I'm having some trouble with breathlessness and occasional chest pain. I got an ECG, and it came back normal, but a 2D echo showed mild concentric LVH with reduced diastolic compliance, grade 1. Everything else seemed fine. My hemoglobin is at 6.7, blood pressure at 16090, and pulse at 105. Cholesterol levels are total 149, triglycerides 94, HDL 55, and LDL 100. I also have some gastric issues, and the breathlessness feels better after I burp. Do you think this is something I should be worried about, or is it okay?

Dr Dr Khaleel Ur Rahim

General Practitioner

• MBBS
• 1+ Yrs

Consult Now

Given your symptoms of breathlessness and chest pain, the mild concentric LVH with reduced diastolic compliance noted in your 2D echo, high blood pressure of 16090, and significantly low hemoglobin level of 6.7, there are multiple areas needing attention. While your ECG and cholesterol levels are normal, the combination of LVH, hypertension, and anemia requires medical management. Addressing your anemia is crucial, as it can contribute to your breathlessness and fatigue. Managing your blood pressure through medication adjustments and lifestyle changes is also important. Since your breathlessness is relieved by burping, addressing any gastrointestinal issues such as acid reflux is necessary. Follow up with your cardiologist for ongoing monitoring and management of the LVH and reduced diastolic compliance.

Answered 25/07/2025