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- $Unique_ID{BRK00754}
- $Pretitle{}
- $Title{Can You Explain the Origins of a "Large Heart"?}
- $Subject{heart large causes blood pressure Circulatory cardiac hypertrophy
- Left Ventricular Hypertrophies LVH echocardiogram}
- $Volume{G-3}
- $Log{}
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- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- Can You Explain the Origins of a "Large Heart"?
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- QUESTION: Can you explain the origins of a "large heart". After several
- tests, my physician has diagnosed this as the cause of my shortness of breath,
- and he kept using the term to tell me why I must remain on my medications and
- take them faithfully. I have had high blood pressure for years. Could that
- have been the cause?
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- ANSWER: It appears as though your physician has been carefully following a
- philosophy of patient education to help make you aware of your condition and
- the reasons for taking your medication. A large heart might be medically
- known as "cardiac hypertrophy", where the muscle cells in the heart have grown
- larger as a response to the need to pump harder to meet the requirements of
- your body. Just as an athlete's muscles grow larger with exercise, heart
- muscle reacts in the same manner. Your long standing high blood pressure is
- most certainly connected to your heart situation, as the force needed to push
- the blood through your arteries at higher than normal pressures caused the
- heart muscle cells to grow larger (hypertrophy). It is probable that the
- chamber of the heart responsible for pumping blood to the body (the left
- ventricle) is most affected and that you may come across the term "Left
- Ventricular Hypertrophy" or LVH when your doctors discuss your case with you.
- Of the many tests you spoke of, the echocardiogram, which uses sound waves to
- create images of the heart, was the most helpful in establishing your
- diagnosis, as an ordinary cardiogram (EKG) may sometimes miss this finding.
- This is not a diagnosis to take lightly, as it may affect your longevity and
- the quality of your life style. There are many medications that may be used
- to treat LVH, and they are effective and safe. Your physician will be trying
- to get you to lose weight, and will be paying close attention to your blood
- pressure. Your shortness of breath may disappear completely and your ability
- to get about without difficulty greatly increased. You must report any
- episodes of chest pain, dizziness or irregular heart beats to your physician
- at once, so that the therapy you are on may be changed to deal with any
- situation. This is a time for great cooperation between patient and physician
- and the results can be truly rewarding, if you both play your parts to the
- fullest.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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