I have an enlargement of my left ventricle...the echo end diastolic measure is 6.3 cm. How severe is this?

Question

I am 33 year old male and had an echocardiogram a year ago that showed my left ventricle to be 5.9 centimeters. Six months ago it was interpreted as 6.3 cm based on echo. All other measurements are within normal range...no leaking valves or walls that are too thick. I have many pvcs, and have had them for years, though they seem to get worse with age. I take toprol and and ace (lisinopril). I had two ablations about a year ago for SVT which is cured, but the pvcs seem to be more prevalent now, especially first thing in the morning and after eating. I am curious how serious this enlargement is...like is it more on the mild side or the severe side of the enlargement distribution? I have also had an MRI which showed no ARVD and normal wall motion. Could the drugs I am on, which have only been on toprol for last six months have helped my left ventricle decrease in size despite my many pvcs?

Answer 1

Since your EF is 50% and it CAN Be taken as normal as MRI and other test just take a little care about risk factors at my end you are perfectly fit from cardiac point of view. In my opinion the MRI & CT scan are better diagnostic procedures.
So enjoy life.
There is risk factor, avoid it immediately.
The above is in concurrence as desired by you.
Regards.

Answer 2

There's usually no way out of it that doesn't involve snot-dripping, tears-squirting crying jags. There's no rhyme nor reason to why the things that hurt us do, but there are things that we all know tend to work: having a friend to talk to so that you can confidently share your feelings knowing that you're talking to a safe person; clearing your schedule of obligations so you can pay full attention to the issues which are of most concern to you (or whomsoever); and being sure that your house is full of yummy food for when that crying jag is over. The person who is being supportive needs to be willing to do whatever it takes to show that they are there for the other person - I've climbed into showers fully clothed myself when someone was weeping in the shower. The other two suggestions are pretty self-explanatory, but critical - there's nothing worse than being in mourning and having to go to work or go to the store. Allow yourself (or whoever it is) to go through feelings when they're fresh and they won't need to relive them forever after.

Answer 3

Jesus Christ, whose the moron who put you onlisinopril? that's going to exacerbate the ventricular enlargement.

Get your rear to a cardiac specialist who DIDN'T get his license out of a box of Cracker Jacks and do it FAST. Enlargement like that generally indicates pending wall failure. You may have a year, you may have a week, but you need a second, and this time competent, opinion.

Answer 4

Why don't you ask your cardiologist this? This is something that only he/she can answer.