  • Symptoms of angina pectoris.
  • Pain in the chest.
  • Dyspnea.
  • Weakness in the muscles.

Often the development of myocardial hypertrophy is accompanied by attacks of cardiac asthma. The pathological condition occurs due to the fact that the muscle can no longer pump a large amount of blood, against which stagnation of liquid connective tissue forms.

Myocardial hypertrophy – degrees

To correctly assess the patient’s condition with HCMP disease, a special classification has been introduced that takes into account myocardial thickening. According to how much the wall size is increased with a contraction of the heart, 3 degrees are distinguished in cardiology. Depending on the thickness of the myocardium, the stages are determined in millimeters:

  • moderate – 11-21;
  • medium – 21-25;
  • pronounced – over 25.

The disease develops gradually, passing through several stages.

The degree of myocardial hypertrophy:

  1. Compensation. This is the initial stage of the development of the pathological process, in which both the left and right ventricles function normally. In this regard, the patient does not feel any warning signs. In such cases, the disease is detected by chance during diagnostic measures prescribed for another reason.
  2. Subcompensation. At this stage, the general condition of a person can also remain the same. Persons with other heart pathologies may experience the first symptoms: shortness of breath, weakness, fatigue, darkening in the eyes.
  3. Decompensation. Changes in the myocardium are pronounced, in connection with which the symptomatology of the disease manifests itself very clearly.

At an early stage, the disease in most cases can be treated with conservative methods. With the advanced form, the doctor decides on the advisability of surgical intervention.

Conducting diagnostics

To determine the presence of concentric type left ventricular myocardial hypertrophy, the doctor initially collects a history of the course of the disease, evaluates the patient’s complaints, and also finds out information about the presence of heart pathology in close relatives. To clarify the diagnosis, such procedures are prescribed as:

  • electrocardiogram;
  • echocardiography;
  • daily monitoring and ECG;
  • X-ray
  • Doppler test;
  • blood test;
  • Analysis of urine.

To determine the extent of the disease, the doctor prescribes coronary angiography. A similar technique is an X-ray study with the introduction of a contrast medium into the cardiac bloodstream. For better visualization of intracardiac pathology, MRI of the heart muscle is prescribed.

The echocardiographic criteria for concentric hypertrophy of the left ventricle is the mass of the myocardium, or rather its index. A similar technique allows you to measure the thickness of the myocardial wall on different segments of the heart muscle. Echocardiographic criteria for concentric hypertrophy of the left ventricle is the relative thickness of the myocardial wall. The normal structure is characterized by the fact that the OTC is less than 0,45, and the index is within normal limits.

Medication Therapy

The basis of treatment is the elimination of the provoking factor that led to the development of hypertrophy. Therapeutic measures necessarily include the use of medications that help normalize blood pressure, eliminate endocrine and metabolic disorders.

In order to reduce heart rate and eliminate oxygen starvation of cells, beta-blockers are prescribed. They help prevent even greater progression of angina pectoris and provide a reduction in the frequency of painful symptoms. Angiotensin-converting enzyme inhibitors provide protection to affected cells and help prevent their secondary damage.

To reduce the amount of calcium in the cells of the heart muscle, calcium antagonists are prescribed. They prevent the formation of various intracellular structures that can provoke the development of hypertrophy. Given the available signs of such a pathological condition, the following drugs are prescribed:

  • antiarrhythmic;
  • cardiac glycosides;
  • diuretic;
  • antioxidants.

It is worth noting that minor concentric hypertrophy of the left ventricle is completely life-threatening and does not require special treatment, but monitoring the patient is required.

All drugs are prescribed to eliminate the root cause of the disease, improve the general well-being of the patient, increase the life expectancy of the patient, as well as to prevent various kinds of complications that can be dangerous not only for health but also for human life.

In the vast majority of cases, left ventricular hypertrophy is diagnosed. In such situations, the following medications are prescribed:

  • Beta blockers. Examples of drugs: Atenolol, Nadolol, Sotalol, Propranolol. Such remedies help to achieve visible improvements in at least a third of patients. The mechanism of action of the drugs is as follows: penetrating into the body, the active components reduce the heart’s need for oxygen. If the patient is in a state of psychoemotional or physical stress, the substances help reduce the degree of exposure of the sympathoadrenal system. As a result, the patient significantly improves the quality of life by stopping unpleasant symptoms. Most often, cardiologists prescribe Propranolol. At the initial stage of treatment of myocardial hypertrophy, the drug must be taken three times a day at a dosage of 20 mg. The latter should gradually increase. If at the most effective dosage (up to 240 mg) the patient experiences undesirable reactions, the drug must be replaced. For people suffering from heart failure of a chronic nature, the approach is always individual. The disadvantage of such drugs: they do not affect the patient’s life expectancy, that is, they can not increase it.
  • Calcium channel blockers. Against the background of taking these funds, contractile function is normalized, due to which the progression of hypertrophy stops. In addition, the oxygen demand of the heart muscle is reduced. As a result, the patient’s well-being improves significantly, his body becomes more resilient. As a rule, doctors prescribe Verapamil. According to statistics, treatment with this drug is effective in most patients. It is necessary to take the medicine three times a day in a dosage of 20-40 mg. With good tolerance, it is gradually increased to a maximum of 240 mg.
  • Additional funds. These include: antiarrhythmic drugs (for example, “Disopyramide”), anticoagulants, antihypertensive drugs, vitamins and minerals.

The functioning of the right ventricle is largely dependent on lung function. If its hypertrophy is detected, which occurs in rare cases, drugs are prescribed to treat the underlying disease of the respiratory system. What funds should be taken, the doctor decides based on the results of the diagnosis and individual characteristics of the patient’s health.

When stopping the development of myocardial hypertrophy, improving the quality and life expectancy of the patient, there is no risk of complications, the result of drug therapy is considered successful.

Cardiomyopathy – treatment with folk remedies

Folk remedies can be used as adjunctive therapy to the main treatment. You can use them only after a diagnosis and with the permission of a doctor. Alternative treatment implies the use of medicinal herbs, which help to get rid of the cause of the disease, its symptoms and are aimed at normalizing well-being.

To prepare the broth, you will need a mixture of rosemary, motherwort, dried cinnamon and kidney tea. All components must be mixed in equal proportions, then take 2 tbsp. l mixture and pour 300 ml of boiling water. Boil over low heat, cool, strain and take 3 times a day.

A strong infusion of St. John’s wort will help strengthen the heart muscle. Before consuming it, you need to add a little honey. Strawberry jam with milk, dried fruits, dried apricots, cranberries with sugar, raisins have a good effect.

Forecast

Moderate left ventricular hypertrophy is usually harmless. This is a compensatory reaction of the body, designed to improve blood circulation to organs and tissues. For a long time, a person may not notice hypertrophy, since it does not appear in any way. As it progresses, the following may develop:

  • myocardial ischemia, acute myocardial infarction,
  • chronic cerebrovascular accidents, strokes,
  • severe arrhythmias and sudden cardiac arrest.

Thus, left ventricular hypertrophy is a marker of heart overload and indicates the potential risks of cardiovascular catastrophes. The most unfavorable are its combinations with coronary heart disease, in the elderly and smokers with concomitant diabetes mellitus and metabolic syndrome (overweight and lipid metabolism disorders).

The disease at the initial stage of development is not life threatening. At this stage, the heart muscle is functioning normally. If the pathology is in the stage of decompensation, stagnation forms in the vascular bed. Against this background, heart failure or myocardial infarction may develop.

With left ventricular hypertrophy, arrhythmic manifestations may occur. Coronary disease often develops. The most serious complication is sudden cardiac arrest.

When the right ventricle is damaged, stagnation of blood forms in the venous channel. Against the background of this pathological process, edema appears, fluid accumulates in the chest and abdominal cavities. In advanced cases, ascites occurs.

The prognosis directly depends on the severity of the underlying disease. In addition, the reaction of the body to medications or surgical intervention is of no small importance. At the initial stage of the development of pathology, the prognosis is usually favorable. If the disease is already detected at the stage of decompensation, often the disease ends with the death of the patient. This is due to the fact that in severe cases, the course of the pathology in most cases is accompanied by life-threatening complications.

Moderate hypertrophy is usually harmless. This is a kind of compensatory reaction of the body, designed to normalize the blood supply to tissues and organs. For a long time, a person may not notice the presence of hypertrophy, since it does not manifest itself in any way. As the pathology progresses, the following may develop:

  • ischemia, myocardial infarction;
  • chronic cerebrovascular accident;
  • severe arrhythmia;
  • stroke;
  • sudden cardiac arrest.

Angina pectoris occurs due to an increase in the size of the myocardium of the heart, and basically it happens rather unevenly. Coronary vessels are compressed. Angina pectoris is characterized by the presence of sternal pain of a pressing or compressive nature. In addition, the disease proceeds against the background of high blood pressure and a significant increase in heart rate.

Another dangerous complication is thrombosis. Due to insufficient blood pumping, blood clots form on the walls of the heart chamber and valves. They arise as a result of damage to the walls and subsequent sedimentation of red blood cells on them. Such a complication is very dangerous in that the thrombus can break off from its attachment site and clog the vessel.

If hypertrophy proceeds for a long time, then it can eventually become chronic. In this case, swelling is formed throughout the body. Patients cannot move normally due to severe dyspnea, poorly tolerate any load. In the later stages, a person is not even able to leave the house.

The prognosis of the course of the disease is determined by the root cause of such a violation. At the initial stages of hypertrophy, which is corrected with antihypertensive drugs, the prognosis is quite good. The chronic form develops very slowly, and a person with such a disease can live for several decades. Moreover, the quality of his life does not suffer.

In older people with myocardial ischemia, as well as previously suffered heart attacks, the development of the chronic stage is difficult to predict. It can develop both slowly and rapidly, which leads to disability and loss of human performance.

Surgical intervention

If drug therapy did not bring the desired result, then surgical procedures may be prescribed for the treatment. The following types of intervention are indicated:

  • mitral valve replacement;
  • Morrow operation;
  • commissurotomy;
  • replacement or transplantation of the aortic valve;
  • coronary stenting.

Stenting is prescribed in case of myocardial ischemia. With aortic stenosis, adhesions are dissected on the valves. A similar technique allows you to slightly reduce the resistance that the ventricular myocardium encounters when blood flows into the aorta. If the therapy does not bring the expected result, then a cardiovert-defibrillator or pacemaker is sewn. These devices are designed to restore the correct rhythm of the heart.

In conclusion

Myocardial hypertrophy is a pathological process characterized by an increase in the size of the heart muscle. A similar condition develops in the presence of large loads to which the organ is exposed.

At the initial stages of development, the disease may not manifest in any way, since the work of the heart is not disturbed to a large extent. In such cases, the ailment is usually detected at random. With the advanced form, the quality of life of the patient is significantly impaired.

Treatment of the disease involves the use of medications, lifestyle changes and dietary adjustments. With the ineffectiveness of conservative methods, surgical intervention is indicated.

Increasingly, LV hypertrophy is found in people under 35 years old. Hoping for the compensatory capabilities of the young body, patients avoid going to the clinic.

But heart pathologies are dangerous because without medical treatment and control they are steadily progressing.

Only in 5-10% of patients, cardiomyopathy develops back. The rest fall into the high-risk group. Only persistent treatment and the implementation of the recommendations of a cardiologist will allow a person not to change the usual rhythm of life.

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Detonic for pressure normalization

The complex effect of plant components of the drug Detonic on the walls of blood vessels and the autonomic nervous system contribute to a rapid decrease in blood pressure. In addition, this drug prevents the development of atherosclerosis, thanks to the unique components that are involved in the synthesis of lecithin, an amino acid that regulates cholesterol metabolism and prevents the formation of atherosclerotic plaques.

Detonic not addictive and withdrawal syndrome, since all components of the product are natural.

Detailed information about Detonic is located on the manufacturer’s page www.detonicnd.com.

Svetlana Borszavich

General practitioner, cardiologist, with active work in therapy, gastroenterology, cardiology, rheumatology, immunology with allergology.
Fluent in general clinical methods for the diagnosis and treatment of heart disease, as well as electrocardiography, echocardiography, monitoring of cholera on an ECG and daily monitoring of blood pressure.
The treatment complex developed by the author significantly helps with cerebrovascular injuries and metabolic disorders in the brain and vascular diseases: hypertension and complications caused by diabetes.
The author is a member of the European Society of Therapists, a regular participant in scientific conferences and congresses in the field of cardiology and general medicine. She has repeatedly participated in a research program at a private university in Japan in the field of reconstructive medicine.

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