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Answer to your Health Question

Question:

My cousin just got x-rayed for the heart and was found part of the heart bigger which caused him to have high pressure.

He only 17 and plays soccer.

I just wanted to know if there are possibilities that with a treatment or is there any way to make it normal, basically if there's a cure?

Can he play soccer again? Or cannot more?

Thank you

Carlos

Answer:

Dear Carlos,

The left side has to pump oxygenated blood throughout the whole body.

This requires a stronger pump than the right hand side so the cardiac muscle surrounding the left ventricle is thicker.

The left heart chamber is typically larger than the right because of the left ventricle.

Cardiomyopathy is a disease that enlarges and weakens the heart muscle.

Cardiomyopathy is the condition in which the muscle of the heart is abnormal.

The term is most commonly used in reference to an abnormally large, baggy heart ("dilated") with reduced ability to contract.

In hypertrophic cardiomyopathy, the muscle mass of the left ventricle is larger than normal.

Treatment for hypertrophic cardiomyopathy depends on the condition of the heart and the severity of symptoms.

Myectomy is the surgical removal of part of the overgrown septal muscle to decrease the outflow tract obstruction.

Myectomy is open-heart surgery and should be done at an experienced medical center. Myectomy is performed when medication no longer relieves symptoms.

In septal ablation, an alcohol solution is injected into an artery supplying the part of the thickened muscle that causes the obstruction.

An automatic implantable defibrillator (AICD) might be recommended in some patients who are considered very high risk

Pacemakers have been used to relieve outflow tract obstruction in the heart that is caused by hypertrophic cardiomyopathy.

Medications help relax the heart and reduce the degree of obstruction so the heart can pump more efficiently. Beta-blockers and calcium channel blockers slow the heart rate, decrease contractions and relax the heart muscle. Anti-arrhythmia drugs decrease contractions to prevent abnormal rhythms and slow the heart rate.

Left ventricular hypertrophy (LVH) is the thickening of the myocardium (muscle) of the left ventricle of the heart.

The enlargement is not permanent in all cases, and in some cases the growth can regress with the reduction of blood pressure

Treatment for left ventricular hypertrophy focuses on the underlying cause of the condition. Depending on the cause, treatment may involve medication or surgery.

Some high blood pressure drugs may prevent further enlargement of left ventricle muscle tissue and may even shrink your hypertrophic muscles. Blood pressure drugs that may reverse muscle growth include the following:

-Thiazide diuretics
-Angiotensin-converting enzyme (ACE) inhibitors
-Angiotensin II receptor blockers (ARBs)
-Beta blockers
-Calcium channel blockers

If left ventricular hypertrophy is caused by aortic valve stenosis, the patient may have surgery to remove the narrow valve and replace it with either an artificial valve or a tissue valve from a pig, cow or human-cadaver donor.

If the patient has aortic valve regurgitation, the leaky valve may be surgically repaired or replaced.

Dilated cardiomyopathy is the most common type of cardiomyopathy (enlarged heart).

Arrhythmogenic Right Ventricular Dysplasia (ARVD) is a rare type of enlarged heart that develops when muscle tissue in the right ventricle dies and is replaced by scar tissue. Problems with the heart's electrical signal develop causing arrhythmia. Unlike other forms of an enlarged heart, ARVD normally develops in teenagers and young adults. It often causes sudden cardiac death in young athletes.

Young athletes should be screened with two common heart tests, not just one.

The two heart tests are an echocardiogram, or ECHO, which measures heart size and pumping function and checks for faulty heart valves, and an electrocardiogram, or EKG, which assesses the heart's electrical rhythms.


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