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Thread: Is heart hypertrophy reversible? -Serious question-

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  1. #1
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    It’s reversible but only in certain conditions. LVH when induced as a normal adaptation to an athletic lifestyle will reduce with detraining. Pathological or congenitally induced LVH doesn’t seem to reduce in any meaningful fashion.
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    Quote Originally Posted by MuscleScience View Post
    It’s reversible but only in certain conditions. LVH when induced as a normal adaptation to an athletic lifestyle will reduce with detraining. Pathological or congenitally induced LVH doesn’t seem to reduce in any meaningful fashion.
    Pathologically it can, but it required a certain beta blocker (carvedilol) in conjunction with a biventricular pacemaker to remodel the heart in my case.
    Congenitally induced, I've heard of limited success with left ventricle sleeve gastrectomy, but I don't think it is very common yet?
    As far as I know( I'm no expert, lol) if no surgical or medical intervention is done, then it typically stays the same or worsens?

    Edit: Of course, if cardiac output/ejection fraction is somewhere close to normal 40%+, neither of the procedures above are necessary and they seem to write it off as an athletic heart/lvh.
    Last edited by almostgone; 12-03-2017 at 02:59 PM.
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    Quote Originally Posted by almostgone View Post
    [

    Pathologically it can, but it required a certain beta blocker (carvedilol) in conjunction with a biventricular pacemaker to remodel the heart in my case.
    Congenitally induced, I've heard of limited success with left ventricle sleeve gastrectomy, but I don't think it is very common yet?
    As far as I know( I'm no expert, lol) if no surgical or medical intervention is done, then it typically stays the same or worsens?

    Edit: Of course, if cardiac output/ejection fraction is somewhere close to normal 40%+, neither of the procedures above are necessary and they seem to write it off as an athletic heart/lvh.
    I should have qualified that as saying without medical or surgical intervention. The remodeling aspect is actually what is important. As long as the heart isn’t irritating or compressing the pericardial sac and function can be somewhat restored to the heart. Reduction in size is not really and end game or issue.

    The stuff I worked on and was privy too was basically all about how you got the heart to remodel in a positive manner. If you could somehow restore flexibility to the heart wall along with blood supply to the functioning part of the heart. The body would remodel the dead or necrotic parts of the heart with connective tissues to help augment the healthy parts.
    “If you can't explain it to a second grader, you probably don't understand it yourself.” Albert Einstein

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