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It may also be caused by a heart problem, such as hypertrophic cardiomyopathy or a heart valve problem like aortic valve stenosis. What are the symptoms? LVH may not cause symptoms. When it does, the most common ones are: .One of the cardiac markers of target organ damage is left ventricular hypertrophy (LVH) which can be easily diagnosed by echocardiography in clinical practice. With the widespread use of echocardiography, LVH is detected in a substantial number of patients with chronic hypertension.