Interventional Cardiology Expert Forum
Enlarged R&L Atriums
About This Forum:

Questions in the Interventional Cardiology forum are answered by medical professionals affiliated with the Truman Medical Center. Topics covered include acute coronary syndrome, angina , atrial fibrillation , cardiac catheterization , cardiomyopathy , drug abuse & cardiac disease, echocardiography , heart failure , hypertension & heart disease , lipid management , minorities and heart disease, peripheral vascular disease prevention, valvular heart disease , women’s heart health, and the warning signs of a heart attack.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

Enlarged R&L Atriums

59 year old male in excellent health diagnosed with aneurysm ascending aorta (4.2). No history of hypertension normal levels lipids etc. Had second opinion at CC in April.  Had 2 echos, 2 Cats scans and an MRI last Dec.  All results were normal--with exception of aneuerysm and mildly dilated right atrium----valves normal, no regurgitation, normal systolic function, aortic valve normal, no pulmonary hypertension, EF 50-55. Take Atacand 24 mg, Atenolo 25 mg, Vytorin 10/20 for prevention---no side effects.  12/07 had annual physical and MRI for anuerysm--results--BP 105/65, HR 54, Cholest: 121--HDL 40--LDL  62, Trig 97.  MRI study had both ventricles as being mildly dilated and both Atriums as being moderately dilated. My concerns are that appears that my heart has enlarged.  Why?  Have no side effects, speed walk daily 4 miles up and down hills, no shortness of breath, i feel good.  Eat a mediterrean diet, 2 glasses of wine a day, smoke one cigar a week. My general MD says not to worry about it because it is probably just the natural size of my heart---problem is that this is not consistent with previous studies.
Questions?

What could have caused the Atriums to become moderately dilated?  Could the test have been misread?  Is this connected to the anuerysm?
What can i do to correct this?  Is this a sympton of something else? Am i at risk?  Should i have a cadiologist read the MRI?

Any help would be appreciated

Thank You
Related Discussions
298366_tn?1193105892
The aneurysm could be of a few different causes: something congenital, long-standing hypertension, valvular disorders, connective tissue disorders. It sounds like this may be long-standing hypertension that is dilating the aorta and causing diastolic dysfunction (problem with the relaxation phase of the heart pumping)-- this can cause enlarged atria. I would not say that it is normal; I would gather all the data you have and compare the results, such as the cardiac echo and mri. I would definitely see a cardiologist if you haven't yet.
Blank
Continue discussion Blank
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
233488_tn?1310696703
Blank
Marathon Running Done Over Many Yea...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
233488_tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
748543_tn?1371753642
Blank
TMJ/TMJ The Connection Between Teet...
Jan 27 by Hamidreza Nassery , DMD, FICOI, FAGDBlank