High blood pressure increases the pressure in blood vessels.

As the heart pumps against this pressure, it must work harder. Over time, this causes the heart muscle to thicken. The heart must work harder to pump blood out to the body. Without treatment, symptoms of congestive heart failure may develop. High blood pressure can cause ischemic heart disease because the thicker heart muscle needs an increased supply of oxygen. High blood pressure also contributes to thickening of the blood vessel walls. This may worsen atherosclerosis. This also increases the risk of heart attacks and stroke. Hypertensive heart disease is the leading cause of illness and death from high blood pressure. The heart complications that develop determine the symptoms, diagnosis, treatment, and outlook of hypertensive heart disease. Have your blood pressure checked at regular intervals to monitor the condition. Frequent blood pressure measurements taken at home are often recommended for people with difficultto-control high blood pressure. Treat your high blood pressure. Do not stop or change treatment, except on the advice of your health care provider.Carefully control diabetes, hyperlipidemia, and other conditions that increase the risk of heart disease.In addition to medications, recommended lifestyle changes include:Diet changes:Avoid trans fats and saturated fats,Increase fruits, vegetables, and low-fat dairy products, Reduce salt intake ,Eat whole grains, poultry, and fish, Exercise regularly, Reduce excessive alcohol consumption, Stop smoking -- cigarettes are a major cause of hypertension-related heart disease, Lose weight if you are overweight or obese. (Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. Philadelphia, Pa; Saunders Elsevier; 2007) Left ventricular hypertrophy usually develops gradually. You may experience no signs or symptoms, especially during the early stages of the condition. As left ventricular hypertrophy progresses and complications develop, you may experience these left ventricular hypertrophy symptoms: Shortness of breath, Chest pain, often after exercising, Sensation of rapid, fluttering or pounding heartbeats (palpitations), Dizziness or fainting. Left ventricular hypertrophy can happen when one or more things make your heart work harder than normal to pump blood to your body. For example, if you have high blood pressure, the muscles of the left ventricle must contract more forcefully than normal in order to counter the effect of the elevated blood pressure. Some factors that can cause your heart to work harder include the following: High blood pressure (hypertension). A blood pressure reading is given in a unit of measure called millimeters of mercury (mm Hg). Hypertension is generally defined as systolic pressure greater than 140 mm Hg and a diastolic pressure greater than 90 mm Hg, or 140/90 mm Hg. Systolic pressure is blood pressure while the heart contracts, and diastolic pressure is blood pressure while the heart rests between beats. Aortic valve stenosis. This disease is a narrowing of the aortic valve, the flap separating your left ventricle from the aorta, the large blood vessel that delivers oxygen-rich blood to your body. This partial obstruction of blood flow requires the left ventricle to work harder to pump blood into the aorta.Hypertrophic cardiomyopathy. In this disease, the heart muscle (myocardium) becomes abnormally thick or hypertrophied. This thickened heart muscle can make it harder for the heart to pump blood.Athletic training. Intense, prolonged endurance and strength training can cause the heart to adapt so that it can handle the extra workload. In some people, these changes may lead to left

ventricular hypertrophy. (2013 Mayo Foundation for Medical Education and Research (MFMER)) As for the clients condition she has CVD that made the factor to LVH. Screening tests for left ventricular hypertrophy include:Electrocardiogram. An electrocardiogram also called an ECG or EKG records electrical signals as they travel through your heart. Your doctor can look for patterns among these signals that indicate abnormal heart function and increased left ventricle muscle tissue. Echocardiogram. An echocardiogram uses sound waves to produce live-action images of the heart. This common test enables your doctor to watch your ventricles squeezing and relaxing and valves opening and closing in rhythm with your heartbeat.The echocardiogram is a primary tool for diagnosing left ventricular hypertrophy. If you have left ventricular hypertrophy, your doctor will be able to see thickening of muscle tissue in the left ventricle. An echocardiogram can also reveal how much blood is pumped from the heart with each beat and how stiff the heart muscle is. It may also show related heart abnormalities, such as aortic valve stenosis. (2013 Mayo Foundation for Medical Education and Research (MFMER))