Left Atrial Enlargement

The left atrium takes the oxygenated blood from the lungs and pumps it to the left ventricles, which are then pumped to all parts of the body. Enlargement of the left atrium occurs due to increased pressure or increased volume of blood. This leads to chest pain, extreme fatigue, breathing disorders, arrhythmia, etc. The pooling of blood is caused by mitral valve disorders and problems with the left ventricles. Treatment includes reduction of blood pressure and eliminating the underlying condition.

  
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My ECG shows diastolic dysfunction and enlarged left atrium. Kindly help.

Query: Hello doctor, I have sickle cell disease, and my echocardiogram results indicate grade one diastolic dysfunction and mild enlargement of the left atrium. The recent hematologist I consulted prescribed beta blockers, but I had an adverse reaction. All other vital signs in the echocardiogram are good....  Read Full »


Answer: Hello, Welcome to icliniq.com. I read your query and understood your concern. Sickle cell disease may result in iron overload due to transfusions, and hemolysis can lead to heart problems. The optimal approach is to collaborate with your cardiologist to maintain iron levels within the normal range...  Read Full »

I am hypertensive, and echo showed left atrium dilation. Why?

Query: Hi doctor, I am a 68-year old female suffering from hypertension. It is under control by taking medications. Recently, I had an episode of vertigo and due to my anxiety, my doctor suggested me to do an ABI-PAD test, carotid doppler, and echocardiogram. ABI and carotid were normal. An echocardiogram...  Read Full »


Answer: Hi, Welcome to icliniq.com. I understand your concern. Please do not be worried. You will be fine soon. Left atrium enlargement is a change that occurs due to high blood pressure. Basically, we do not need treatment. When the blood pressure is under control, then the enlargement will not progress ...  Read Full »

Is mild cardiomegaly with small lymph node enlargement dangerous?

Query: Hello doctor I had chest pain and had to rush into an emergency sometimes two months back. In my ECG, the findings shows probable left atrial enlargement and Abnormal R-wave profession with early transition. However, the main cause of concern was ruled out as a gall bladder stone stuck in the neck. ...  Read Full »


Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachments removed to protect the patient's identity). Your ECG (electrocardiography) was normal, and your current investigations are also normal. All inflammatory markers and HRCT (high resolution computed tomography) did not show ...  Read Full »

I am a 37-year-old male with a calcium score of 6 and mildly dilated LA. Please help.

Query: Hello doctor,I am a 37-year-old male, and around two years ago, I had some cardiac testing when I was 35. The only results of note were a calcium score of 6 (CT coronary angiogram) and mildly dilated LA (biplane volume of 35ml/m2).  Read Full »


Answer: Hello, Welcome to icliniq.com. I understand your query and concern. A CAC (coronary artery calcium) score of 6 is normal and nothing to worry about. LA (left atrial) volume index is on the upper limit. Please share your ECG (electrocardiography) and echocardiography. Also, tell me your symptoms so ...  Read Full »

Does an enlarged left atrium increase the risk of cardiovascular disease?

Query: Hello doctor, I visited my cardiologist five days ago, and I was diagnosed with an enlarged left atrium. The doctor said it was due to high blood pressure, low potassium, and sleep apnea. I was prescribed Diltiazem, Potassium, and Magnesium along with lifestyle changes. On that same day, I decided t...  Read Full »


Answer: Hi, Welcome to icliniq.com. I hope you are doing good. I read your complaints and reviewed your echocardiogram report (attachments removed to protect the patient’s identity). Enlarged left atrium (LA) can cause arrhythmias which gives you the feel of palpitations. The cause of LA enlargement cou...  Read Full »

I have obesity, hypertension, and heaviness in my chest. Can it be due to left atrium enlargement?

Query: Hello doctor, Last night I went to the emergency room because of ongoing chest pressure. The doctor said my ECG was perfect, my chest X-rays were clear, and all my blood work was fine. However, on reviewing when I got home, I saw probable left atrium enlargement. I have severe health anxiety, and my...  Read Full »


Answer: Hello, Welcome back to icliniq.com. I have seen the attached (attachment removed to protect the patient's identity) reports. In my opinion, too, your ECG (electrocardiogram) is fine. Machine-generated reports are frequently inaccurate. With age and being overweight, some amount of left atrial enla...  Read Full »

My ECG showed abnormal ST and T waves along with left left atrial enlargement. Why?

Query: Hello doctor, I have recently been evaluated for palpitations. I had one ECG done that revealed I have abnormal ST and T waves. I was then asked to do a stress test. I also had a Holter monitor on for 24 hours. The stress test came back negative, and the Holter monitor came back normal. I then we...  Read Full »


Answer: Hello, Welcome to icliniq.com. Your stress ECG (electrocardiogram) report attached (attachment removed to protect the patient's identity) is perfect. No, ECG is not the perfect way to diagnose left atrial enlargement. There is always some reason for left atrial enlargements, such as the reduced op...  Read Full »

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