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-   -   LVH (https://www.pprune.org/medical-health/344549-lvh.html)

mark sicknote 25th Sep 2008 04:54

LVH
 
I consider myself quite a fit bugger. i run regularly and cycle a great deal as well. My resting pulse is in the 60's.

My last ECG (for PPL renewal) showed LVH or Left Ventricular Hypertrophy.

Spoke to some friends who fly and they claim this is perfectly normal in an individual who exercises regularly.
Anyone been diagnosed with LVH and willing to share there thoughts / experiences?

I'd appreciate it.

Best,

Sicknote:ok:

Aer Doctor 27th Sep 2008 02:42

LVH is a pathological condition and does not occur normally. You need to get a Echocardiogaphy done to clear the issue.

gingernut 30th Sep 2008 22:00

Having a diagnosis of LVH, and having an ecg indicating LVH, is not the same thing.

As aer states, get an echo for clarification.

In the abscence of symptoms, I'd bet AME&PPLs hourly rate, that you have little to worry about.

Keep us informed for future reference:)

mark sicknote 2nd Oct 2008 01:27

Will do. Thanks both for your input.

Best,

Sicknote:ok:

deadhead 5th Oct 2008 04:40

LVH is normal in athletes, but pathological in non-athletes. It usually occurs pathologically in patients with untreated hypertension, although there are other reasons. You must get it investigated. Echocardiography will confirm presence of LVH, although not necessarily the cause.

LVH is not necessarily disqualifying. In particular, if there is no pathology associated with it, stopping exercise will cause the condition to slowly resolve (but add more complications :hmm:) If you have high blood pressure and LVH, then treatment for the former will also help resolve the latter.

In a small number of cases LVH may be caused by something other than hypertension or exercise training. In these cases there will be significant cardiac pathology involved, for example cardiac myopathies such as aortic stenosis. These will usually show on an echo.

Chances are you have nothing to worry about, both from an aviation medical and a health viewpoint, but of course it must be investigated.

:)

mark sicknote 23rd Oct 2008 07:14

Thank You
 
Thanks for those who posted.

Visited a cardiologist and had another ECG and an echo cardiogram.

My heart is fine. Phew.

Goes to show how the standard ECG can (and was in my case) be an unreliable tool.

Best,

Sicknote:ok:


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