ayurveda-icon
Mild LVH at 21 Seeking Reversal Advice
Hello Doctor, I’m a 21-year-old male (turning 22 soon), height 6’0–6’1, and weight 126 kg. I recently had a 2D Echocardiogram, and the impression on my report reads: “Hypertensive heart disease, mild concentric LVH (may be physiological).” I don’t currently monitor my blood pressure and haven’t been on any medication. My ultrasound of the chest came back normal, and I have no symptoms such as chest pain, shortness of breath, or palpitations. I wanted to ask: 1. At my age, is this condition reversible or something to be seriously concerned about? 2. Could this mild concentric LVH be due to my weight or build rather than actual hypertensive disease? 3. What steps diet, exercise, supplements, medicines or treatment can help reverse or normalize it? 4. How often should I repeat my 2D echo or cardiac evaluation? I’m very motivated to make changes and just want to ensure I’m doing the right things early. I would deeply appreciate your guidance on the best approach moving forward.
24 Views v

Answers (8)

20000+ health queries resolved in last month
Care AI Shimmer
Dear young friend, Firstly, it's **very good that you got evaluated early and you're motivated to take action.** At 21, your body has a strong capacity to **recover and reverse early cardiac changes**—*if you act now*. Let’s break everything down clearly. --- # 📌 Your Report & What It Means **“Hypertensive heart disease, mild concentric LVH (may be physiological)”** 🟡 **LVH = Left Ventricular Hypertrophy** — thickening of heart muscle. 🟡 “**Mild**” and “**may be physiological**” = could be due to your large body structure or increased workload on heart (due to obesity), *not necessarily actual disease*. 🟡 **Not on BP meds + no symptoms** = likely early-stage strain from **obesity / lifestyle**. 👉 **YES, at your age, this can be reversed** with weight loss, BP control, and lifestyle correction. --- # 🔍 Your Major Risk Factor → **Weight (126 kg at 6'0")** * BMI ≈ 36 (Obesity Class II) * Excess body weight **forces your heart to pump harder** → increased cardiac muscle thickness. * Over time, this can progress to **high BP, heart failure, diabetes, sleep apnea**, etc. 📢 **Good news:** 10–15% weight loss alone can **reduce LVH significantly**. --- # 🧠 Answers to Your Questions ### 1️⃣ *Is this reversible?* 👉 **YES, in most young adults, mild LVH improves completely with lifestyle modification within 6–18 months.** You caught it *very early* – that’s excellent. --- ### 2️⃣ *Could it be due to weight/build?* 👉 **Most likely yes.** Obesity-related LVH is **reversible** unlike long-standing high BP changes. --- ### 3️⃣ **What to do now (Diet + Exercise + Treatments)** ### 🥗 **DIET (First priority – targeted fat loss)** * **High protein, low-carb diet** (unless contraindicated) * Avoid sugar, refined wheat, fried & packaged food. * **Eat between 8 AM – 8 PM (or 10 AM – 7 PM)** → *intermittent fasting helps.* * **Include:** * Morning: *Lukewarm water + lemon + 1 tsp soaked ***or **** * Lunch & Dinner: *50% vegetables (prefer steamed/sautéed) + lean protein (dal, paneer, eggs, chicken grilled)* * Pre-workout: *Black coffee or green tea* * Daily: *Handful of nuts and seeds* 🚫 Avoid: * Cold drinks, energy drinks * Excess salt * Processed meats * Late-night meals * Large portions --- ### 🏃‍♂️ **EXERCISE** Start gradually (since weight is high—avoid joint strain) | Week | Exercise Recommendation | | -------------- | -------------------------------------------------------------- | | **1–4** | 30–45 min brisk walk daily | | **5–8** | Add light **resistance band workout** | | **2–3 months** | Shift to **gym trainer-supervised strength training + cardio** | | Ongoing | Aim for **5–10% weight loss in 6 months** | 🎯 Target weight: **85–90 kg (long term, 18–24 months)** --- ### 💊 **Supplements & Medicines (Only after checking BP & consulting doctor)** | Condition | Suggested | | --------------------------- | ---------------------------------------------------- | | **If BP is high (>140/90)** | Must start anti-hypertensive medication | | Heart support | *****extract (250–500 mg twice daily)** | | Stress reduction | ****300 mg at night* | | Fat loss | *******or Guggulu (under supervision)* | | For muscle protection | *Whey isolate protein (only if kidney tests normal)* | | Vitamin D | Check levels, supplement if low | 🚨 **DO NOT START ANY BP medicine without evaluation. First get home BP monitor.** --- ### ❤️ Daily Heart-Care Habits ✔ 10 min **deep breathing / meditation** daily ✔ **No smoking, no alcohol** ✔ Sleep **before 11 PM** ✔ *Lose weight slowly—no crash dieting* --- ### 4️⃣ **How often to repeat 2D Echo or evaluation?** * **Monitor BP weekly at home** * **Repeat 2D Echo after 12–18 months** if stable * **Repeat earlier if:** * Symptoms appear (breathlessness, chest discomfort, palpitations) * BP consistently high --- # 🧪 Recommended Immediate Tests (If not already done) ✔ Fasting BP (multiple readings) ✔ Lipid profile ✔ Fasting glucose & HbA1c ✔ Vitamin D, B12 ✔ Kidney & liver function tests ✔ Thyroid profile --- # 💪 Motivation for You You're *young*, *motivated*, and caught this very early. You can **completely reverse it with lifestyle**. Many people only detect this in their 40s–50s after irreversible heart changes. **You have the power now to avoid heart disease entirely.** --- ## 📍 Step-by-Step Action Plan (First 3 Months) 1️⃣ Buy **digital BP monitor & weight scale** 2️⃣ Start **diet + walking daily** 3️⃣ Reduce salt & processed food* 4️⃣ Begin *****extract + ***** 5️⃣ Track progress (BP, weight, energy levels) 6️⃣ After 3 months → add structured gym workout --- ## 🧠 Final Words ☑ *Condition likely reversible* ☑ *Most likely due to weight-induced cardiac strain* ☑ *Start lifestyle modifications now* ☑ *Monitor BP weekly* ☑ *Echo after 1 year if stable* --- Would you like: 🔹 A **7-day detailed diet and workout plan?** 🔹 A **checklist of foods/exercises for heart health?** 🔹 Or a **BP tracking chart to follow at home?** I’ll be happy to create it for you 🙏💪
Next Steps
book consultation with us for more details.
Health Tips
kindly follow the advice.
Answered
Flag this Answer
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?

Didn't find the answer you are looking for?

Talk to experienced doctor online and get your health questions answered in just 5 minutes.

doctor profile image doctor profile image doctor profile image doctor profile image +143
Consult with a doctor
Online now
Try to reduce your body wt.eat healthy diet,try to change' your sedentary lifestyles,,repeat echo than consult.
Answered
Flag this Answer
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
Great study... Plan your goals of life health n fitness Ayurved surely will support.
Answered
Flag this Answer
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
Consult ayurveda physician for proper diagnosis and root cause of ailment before consuming any medicine
Answered
Flag this Answer
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
Take proper counselling to clear ur doubt
Answered
Flag this Answer
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
Its really sad that at this young age youre suffering HHD and LVH. But worry not it can be reversed and properly treated with patience and proper diagnosis of your condition.And no its not due to your increased weight always but the type of diet intake or pathya apathya of your daily routine.Also you need to get your vitals checked such as monthly ECG,weekly Bp check and rate of respiration.You can do vrikshasana,pranayama then trikonasana instead of normal exercises.You should also take Omega 3,multivitamins and start taking ashwagandha tab twice a day 2 tabs for 7 days.
Next Steps
For proper guidance you should consult and need to be under follow up.
Health Tips
Avoid oily food or any addictions.
Answered
Flag this Answer
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
Mild concentric LVH at your age is often reversible with timely lifestyle correction. It may be due to excess weight or early BP changes rather than permanent hypertensive heart disease. Regular BP monitoring, weight reduction, balanced diet, exercise, and stress control are key. Ayurveda helps improve heart health and metabolism naturally. I suggest you consult me for a personalized plan and guidance on follow-up evaluation.
Answered
Flag this Answer
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
Please first do a 2 D echo repeat Then do a weight loss
Answered
Flag this Answer
Flag this answer
1/1 people found this helpful
Was this answer helpful?
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.