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A 35-year-old female asked:

My ecg result shows probable left atrial enlargement. i don't have any chest pain or difficulty breathing, just occasional palpitations. can you please tell me whether this result is concerning? heart ultrasound (july 2022) was good, no issues found?

1 doctor answer2 doctors weighed in
Dr. Donald Colantino
Internal Medicine 63 years experience
Left atrial enlargement is much more accurately diagnosed by echocardiogram than by an EKG. At best it's a presumptive diagnosis on an EKG. If you don't have hypertension, diastolic dysfunction or valvular heart disease, you're unlikely to have an enlarged left atrium. A cardiologist can evaluate and advise you further.
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Last updated Dec 26, 2022


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