High Blood Pressure :: Enlarged Heart


Jul 22, 2015

My 40 year-old wife in recent months has undergone a number of tests following some weight loss. It transpires that she is suffering from hypertension with her 24hr ambulatory readings averaging at 170/110. Further diagnostic tests (ECG, echo and cardiac MRI) were undertaken and her cardiologist told her that her heart is enlarged (moderate) with impaired function (I believe ejection fraction in the region of 45%) but has not been able to identify the root cause of the hypertension. She is asymptomatic and does not have any issues in terms of fatigue, breathlessness, swelling, etc.

She has been prescribed 5mg Amlodipine, 5mg Ramipril and 2.5mg Bisoprolol. The Cardiologist has told her she will be on medication for longevity and that improving the condition will take a long time. Her blood pressure has already come down to 132/84 which the cardiologist was very pleased with. She will be seeing him again in 8/9 weeks with a follow up echo in 4/5 months.

In terms of the diagnosis, the cardiologist has referred only to hypertension but having read and aligned the symptoms of the enlarged heart and impaired function, is it not heart failure.....? Also, what is the prognosis for an enlarged heart caused by hypertension, especially in someone of 40 years of age.....can the enlarged heart and function return to normal over time with the medication?

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