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Doctor insights on: Moderate Left Atrial Enlargement

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Dr. Julie Abbott Dr. Abbott
Preventive Medicine
41 years in practice
1

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Summary of my resent echogram; 1-Low normal left ventricular function. Ejection fraction is est.52% 2-Mild left atrial enlargement. 3-Mild to moderate aortic valve regurgition. 4-Moderate aortic valve stenosis. 5-Mild tricuspid valve regurgitation. 6-Mode

Summary of my resent echogram; 1-Low normal left ventricular function. Ejection fraction is est.52% 2-Mild left atrial enlargement. 3-Mild to moderate aortic valve regurgition. 4-Moderate aortic valve stenosis. 5-Mild tricuspid valve regurgitation. 6-Mode

Need cardiologist!: There are a number of concerning findings on your echocardiogram. The left ventricular function (how strong your pump is) is just a little low; I'm not that concerned about that. The valves, especially aortic, are the biggest problem: to have both aortic regurgitation (back flow across the valve) and narrowing (stenosis) is very concerning. Follow up soon with your cardiologist. Good wishes:)

Dr. Calvin Weisberger Dr. Weisberger
Internal Medicine - Cardiology
47 years in practice
Jefferson Medical College of Thomas Jefferson University
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What are the symptoms of left atrial enlargement?

What are the symptoms of left atrial enlargement?

Left atrial enlargem: Left atrial enlargement itself has no symptoms. If there is pathology like mitral insufficiency or mitral stenosis associated with left atrial enlargement, the symptoms are produced by the physiology of the pathologic lesion.

Dr. Shashank Jain Dr. Jain
Internal Medicine
years in practice
3

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Seen a cardiologistEcg normal apart from possible left Atrial Enlargement, no further tests done and discharged. Please advise?

Seen a cardiologistEcg normal apart from possible left Atrial Enlargement, no further tests done and discharged. Please advise?

OK: If you have no symptoms/problems because of any structural heart enlargement or defect than there is nothing to be done. I am guessing your doctor already went through the basics - made sure that there are no cardiovascular symptoms and is comfortable with just regular follow up.

Dr. Calvin Weisberger Dr. Weisberger
Internal Medicine - Cardiology
47 years in practice
Jefferson Medical College of Thomas Jefferson University
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Left atrial enlargement, R-axis -57 Abnormal ECG?

Left atrial enlargement, R-axis -57 Abnormal ECG?

ECG: Without seeing the ecg and only given what you wrote, it isn't possible to know whether the ecg is abnormal or not. An axis of 57 degrees is not a 'right axis', 157 degrees would be. Left atrial enlargement has definite ecg parameters but doesn't always mean significant abnormality is present. If it were possible to see the ecg more comment would be possible.

Dr. John Munshower Dr. Munshower
Family Medicine
26 years in practice
Philadelphia College of Osteopathic Medicine - Georgia Campus
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EKG says "Borderline ECG" and "probable left atrial enlargement." Is this anything of concern?

EKG says "Borderline ECG" and "probable left atrial enlargement." Is this anything of concern?

I do not know: Your dr. Who knows you best, will take that reading and compare it to your overall physical condition, and most likely it will be fine, but they need to discuss it with you to be sure.

Dr. Bennett Werner Dr. Werner
Internal Medicine - Cardiology
40 years in practice
University of Maryland School of Medicine
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What to do if I had an EKG well several that showed possible left and right atrial enlargement since then I have had bouts?

What to do if I had an EKG well several that showed possible left and right atrial enlargement since then I have had bouts?

Echocardiogram: The EKG is not the swiftest way to diagnose this - you need an echo. Not only will it rule the problem in or out, it will provide information about why they're enlarged (if they are).

Dr. Alan Heldman Dr. Heldman
Internal Medicine - Cardiology
29 years in practice
University of Alabama School of Medicine
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Please translate my results; EKG (Sinus Brady, HR 71- Low voltage in precordial leads. -Left atrial enlargement. - Nonspecific T- abnormality.) - 8/25/2017 EKG?

Please translate my results; EKG (Sinus Brady, HR 71- Low voltage in precordial leads. -Left atrial enlargement. - Nonspecific T- abnormality.) - 8/25/2017 EKG?

Question? Consult!: The EKG findings must be considered in context of age, history, and symptoms. These little boxes are not good for answering specific patient case problems. Consider a cardiology consultation here on HealthTap. The kind of consult where you ask for help within the next 24 hours ("inbox") works particularly well because it enables emailing back and forth with the details.

Dr. Calvin Weisberger Dr. Weisberger
Internal Medicine - Cardiology
47 years in practice
Jefferson Medical College of Thomas Jefferson University
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Dr. Calvin Weisberger Dr. Weisberger
Internal Medicine - Cardiology
47 years in practice
Jefferson Medical College of Thomas Jefferson University
10
Dr. Rodney Del Valle Dr. Del Valle
Anesthesiology
32 years in practice
Ponce School of Medicine
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Ekg left atrial enlargement, nonspecific t wave abnormality, echo done trace mitral regurg, tricuspid regurg. Pericardial effusion global. Is my heart ok?

Ekg left atrial enlargement, nonspecific t wave abnormality, echo done trace mitral regurg, tricuspid regurg. Pericardial effusion global. Is my heart ok?

More info needed: I am assuming echo is showing pericardial effusion and global? Or maybe global hypohypokinesia? Any wall motion abnormalities? Ejection fraction? Do u have any symptoms? At rest or with activities? Any other risk factors? Smoker, overweight, dm, htn, high chol, family history heart attacks, sedentary life etc. Any prior heart attacks? Stress test done. Any recent viral infection? Pericarditis?

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Dr. Mary Callahan Dr. Callahan
Internal Medicine - Cardiology
25 years in practice
University of New England College of Osteopathic Medicine
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Left atrium enlargement with 1 st degree heart block is there any cause for concern?

Left atrium enlargement with 1 st degree heart block is there any cause for concern?

LA enlargement: La enlargement is likely due to one of several causes including high blood pressure, valve disease or other structural heart problems. This could be related to the first degree heart block since if the atria is big then it may take longer to conduct from the atria to the ventricle. The best way to evaluate la or left atrial size is by an ultrasound or echocardiogram of the heart.

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Dr. Donald Colantino Dr. Colantino
Internal Medicine
57 years in practice
Tufts University School of Medicine
13

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ECG Results flag 'Possible Left Atrial Enlargement'. Does this need re-checked?, or if reliable what does it mean for me?

Atrium: EKG diagnosis of left atrial enlargement is often ambiguous. An echocardiogram is the accurate method of measuring the size of the heart chambers. Causes of left atrial enlargement include certain types of valvular heart disease or elevated blood pressure. If you have a heart murmur or hypertension, consult a cardiologist for evaluation.

Dr. Ed Friedlander Dr. Friedlander
Pathology
40 years in practice
Northwestern University Feinberg School of Medicine
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Left atrial enlargement and low voltage qrs in teenager who is experiencing extreme fatigue and has had at least three episodes of near syncope.

Left atrial enlargement and low voltage qrs in teenager who is experiencing extreme fatigue and has had at least three episodes of near syncope.

What's been done?: If the left atrial enlargement is so far only demonstrated on x-ray, and no other imaging studies have been performed, junior has a left atrial myxoma until proved otherwise and could die suddenly from it at any time. If this has been ruled out by proper imaging, then forgive me.

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Dr. Julie Abbott Dr. Abbott
Preventive Medicine
41 years in practice
15

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I was diagnosed with bilateral atrial enlargement and preserved left ventrical systolic function on my recent echocardiogram. What does all this mean?

I was diagnosed with bilateral atrial enlargement and preserved left ventrical systolic function on my recent echocardiogram. What does all this mean?

Biatrial enlargement: Is an increase in the size of both the upper two chambers of the heart--the right and left atria. The preserved left ventricular systolic function means the heart muscle itself is pumping normally. Atrial enlargement can be due to a problem with the heart valves, or chronic lung disease on the right, systemic hypertension on the left. It requires an expert cardiology evaluation to clarify.

Dr. Umesh Patel Dr. Patel
Internal Medicine
38 years in practice
University of London School of Medicine, University College
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I have refractory ulcer, and my health is declining slowly. My EKG just showed left atrial enlargement. Could this be related to ulcer?

EKG: Unlikely that the ekg finding is related to ulcer disease directly. .. Often is a non specific finding.

Dr. Larry Xanthopoulos Dr. Xanthopoulos
Pediatrics
18 years in practice
Boston University School of Medicine
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Had ECG and was told Atrial enlargement so was referred to a cardiologist, I was told all is normal but letter states resting ECG "possible left Atrial?

Don't be concerned: An ECG shows the electrical rhythm of the heart for a few seconds time. By looking at an ECG sometimes one might deduce information about the heart such as size of different chambers. This is only a deduction/hypothesis that needs to be verified typically with imaging. I am assuming the cardiologist performed an echo (US of the heart) that showed all is normal which is why he said so.

Dr. Thomas Wright Dr. Wright
Phlebology
25 years in practice
University of Missouri-Columbia School of Medicine
19
Dr. John Goldman Dr. Goldman
Internal Medicine - Rheumatology
51 years in practice
University of Cincinnati College of Medicine
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I had done ecg. My pulse rate is 120. Fast pulse rate. They suspect left atrial enlargement. 2nd time ecg done. Only fast pulse rate found. I'm pregnent.

May be physiologic: Since a large left atrium is suspect have your physician have you see a cardiologist. WE call this a tachycardia but it may be normal depending on you physical status. Your evaluation will clarify the situation.