Is that a year round regimen? Having someone on an Ace-I, Beta Blocker and Diuretic is pretty
intense therapy. For the most serious hypertension, all we could do is add an ARB and up your dosages.
A lovely review of the heart in athletes can be found
here, and a key paragraph
That's for non-steroid users. In the AAS population,
http://content.karger.com/ProdukteDB...p=pdf&doi=6834
and
Even with several years of AAS use,
only a subclinical impairment of Systolic & Diastolic function. Length and dose of AAS were linked to severity.
Anyways, I'm sure you guys have also done your research. I think if you're not on AAS, it doesn't sound like the LVH is concerning enough to merit triple BP therapy. Heck, I am supposed to be studying peds right now, but if you have an article showing that
(Did a quick search,
http://cardiovascres.oxfordjournals..../45/1/82.short only discusses pathologic HTN and not the effects of AAS or elite athletes.)
I guess the question is whether the effect AAS have on LVH (and NOT LV Dysfunction) can be antagonized by medications like ARBs,ACE-Is, Diuretics or Eblenerone that have been studied in reversal in LVH brought about by hypertension.
You've definitely sparked my passion for this kind of stuff

Love it