Hi. My husband is 34 years old. He has been diagnosed with hypertension. Medicines were not able to bring it under control. It was 220/140 .diastolic never came down below 180. He has been hospitalized now. Echocardiogram says that thickness of muscle in heart has increased. However everything else is normal. Renal Doppler also fine. I am taking care of him alone. Dr. please tell me the severity. And is it reversible. Will the thickness go back to normal.
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The thickness and the heart muscles is side effect of chronic high blood pressure for a long time it's similar to muscle hypertrophy in the biceps when you do a lot of exercise daily which means that because your heart had to push against a high pressure it needs more muscles to perform this work that's why the muscles are thick. And initially these thick muscles obviously have more power to pump the blood against the high blood pressure in the blood vessels but as the muscles of the heart become thicker and thicker they keep expanding inside the heart decreasing the filling capacity so so you can imagine if this keeps on happening although the force of pumping blood will be higher but slowly the amount of blood the heart can pump will decrease and that is the cause of all the problems in hypertrophic heart diseases. Unfortunately it's not reversible but with medications and proper Lifestyle changes you can prevent the progression of the disease and live a fairly normal life. And the most important thing to keep in mind is regularly checking your blood pressure and keeping it under the normal range.
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