Metoprolol And New Heart Condition

I take 25 mg of Metoprolol Tartrate in the am and 50 mg at 6:00pm and have been on this drug for years - previously was on Lisinopril and doing fine - just diagnosed with mild left concentric ventricular hypertrophy on Echo - how serious is this ? Also now have orthostatic hypotension when I stand up - can’t even get cardiologist on the phone and NP or Med aide call back with no help!

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Mild left concentric ventricular hypertrophy translates to enlargement and thickening of the walls of your hearts main pumping chamber, it can develop in response to several medical conditions, such as high blood pressure, heart failure, and other heart conditions, basically anything that causes your left ventricle to work harder than normal. After all, the heart is a muscle, so if it works more/harder than usual, it will change accordingly, unfortunately, unlike with your calf muscles, this is not always a good thing. It can increase your risks of heart attack, and stroke, but it can be controlled, if you maintain a healthy lifestyle, take your medications as prescribed, and continue with a healthy diet.

I've had it since I developed high blood pressure, and had full congestive heart failure in 2010, but since I take my meds, exercise, and maintain a healthy diet, I've remained stable, and over time, we've even had to lower my medications, since my blood pressure started dropping too low.

As to the orthostatic causing dizziness, or syncope, when you stand up too fast, that could be due to the medication, dehydration, or other medical conditions.

What are your average blood pressure levels? What does your usual diet and exercise routine consist of?

Are you on any other medications?

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