Echo inaccurate on left ventricular hypertrophy

Posted by lpaelevated4 @lpaelevated4, Dec 23, 2025

Had an echo and showed mild left ventricular hypertrophy. Told by cardiologist that it may be due to sleep apnea , hypertension or athletes heart. Stopped exercising for 3 months, took sleep apnea lab test and negative, no hypertension so had a follow up echo 3 months later. Still showed mild ventricular hypertrophy and GLS of negative 18 on 2nd echo test. Cardiologist ordered an MRI cardiac with and without contrast and result showed no myocardial hypertrophy. In fact it didn't even show I had mild regurgitation nor mild aortic stenosis
So cardio said MRI cardiac is more accurate. I wonder how 2 echos tested could be so inaccurate....

Interested in more discussions like this? Go to the Heart & Blood Health Support Group.

@lpaelevated4
I have had a lot of echocardiograms. Not sure if you can see the monitor when they do it but very hard to see clearly.

Did your tech doing the echograms used a contrast? When I have mine done they give me an I.V. with contrast which enhances the echocardiogram to get better pictures.

You did not give your age. Your stated your test showed mild. Not sure what ventricular hypertrophy is? Is that enlargement of left or right ventricle? Or if has something with reduced function? Did they give you a EF number? That is important number and is normal is between 50-70 (Per my Mayo EP). EF is how much blood is pump out of your heart into body.

You had some excellent test with the MRIs and you should be glad they found such good results. The MRI with contrast is going to be such a more precise test than a echocardiogram.

REPLY
Profile picture for jc76 @jc76

@lpaelevated4
I have had a lot of echocardiograms. Not sure if you can see the monitor when they do it but very hard to see clearly.

Did your tech doing the echograms used a contrast? When I have mine done they give me an I.V. with contrast which enhances the echocardiogram to get better pictures.

You did not give your age. Your stated your test showed mild. Not sure what ventricular hypertrophy is? Is that enlargement of left or right ventricle? Or if has something with reduced function? Did they give you a EF number? That is important number and is normal is between 50-70 (Per my Mayo EP). EF is how much blood is pump out of your heart into body.

You had some excellent test with the MRIs and you should be glad they found such good results. The MRI with contrast is going to be such a more precise test than a echocardiogram.

Jump to this post

@jc76 I am 64 years old . No contrast for the echo. Ventricular hypertrophy is thickness of the posterior or /and septal. For me it was the left side. Echo showed 60 to 65 LVEF. MRI cardiac contrast showed left of 70 percent and right ventricle of 58 percent.

REPLY

@lpaelevated4
Excellent EF numbers. I wish I had them.

My HF, EP, cardiologist at Mayo Jacksonville gave me the normal EF is 50-70. Boy you got some strong pumping going on. My wife's EF is 70%.

My EF is 25%. But was told my body compensated really well and I am able to exercise without restrictions and few side affects from the 25%. With my ICD/Pacemaker and medications my EF has stayed the same over the last 10 years where before that was steadily going down.

REPLY
Profile picture for jc76 @jc76

@lpaelevated4
Excellent EF numbers. I wish I had them.

My HF, EP, cardiologist at Mayo Jacksonville gave me the normal EF is 50-70. Boy you got some strong pumping going on. My wife's EF is 70%.

My EF is 25%. But was told my body compensated really well and I am able to exercise without restrictions and few side affects from the 25%. With my ICD/Pacemaker and medications my EF has stayed the same over the last 10 years where before that was steadily going down.

Jump to this post

@jc76 keep up your exercises. Good for heart and mental health. Getting older is no fun. Found out I have a bit of problem from eye exam and incidental pancreatic cyst finding.....going to live and enjoy ...Merry Xmas and wish you the best

REPLY
Please sign in or register to post a reply.