HomeAnswersCardiologycardiomegalyIs heart enlargement with no focal infiltration reversible?

What does cardiomegaly with no evidence of focal infiltrate suggest?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At March 25, 2020
Reviewed AtJune 23, 2023

Patient's Query

Hello doctor,

I am a 26-year-old female. I recently found out via online test results that I have an enlarged heart, but no reason was given for why it is enlarged or how enlarged it is? The impression is Cardiomegaly with no evidence of focal infiltrate. I am currently obese but in good health with the exception of this enlarged heart and insulin resistance (not diabetic or insulin-dependent). Is it too late to reverse this heart enlargement with diet, weight loss, and lifestyle changes? I am currently on Metformin, Xanax and Provera.

Hi,

Welcome to icliniq.com.

Enlarged heart only on chest x-ray is not reliable. X-ray is just like a shadow, the farther you stand from the wall, the larger will be your shadow. In the same way, if you stand away from x-ray film even a few centimeters, it will give an enlarged shadow of heart on the film. Best way to assess the size of the heart is via echocardiography. Echocardiography is indicated if you have symptoms of shortness of breath not explained from other causes. If you have such symptoms, have echocardiography and ECG done. I hope these will be normal.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Zohaib Siddiq
Dr. Muhammad Zohaib Siddiq

Cardiology

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