Hey bro I spoke to my bro and he said it isn't TOO bad. He said, as alot of people would say, to ease up on the juice. He said you that your left ventricle walls have thickened some and this in turn causes the higher blood pressure. Take medication for the bp and keep the diet in check. To make sure you are progressing, go get tests maybe once/twice a year....a myocardial performance test w/wo excersise along with the echo. He did warn me though that a worst case scenario if it continued to worsen would be a heart or brain aneurism (artery/vein bursting), but that's if it kept getting thicker and thicker. Hope this helps, and I hope it all goes smoothly for you.