How should left ventricular high voltage caused by hypertension be treated?

Aug 13, 2024 Source: Cainiu Health
Disease description:

I have had hypertension for several years. Recently, I experienced shortness of breath at night and was diagnosed with left ventricular high voltage caused by hypertension. How should left ventricular high voltage caused by hypertension be treated?

Doctor's answer (1)
Dr. Tian Hongbo

Left ventricular high voltage caused by hypertension usually reflects changes in cardiac structure, specifically left ventricular hypertrophy. The primary goal of treatment is to control blood pressure, prevent or reverse left ventricular hypertrophy, and thereby reduce the risk of cardiovascular events. Below are some common treatment approaches:

1. Medication: Antihypertensive drugs such as calcium channel blockers, ACE inhibitors, beta blockers, etc., are used to help lower blood pressure and reduce the workload on the heart, thus slowing the progression of left ventricular high voltage. If symptoms such as palpitations or chest tightness are present, medications like metoprolol tartrate tablets or bisoprolol fumarate tablets may be prescribed by a physician.

2. Lifestyle modifications: These include healthy eating, regular physical activity, salt intake restriction, smoking cessation, and alcohol consumption limitation.

3. Surgical intervention: If drug therapy and lifestyle adjustments are ineffective, radiofrequency ablation or percutaneous coronary intervention may be considered.

Each individual's condition varies. If concerns exist, medical consultation is recommended.