Does anyone have experience of ‘Left Ventricular Hypertrophy ?’

Welcome, Dee. My wife has an exceedingly complex medical history, and she's a walking pharmacy. Her BP has been high over the years, and nobody has suggested she should have an echo or MRI to see if she has hypertrophic cardiomyopathy. I wouldn't be surprised, though, that by now she has some definite enlargement.

It boils down to keeping both the systolic and diastolic pressures as low as possible, even if it takes medication, rest, low stress....whatever it takes will help you to live longer. The systolic pressure is the 'pumping' pressure where the left ventricle contracts forcefully to expel oxygen-laden blood up the curved aorta and then to the body. It's the first, and highest number. Numbers higher than about 130-140 become concerning because, across large numbers of patience over many years, numbers above those indicate a left ventricle that is contracting too hard....for its own good...and yours. The diastolic pressure is the fully relaxed state, where the left ventricle is relaxed and 'reloading' for the next contraction. You ideally want that low as well as relaxed pressure that is too high can begin to damage optic nerves and the kidneys, as but two examples.

You are strongly motivated to succeed, and I think your physicians should understand that you're willing to do what it takes. It may mean substantial lifestyle changes, some of which can be burdensome to a senior. But, if you want to live, and hopefully to live WELL, you'll have to push hard to claw back some heart health. It can be done with the right procedures, and in some cases the ventricle will subside in thickness as a result....not very much, but enough that it signals a return to cardiac health. From there, you monitor yourself every two or three months in case there's a slow buildup again.

Good luck, and try to be optimistic. You're not on death's doorstep....not even close.

Thank you so much @gloaming, for your kind and reassuring response - it’s truly appreciated. I was sorry to read that your wife is enduring heart related problems among other issues. Hopefully, she is receiving the help she needs. I’m extremely fortunate to have an incredibly supportive husband and family, who ensure I look after myself to the utmost and take my many, many medications at the correct time, from morning to night. I do have high blood pressure (controlled by two medications, severe asthma (also controlled by numerous medications) stage 3 CKD (chronic kidney disease), along with osteoarthritis through out my body (full replacement hips - left and right), arthritis is gradually wearing out my spine, especially the lower back - where the facet joints are also pretty much shot. I also have trauma induced Lumbar Levoscoliosis, so I’m a tad lopsided 😂😂. On top of that I’ve also been diagnosed with fibromyalgia so, as you can imagine - I’m in pain 24/7. Luckily, I’m blessed with an excellent GP, who looks after me very well and sent me to the hospital’s Pain Clinic, to ensure I receive the correct level of medication for the pain that is throughout my body. For that they have prescribed 2 x 60mg Duloxatine (1 x am plus, 1 x pm) , also a 7 day Bupronorphine patch, that releases 10micrograms an hour, throughout the day and night. That combination has brought the pain to a level that I can handle - but has not stopped the pain totally - which is perfectly fine - for me. Thank you again for your kind, reassuring response - it’s truly appreciated is appreciated. 😊

Hi, dollydutchgirl1946. I've been looking at this for a relative.
https://www.ncbi.nlm.nih.gov/books/NBK582152/

Thank you so much @gently. Your kindness is really appreciated. I actually had a good long chat with my GP today as - I have - what is called in the U.K., numerous co-morbidities’ - that means I can die from more than disease I have. Therefore, if at my age (79 next month), it’s going to cost a lot to put one ailment right, when I could easily die from another - the NHS (and I believe, quite rightly) have to give enormous consideration to the cost of the surgery against - perhaps me dying a few months later from another issue. My GP is absolutely amazing and, knows that I don’t want any ‘beating about the bush’ where my health is concerned. We have always talked openly about my medical conditions - and the fact that when the time comes, my body will donated to medical science…. In fact, he really laughed today, when I told him how my family often joke that the medical science people will be fighting over me, due to my complex medical history 😂🤣.

You seem to have a great relationship with your GP, probably because you are good natured.
I have a pathologist begging for my bones, when I'm done with them. My brain is committed elsewhere.
I'm not in complete sync with you, ethically, regarding economic feasibility as reasonable for denial of medical care, especially for the elderly, though great caution should be given to a surgery that might exacerbate any existing comorbidity.
Even the value of the surgery cannot be measured in $signs. The knowledge and skill derived from performing surgery could well be what saves the next (younger) patient.
Bless your health.

Don't get me started on the ethics of health care. These days, in socialized medical milieux, the ethics are largely teleological and therefore 'the end justifies the means.' Where the effect has the greatest hedonic measure, that is where the dollars are spent.

gloaming, I would like to get you started on the ethics of health care.