mild Left ventricular hypertrophy

Posted by charliemac @charliemac, Aug 23 4:32pm

I am a relatively active 72 year old (swimming, gym and lots of walking). I had a fainting incident recently, ultimately diagnosed as Vasovagal syncope. During the workup I had several tests done on my heart. Echo Cardiogram, MRI and stress test. It was determined that I had “mild Left ventricular hypertrophy (LVH)”. Ejection fraction was 54%. MRI indicates heart in “normal range.
After wearing a bp monitor for a day hypertension seems to be the cause. I am now taking perindopril erbumine 8 mg daily.
When I look for ejection fraction readings it is not clear whether 54 is in the normal range or just below.
Also I was wondering if my hypertension comes under control will my LVH and ejection fraction improve?
Many thanks,
Charlie

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Hi there @charliemac and welcome to Mayo Clinic Connect. Connect is a community of people just like you, that use this platform to share experiences. While we can't offer medical diagnoses, second opinions, or treatment options, we can share personal experiences and recommendations that helped us in similar situations.

Ejection fraction is a measurement of the percentage of blood leaving your heart each time it squeezes (contracts). It is just one of many tests your doctor may use to determine how your heart works.
Based on Mayo Clinic's findings, A normal ejection fraction is about 50% to 75%, according to the American Heart Association. A borderline ejection fraction can range between 41% and 50%. So it seems you are just barely in the range of "normal".

What did your physician say about helping your hypertension?

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@amandaa

Hi there @charliemac and welcome to Mayo Clinic Connect. Connect is a community of people just like you, that use this platform to share experiences. While we can't offer medical diagnoses, second opinions, or treatment options, we can share personal experiences and recommendations that helped us in similar situations.

Ejection fraction is a measurement of the percentage of blood leaving your heart each time it squeezes (contracts). It is just one of many tests your doctor may use to determine how your heart works.
Based on Mayo Clinic's findings, A normal ejection fraction is about 50% to 75%, according to the American Heart Association. A borderline ejection fraction can range between 41% and 50%. So it seems you are just barely in the range of "normal".

What did your physician say about helping your hypertension?

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Thank you. For the hypertension she started me with 2mg of perindopiril erbumine then going to 4 and now, just recently, to 8 mg which I understand is the highest dose. So we will see. She suggests that I watch my alcohol consumption – being retired I got into the habit of a couple of glasses of wine before supper – so I’ve stopped doing that – Interestingly I’ve had no palpitations since I’ve given up the wine – I believe the palpitations were PVC not Atrial Fib.. She suggests watching my salt intake and not cutting back on my activities (I was a bit worried about that). Thanks again for your response.
Charlie

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