Hello doctor,What is the risk of SCD in a patient with LVH and history of PVCs and possible NSVT? Will simply treating BP reverse any risk? All I have read about this indicates the prognosis is unclear but I am very worried and hope you can shed some light on my situation. I have not had confirmed NSVT but I have felt longer fluttering sensations and have had PVCs for 10 years off and on. I am 23 years old. My stress test was normal. I am on Zio patch now. My echo showed apparent LVH and aortic root dilation 3.8. If I have LVH, does that predispose me to arrhythmias like a hypertrophic cardiomyopathy would, and can it be reversed if I control my blood pressure, which is higher than normal?
Hello. Firstly, how bad are your hypertension and hypertrophy? Can your hypertrophy be explained by your hypertension? If yes, then it is likely hypertension induced. Hypertrophic cardiomyopathy may cause hypertrophy in young age, but it usually causes severe hypertrophy, with thickness usually more than 15 mm, and can be detected in the echo. Please attach echo report if possible. Also, let me know how much maximum was the BP reading? You have mentioned 145/90 which is mildly elevated. Next, Compared with those without VPCs (ventricular premature complexes), patients with VPCs had significantly higher all cardiovascular mortality, somewhere between 1.5 to 2 times. But, the majority of patients do well and lead a normal life. Also, your stress test is negative ruling out coronary artery disease which additionally contributes to mortality. Also, you should have a treatment for hypertension which should remain under control and strict BP control may reverse hypertrophy and ectopics to some extent but not completely usually. However, you should ask for beta blockers containing medicines like Metoprolol for BP so it will also control ectopics. So overall, the majority of patients do well and there is no need to worry much about it.  For more information consult a cardiologist online -->