Presentation
Known hypertensive, end stage renal disease. BP 172/129mmHg, sinus rhythm: heart rate 78bpm, weight 78kg, height 170cm.
Patient Data
The left ventricular walls are thickened;
IVSd 17mm
LVPWd 18mm
LV mass 384g
LV mass indexed 200g/m2
RWT 0.75
The left ventricle is normal in size with impaired systolic function, LVEF 35%, spontaneous echocardiographic contrast is noted within the chamber. Bi-atrial dilatation.
Conclusion:
Severe concentric left ventricular hypertrophy.
Case Discussion
Left ventricular hypertrophy, or LVH, refers to a heart's left pumping chamber that has thickened and may not be pumping efficiently. High blood pressure or aortic stenosis is a secondary cause the heart muscle to work too hard. In response to the pressure overload, the heart's inner walls may thicken. These thicker walls can cause the left ventricle to weaken, stiffen, and lose elasticity, thereby preventing proper blood flow. LVH is also a feature of hypertensive heart disease.
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