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.
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?
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.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.