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Doctor insights on: Right Atrial Problem

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What is left atrial abnormality incomplete right bundle block?

What is left atrial abnormality incomplete right bundle block?

Ecg : What you list are electrocardiographic patterns. Left atrial abnormality suggests the possibility of structural abnormalities of the left atrium. Incomplete right bundle branch block suggests slowing of electrical impulse conduction in the right bundle branch of the conduction system. These findings can be associated with abnormal structure and function but are not diagnostic any specific problem. ...Read more

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Atrial septum defects: right to left shunt, what is all this?

Atrial septum defects: right to left shunt, what is all this?

ASD: Usually with an atrial septal defect the blood flow or shunt goes from left to right, however, in some situations when there is pulmonary hypertension the shunting goes from right to left. The problem with that is it causes some of the blood to bypass the lungs and not get the oxygen needed to bring to the tissues. ...Read more

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Abnormal shunt left to right atrium suggestive small atrial septal defect can this make the shunt also go right to left if so is it dangerous?

Abnormal shunt left to right atrium suggestive small atrial septal defect can this make the shunt also go right to left if so is it dangerous?

If RA>LA pressure: Shunt flow will direct from the higher pressure chamber to the lower pressure one. This usually results in left to right shunting across an asd. Over time, as flow into RA is increased, a corresponding increase in pulmonary blood flow will lead to pulmonary hypertension. The subsequent rise in right sided pressures will lead to reverse shunting (r to l) with cyanosis (eisenmenger). ...Read more

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Whats the difference between right ventricular enlargement, cardiomyopathy and right sided heart failure? What is worse?

Whats the difference between right ventricular enlargement, cardiomyopathy and right sided heart failure? What is worse?

Hello again!: RV enlargement can be a SIGN of something wrong with the RV (weakness, pressure or volume overload). Cardiomyopathy means muscle weakness: the ventricle fails to contracts with normal vigor. This can be due to many things: the commonest are viral infection, alcohol, and genetics. If the RV can't handle the load, it may eventually fail resulting in"right sided heart failure". ...Read more

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Is right atrial enlargement reversible?

Is right atrial enlargement reversible?

Right atrial enlarge: You list scoliosis as a dx which can sometimes make the RA look bigger than it really is. True RAE can be reversible depending on the cause of the true RAE. ...Read more

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What is right side heart failure vs. Left sided?

What is right side heart failure vs. Left sided?

Right heart failure: Right heart failure refers to weakness or stiffness involving the right ventricle or lower chamber as opposed to the left ventricle. This causes a unique constellation of symptoms including swelling in abdomen and legs, liver malfunction, weakness and shortness of breath. ...Read more

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Is ventricular fibrillation a problem inside the heart muscle?

Is ventricular fibrillation a problem inside the heart muscle?

Electrical...: Ventricular fibrillation is an electrical problem that causes the heart to quiver so it cannot pump blood. Since there is no blood flow, the patient is clinically dead and the heart needs to be shocked, hopefully back into a normal rhythmn. ...Read more

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It was a right atrial infarction that affected interatrial septum?

It was a right atrial infarction that affected interatrial septum?

Atrial infarction: Not sure what you're asking but you are describing a very rare something in right atrial infarction ...Read more

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Any idea what this means? Normal sinus rhythm. Possible Left atrial enlargement Cannot rule out Anterior infarct. Abnormal EKG

Any idea what this means? Normal sinus rhythm. Possible Left atrial enlargement
Cannot rule out Anterior infarct. Abnormal EKG

Could be normal.: Depends upon your clinical situation. EKG's are not very predictive if they are done without a specific purpose in mind. If you have not had any symptoms and this EKG was done as part of a "routine" then it is very likely just an interesting finding without a physical meaning. You should discuss this with the person who ordered the test. ...Read more

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Would asd and PFO cause right atrial and ventricular hypertrophy? If so why?

Would asd and PFO cause right atrial and ventricular hypertrophy? If so why?

Enlargement: ASD causes enlargement of the right side of the heart. Not hypertrophy unless it (rarely) has led to pulmonary hypertension. Pfo is not a disease. Almost 20% of healthy people have it. ...Read more

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Why the atrial fibrillation causing thromboembolic phenomena while atrial flutter don't cause it?

Why the atrial fibrillation causing thromboembolic phenomena while atrial flutter don't cause it?

Short answer: Atrial fib has increased risk secondary to irreg.firing of atria and valves causing damage to blood cells. In flutter there is a more regular rate and atrial contractile function offers some protection but there is still a slightly increased risk. In chronic flutter, coagulation is necessary given the risk of stroke is the same as atrial fib. Pts with chronic flutter often have a fib as well. ...Read more

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What are sinus rhythms with incomplete right bundle branch block?

Abnormal ECG: Hello again jmercado -- you have an abnormal ECG -- but this could be an isolated ECG abnormality or it could mean more if you are not feeling well - and you should talk to your doctor about this -. ...Read more

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Does pulmonary hypertension cause right atrial enlargement?

Does pulmonary hypertension cause right atrial enlargement?

PAH: Yes it can. In Pulmonary Hypertension, imagine the right side of the heart as a pump and the pulmonary arteries as a dam. When pulmonary artery pressures keep going up, the blood backs up into the pump (heart) and can affect both chambers of the right side of the heart. The Right Atrium can enlarge and the Right Ventricle can enlarge, become thick, or lose ability to pump properly. ...Read more

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Short PR wave intervals, bilateral atrial enlargement, right ventricular conduction delay. What do I make of my recent ECG? Is this serious?

Short PR wave intervals, bilateral atrial enlargement, right ventricular conduction delay. What do I make of my recent ECG? Is this serious?

Depends.... : Your ECG findings may be nonspecific; biatrial enlargement - may actually be interatrial conduction delay ; u need an echocardiogram to noninvasively look at structure of your heart and see a cardiologist for full history and examination. ...Read more

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Left neck vein bulges. Is that left heart failure?

Left neck vein bulges. Is that left heart failure?

Probably not: First, neck vein distension can be caused by many things, only one of which is heart failure. Second, if it were due to heart failure, it would likely be on both sides, and then would reflect problems on the right heart. But since the most common cause of right heart failure is left heart failure, neck vein distension is a sign of heart failure. But not likely in you. Talk to your own doctor. ...Read more

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Mildly enlarged left atrium with atrial fibrillation.Should I be worried about the enlarged left atrium? Thank You.

Mildly enlarged left atrium with atrial fibrillation.Should I be worried about the enlarged left atrium? Thank You.

Atrial enlargement &: slowed atrial conduction are classic precursors & setup for atrial fibrillation. AFib is rare without these. Less commonly discussed are atherosclerosis, plaque ruptures & compromises of circulation to atrial muscle, a setup for ?ed atrial function just as it is for ventricular muscle. Thus optimize NMR lipoproteins, HbA1c & Systolic BP, the 3 biggest drivers of atherosclerosis. ...Read more

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What is left ventrical dysfunction?

What is left ventrical dysfunction?

Weakness of heart: When the left ventricle fails to pump normally dysfunction is present. The two common types include poor ejection of blood from a weak and enlarged heart or poor filling of the heart from a stiff muscle wall. Myocardial ischema is a common cause but there are many other causes including those secondary to valve dysfunction, hypertension, alcohol use, viral infection and miscellaneous causes. ...Read more

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What sort of problem is an atrial flutter?

Dr. Yu Sun Dr. Sun
2 doctors agreed:

Less common than AF: Atrial fluter less common than atrial fibrillation, and is often a indcator of future atrial fibrillation onset. You may not notice them, or you may feel a flutering in your chest. Atrial flutter can be caused by scarring in the heart resulting from prior cardiac disease or heart surgery, but it can also occur in some patients with no other identifiable heart problems. ...Read more

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What sort of problem is atrial fibrillation?

Irregular: Atrial fibrillation occurs when the atria, which deliver blood to the ventricles, receive an abnormal electrical signal and then beat erratically instead of in a coordinated, strong beat. The danger of atrial fibrillation is that the blood in the atria tends to stay there instead of getting pumped fully into the ventricles. This slow moving blood in the atria can then form blood clots. ...Read more

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What sort of problem is an atrial septal defect?

What sort of problem is an atrial septal defect?

ASD: ASD is a congenital (present since birth) heart defect in which the wall that separates the 2 upper chambers (atria) is perforated allowing the abnormal mixing of oxygenated and un-oxygenated blood. If large enough, it can lead to rhythm disturbances and heart failure but if small, no treatment is necessary. Echo and MRI are very accurate in assessing the severity. It is correctable/curable. ...Read more

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Pfo or atrial septum defect==are they the most common problems in infants of diabetics?

Pfo or atrial septum defect==are they the most common problems in infants of diabetics?

Maybe and no: I'm not a pediatric cardiologist and can't tell you definitively if they are the "commonest" problems in infants but, for sure, they're not nearly the commonest problem in patients with diabetes (whom i see everyday). Remember, newborns normally have patent foramen ovale which closes shortly (but may be delayed) after birth. ...Read more

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Hi doctors, Can frequent atrial ectopics ( 12063 beats, holter moniter ) cause problems ? Angiogram 3 years ago all clear. Thankyou.

Hi doctors,
Can frequent atrial ectopics ( 12063 beats, holter moniter ) cause problems ? Angiogram 3 years ago all clear.
Thankyou.

Yes, it's a problem: Assuming you have a normal heart rate, your APCs are >10% of your total heart beats. That can cause your heart muscle to weaken and increases your risk of atrial fibrillation. You need a full evaluation for any treatable cause and your heart rate should be assessed to be sure it's well controlled to avoid injury. Is your sleep apnea treated? CPAP may help your arrhythmia if you haven't tried it. ...Read more

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Atrial fibrillation and psvt as well as blood sugar problems are possible diagnosis' for me but I am only 22 and am very active and healthy? How?

Atrial fibrillation and psvt as well as blood sugar problems are possible diagnosis' for me but I am only 22 and am very active and healthy? How?

Need cardiac monitor: From your question, i assume you're having palpitations that have not yet been documented or diagnosed. You should have a 24-hour holter monitor, and possibly a long-term event monitor to see if it is a cardiac arrhythmia, and if so, what kind. ...Read more

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Doctor confirmed my child has atrial septal defect and will need to follow up. Will this be a longterm problem?

Doctor confirmed my child has atrial septal defect and will need to follow up. Will this be a longterm problem?

ASD: An ASD requires noninvasive studies (echo/mri) to gauge the ratio of blood that is shunted from left to right. Assessment of possibly associated congenital abnormalities is necessary. Gauging (over time) changes in symptom status, such as dyspnea with exertion, and signs of right heart pressure/volume overload and/or pulmonary hypertension are important to follow too. ...Read more

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Hello, I am a 32 year old male with no heart related problems in the past. Had a stress test one year ago and past with flying colors. I recently had an incident of atrial fibrillation randomly. I converted spontaneously after 1.5 hours. A week later I we

Hello,
I am a 32 year old male with no heart related problems in the past. Had a stress test one year ago and past with flying colors. I recently had an incident of atrial fibrillation randomly. I converted spontaneously after 1.5 hours. A week later I we

Atrial fibrillation: is very common. 25% of all people over the age of 40 have atrial fibrillation. Almost 1/3 of all over age 65 have it. Certainly coronary artery disease can be an etiology (excluded by your stress test) but there are many other associated causes. Obesity and obstructive sleep apnea are highest associated issues. Many treatments are available. See your health care provider for evaluation. ...Read more

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Could an atrial septal defect cause ear problems?

Could an atrial septal defect cause ear problems?

No: Although there is no cause and effect about what u r asking, patients with congenital heart disease sometimes have other birth defects. Hearing problems are not usually one of them. ...Read more

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Is it a problem to drink alcohol if I have a secundum atrial septal defect?

Is it a problem to drink alcohol if I have a secundum atrial septal defect?

Yes: Drinking in moderation (you must know your limits, do not drive etc) is perfectly fine with an asd. Stay responsible and safe, but an ASD itself--without other congenital defects or heart rhythm problems--is not a contraindication to drinking alcohol. ...Read more

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How dangerous could atrial fibrillation be in a healthy, very fit 18 year old with no other problems? Normal echocardiogram, ekg, and stress test

Not likely: Atrial fibrillation is not as common in young individuals as in elderly. Sometimes benign arrhythmias are over diagnosed as atrial fibrillation. In your case how was your atrial fibrillation diagnosed? Otherwise atrial fibrillation remains a significant medical condition with a variety of possible complications, the most common being stroke. ...Read more

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I had an Atrial Septal Defect repaired 24 years ago. I have had no heart problems. Will I always have an abnormal EKG because of this? I feel great!

Yes: Because of scar tissue present, you will always have an "abnormal EKG". That does NOT mean a BAD EKG. it's just not going to send your electrical signals through the exact same routes as a heart that has not had surgery. It is more important that you are "feeling great" and symptom free, but aware that your EKG is "different" than most so that if something ever happens, you know what your base is ...Read more

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Did I have Atrial Fib. or Heart Trouble? I'm SCARED. My heart/chest vibrated, I felt weird, & cold flush. Was this a panic attack, or a heart problem?

Did I have Atrial Fib. or Heart Trouble? I'm SCARED. My heart/chest vibrated, I felt weird, & cold flush. Was this a panic attack, or a heart problem?

Usual suspect: Anxiety is the likely suspect. Especially at your age w/ your medical history. If youthful cardiovascular problems are in your family history you'd know and should be examined, or if it's part of a syndrome you suffer - like Marfan's - you'd be being monitored for heart issues regularly already. It's a good idea to consider CBT therapy for skills in dealing w/ issues like anxiety, OCD. It works! ...Read more

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Having atrial fibrillation , I do not feel fast heart beat or shortness of breath , due to medication. Would air travel for 6 hours be a problem?

Having atrial fibrillation , I do not feel fast heart beat or shortness of breath , due to medication. Would air travel for 6 hours be a problem?

C Below: You have asymptomatic Afib. Depending on your CHADS2 Score or CHADSVASC you should be at least on Aspirin. My guess is that you likely should be on Warfarin also. - Air travel is as safe as staying at home watching a TV Show. What is important is your antiplatelt therapy or anticoagulation as needed. ...Read more

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ECG - Probable left atrial enlargement, in ECHO - Mitral value - AML tip prolapse,Mild MVP, How dangerous they are in long term, will they create heart problems, Can i continue my daily workout including weight lifting, can these go back to normal?

ECG - Probable left atrial enlargement, in ECHO - Mitral value - AML tip prolapse,Mild MVP,
How dangerous they are in long term, will they create heart problems, Can i continue my daily workout including weight lifting,  can these go back to normal?

Mild MVP : Mitral valve prolapse is an often overdiagnosed condition. Therefore the American society of echo came up with strict criteria. So "mild" and anterior leaflet "tip" makes me question the diagnoses. U may want to get a second Opinion. Having said that, prolapse is only a concern if the valve is also leaky. You make no mention of that - so no mitral regurgitation. Then ought not to be an issue. ...Read more

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Would echo,ekg,stress test,xray,bloodwork rule out any arrhythmia problem such as premature ventricular contraction and paroxysmal atrial fibrillation?

Would echo,ekg,stress test,xray,bloodwork rule out any arrhythmia problem such as premature ventricular contraction and paroxysmal atrial fibrillation?

No: Occasional PVCs are normal. Paroxysmal atrial fibrillation by definition is only present some of the time and the tests you list could easily miss this if done while the heart is in normal rhythm. Diagnosis of intermittent arrhythmias can be difficult and frequently requires consultation with a cardiologist subspecialized in electrophysiology, Holter monitor test is frequently used. ...Read more

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