Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM"

I carefully passed through your question and would explain that LVH is a disorder usually related to high blood pressure. It is caused by a remodeling of the cardiac muscles, as a response to increase peripheral resistances due to uncontrolled high blood pressure.

The progression of this disorder can lead to cardiac arrhythmia's and heart failure.

But if you have a better control of high blood pressure, the progression of this disorder can be stopped.

I would recommend you to closely monitor your blood pressure several times during the day, usually in sitting position after 10minutes of total relax. If your blood pressure are above 135/85 mmHg, they would indicate uncontrolled high blood pressure. In such case you should discuss with your attending physician on the possibility of making some changes to your actual antihypertensive therapy (increase the doses or add on new drugs), in order to have a better control of high blood pressure, thus leading to a better control of LVH.

Some lifestyle modifications (low salt and caffeine in your diet, a lot of physical activity and reduce weight if you are overweight) would help manage your blood pressure better.

From the other hand, considering the fact that you have palpitation time after time, I would recommend performing an ambulatory 24-48 hours ECG monitoring in order to examine your heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia.

I would also advise performing some blood lab tests to exclude other possible metabolic causes that may lead to cardiac arrhythmia or palpitations:

- complete blood count for anemia
- thyroid hormone levels for thyroid dysfunction
- blood electrolytes for possible imbalance.

You should discuss with your doctor on the above issues.

Hope to have been helpful!

Feel free to ask any other questions whenever you need!

Kind regards,

Dr. Iliri

---