A member asked:

Had an ecg that showed borderline abnormal, possible left atrial enlargement. had a stress test and holter monitor that came back normal 7 months ago. could the abnormal been anxiety produced?, and is it something to be worried about?

3 doctors weighed in across 2 answers
Dr. Hiep Le answered

Specializes in Nephrology and Dialysis

Possible left atrial enlargement is a nonspecific finding which is commonly seen in 12 lead EKG. But this change is not associated or caused by anxiety. Normal stress test and holter monitor do not rule out true left atrial enlargement. Echocardiogram can be done to rule out structural heart abnormality if indicated. However, you should not worry about that reading by my opinion.

Answered May 14, 2022

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Dr. Donald Colantino answered

Specializes in Internal Medicine

Anxiety isn't a cause of left atrial enlargement. If borderline abnormally refers only to possible left atrial enlargement & you don't have a history of high blood pressure or heart valve abnormality,I would ignore the nebulous finding of possible left atrial enlargement. and consider your EKG normal. A normal echocardiogram would validate this recommendation if you chose to get one done.

Answered May 17, 2022

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