How to treat left ventricular enlargement

Left ventricular enlargement may be related to hypertensive heart disease, hypertrophic obstructive cardiomyopathy, pulmonary hypertension and other diseases, requiring general treatment, drug treatment, surgical treatment, etc. according to the etiology. 1. Hypertensive heart disease Hypertensive heart disease will increase cardiac afterload, leading to compensatory thickening of the left ventricle, manifested as left ventricular enlargement. Patients should follow the doctor's advice to take appropriate body position, reduce heart load, strictly limit salt and water intake, and try to maintain a low-fat diet. At the same time, Benazepril, metoprolol, spironolactone and other drugs should be used to control blood pressure, reduce heart load, and improve left ventricular enlargement. 2. Hypertrophic obstructive cardiomyopathy Hypertrophic obstructive cardiomyopathy can lead to ventricular hypertrophy, manifested as left ventricular enlargement. During the illness, pay attention to rest, eat more fruits and vegetables, maintain a low-fat milk diet, and conduct aerobic exercise appropriately. Under the guidance of a doctor, use metoprolol, propranolol, bisoprolol and other drugs to relieve left ventricular outflow tract obstruction and treat left ventricular enlargement. For patients with ineffective drug therapy, further ventricular septal resection can be performed. 3. Pulmonary hypertension Abnormal increase in pulmonary arterial pressure may lead to cardiac overload and myocardial hypertrophy, manifested as left ventricular enlargement. Patients with pulmonary hypertension often need oxygen therapy to keep arterial oxygen saturation greater than 90%. At the same time, spironolactone, ambrisentan, digoxin and other drugs need to be used under the guidance of doctors to play the role of diuretic, cardiotonic, reducing vascular pressure and pulmonary arterial pressure.