[Regression of left ventricular hypertrophy with antihypertensive therapy]

The case report describes a 50-years-old patient with left ventricular hypertrophy, severe heart failure and ischemic chest pain due to untreated arterial hypertension. Coronary arteriography showed normal vessels. Under a combined drug treatment with an ACE-inhibitor, betablocker and diuretic the cardiac symptoms and the signs of heart failure disappeared within a few months. After 10 months the electrocardiographic signs of LV hypertrophy also disappeared. The therapeutic efficacy of the different antihypertensive drugs is discussed.