What are the treatment principles for left ventricular hypertrophy

There are ventricles in the heart. Problems with the ventricles can cause heart disease. The heart is very important. When people have left atrial hypertrophy, it is generally not ruled out that it is due to heart disease caused by high blood pressure, or blood problems caused by not receiving treatment. You should pay attention to not being too impatient, take medication to control blood pressure and blood sugar regularly, and eat a diet that is not too greasy. Light food will help treat the disease.

treat

Left ventricular hypertrophy is divided into primary and secondary. Primary refers to hypertrophic cardiomyopathy. Drug treatment includes beta receptor blockers and calcium channel blockers. Chemical ablation can achieve better results. Secondary heart disease is mainly caused by hypertension, valvular disease, etc., and the treatment of the primary disease is the main focus.

Left ventricular hypertrophy is generally caused by compensatory hypertrophy of the heart due to hypertension. Failure to actively treat blood pressure may eventually lead to heart failure. Hypertension should be actively controlled in treatment. In life, you should eat a low-salt, low-fat diet and take antihypertensive drugs. If blood lipids are not well controlled by diet, you will need to take medication.

You should pay attention to not being impatient and being steady when working. The selection of antihypertensive drugs should be based on the principle of individualization, and should be selected according to factors such as the patient's age, blood biochemical changes, target organ damage, blood pressure values ​​and their complications.

① Among patients with hypertension without target organ damage, young patients are mostly hyperdynamic, with increased cardiac output, large pulse pressure, large blood pressure fluctuations, and tachycardia, which are accompanied by sympathetic nervous system excitement. Beta-blockers should be the first choice. Due to increased external vascular resistance, elderly patients should choose ACEI, calcium antagonists or angiotensin II receptor antagonists.

② People with hyperlipidemia, diabetes and gout should not use beta-blockers and thiazide diuretics.

③ For patients with combined left ventricular hypertrophy and angina pectoris, beta-blockers and calcium antagonists can be used. ④ For patients with combined hypertensive heart disease and heart failure, ACEI, angiotensin II receptor antagonists or diuretics should be used.

⑤ Patients with combined arrhythmias including premature ventricular contractions and supraventricular tachyarrhythmias should choose beta-blockers or verapamil.

③ Patients with combined renal insufficiency should choose loop diuretics or calcium antagonists. When blood creatinine is less than 3 mg/dl, ACEI or angiotensin II receptor antagonists can be used.

Patients with concurrent cerebral infarction should choose calcium antagonists, ACEI or angiotensin II receptor antagonists.