HELP 24 y/o Male. Abnormal Echo-cardiogram - Global Hypokinesis.. Advice?

[thelettert]

Abnormal Echo Results are freaking me out, would love to get some feedback and advice regarding the situation. Anyone with medical experience i would love to hear from you, or anyone who has been in similar spot.

24 y/o 190 lb, 5'10 Male Blasting + Cruising for 3 years, Currently been cruising on 250 mg of test e since Feb 2018 (since lowered the dose to 200mg in the last month) , Last cycle was 2,100mg in total of AAS, a mix of Tren, Deca, Test (Dumb in hind-sight) Non-drinker, Although i do smoke. I went to the doctor for heart palpations and was diagnosed with High blood pressure, 176/110 in ER... not good. i usually monitor my BP at home but since i was cruising i figured i would be fine right? wrong. Anyways i got prescribed 5mg Amlopidine which brought my BP down to 145/70 and had both a holter+Echo done... The results are in today and although the holter was normal. There was some abnormalities on my Echocardiogram.

Conclusion of Echocardiogram

1. The left Ventricular size is normal.
   
   
2. There is mild concerntric left ventricular hypertrophy.
   
   
3. There is boderline LV global hypokinesis visually. The calculated LVEF is low normal at 54%.
   
   
4. The right ventricle is normal in size and function.
   

Attached is the link to the actual results if anyone wants to browse the results of the Echo..



Can anyone tell me just how bad these results are? The doctor was most concerned about global hypokinesis.. but did mention there was chance with controlled blood pressure that it may go down... and has basically has anyone else been in a similar spot? I do plan on continue TRT until i can speak with cardiologist, but unfortunately my plans to blast have to be put on hold. My hope is to continue to be able to blast however with more reasonable dosages... .The doctor did prescribe a stronger med to control the high blood pressure, i am currently taking Perindopril (4mg)

Any advice would be welcome... be safe out there


Would also love to hear from Dr. Scally on this issue

 

[Evom1]

I'm not even gonna touch this
@Dr JIM @Michael Scally MD

 

[thelettert]

Appreciate it, cheers



Working link for Echo results

 

[Ripped]

Listen to your doctor and be honest with him about what you're running he can't properly treat you otherwise .
And good luck I hope everything turns out ok for you.
I can't resist why are you B/C at 24 very unwise.

 

[Skank]

Stop smoking. Stop cycling. Stop using supplements that cause increased HR (including caffeine). Stop supplementing your proteins. Go Natty. Keep your Na+ intake to <2g/day. Monitor for work of breathing, quick weight gains (edema), normal urine output, and again your BP as it should start to normalize as you stop doing the things I suggested. An EF of 54%@24 yo should be considered more than a warning. You can recover, but how much is unknown at this point. Don't stress too much, I would purpose that you can recover to a point of not needing to be on meds long-term as long as you get this shit in check. Again, Don't stress, an Echo is a great diagnostic, but it is a snap shot. Your age is on your side.

 

[thelettert]

Thanks for the awesome replies guys, yes the smoking needs to go, I think I will continue to cruise on 200 mg of test e, as I feel the low test at this point will be more harmful to my health than my current dose. Still hitting the gym, I think a lot of the damage was due to uncontrolled BP over the last year or so...

 

[Skank]

Your welcome. I respect your right to do what you want with your body. Your in my prayers.

 

[Trenhrd]

I will preface by stating that I am a practitioner with a PhD.
Your Ejection fraction is low normal. That could be genetic, steroid related, hypertension induced, or a combination of things. This is not alarming. Your left ventricle is normal size, i would not be concerned. What are your symptoms that lead you to get this echo? As far as the global hypokenesis, this is basically indicating the probability of coronary artery ischemia or cardiac remodeling due to said ischemia. Again, this could be genetic, normal cardiac remodeling (revascularization occurs in athletes for non ischemic reasons often), micro ischemia due to coronary artery disease, or just a false abnormal. Without an actual angiography it’s nearly impossible to tell if this is actual coronary artery ischemia or not. You would need a cath for that diagnosis. The good news, your valves are functioning properly, there is no regurgitation, there is no vegitation, and your left ventricle is normal size and ejection fraction. Your ECG would also indicate an inverted T wave indicating an old infarct or ischemia if you had any significant cardiac remodeling due to coronary artery disease.

Control your BP, avoid steroids that trash your lipid profiles, control cholesterol, and stop smoking in the interim.

 

[thelettert]

My symptoms that lead to echo were primarily heart palpations, these were pretty regular until I started on the amldopine and have since stopped experiencing them almost entirely, my doctor seems to think the primary source of the hypokensisia is based in my previous uncontrolled hypertension. Thank so much for the informed response, and I agree completely smoking has to go, as well as lowered dose of trt is necessary