instruction: hi this is regarding my husband who is 35 years of age four years back after a nasal septoplasty surgery the doctors realized that his blood pressure was very high after doing all the tests he was diagnosed with moderate concentric lvy my husband who is feet and inches was 98 kegs then he was put on hypertension medicines and was on diet and exercise and he visits his cardiologist every months he has now reduced his weight to 79 kegs in the egg report taken last year the diagnosis is sinus arrhythmia prolonged wave and complete right bundle branch block the echo report at the same time says concentric lvy no rwm normal valves normal la systolic function 62 doctor had advised him to continue with his medicines diet and exercise what do you make of the egg and echo test is it fine to continue with the hypertension medicines diet and exercise his blood pressure is under control now could the lvy be reversed
output: hello I have gone through his reports so he has hypertension and he needs to be on medication for long term however in future with weight loss and healthy lifestyle like avoiding fatty oily and high calorie food plenty of green vegetables and fruits etc his requirement for antihypertensive may go down so his future be readings would guide regarding that but as of now he should be on regular be medications with regular be monitoring best be readings would be 10 to 130 systolic and less than 90 diastolic now regarding egg and echo firstly they are all hypertensive changes and not worrisome concentric lvy would be there even if be is under control and it is not going to cause any problems egg does not show complete rbb however there are early rbb changes which are again likely related to hypertension and not worrisome sinus arrhythmia is normal finding and nothing to worry to about prolonged wave so there are changes which are not very significant and alarming so in a nutshell he should focus on be control healthy lifestyle get his lipid profile tested and he should be subjected to treadmill test after age of 40 years hope this helps you and get back if you have any doubts