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Cardiomegaly can be classified by the main enlarged location of the heart, and/or by the structure of the enlargement. Specific subtypes include athletic heart syndrome, which is a non-pathological condition commonly seen in sports medicine in which the heart is enlarged, and the resting heart rate is lower than normal.
The commonly used method to diagnose LVH is echocardiography, with which the thickness of the muscle of the heart can be measured.The electrocardiogram (ECG) often shows signs of increased voltage from the heart in individuals with LVH, so this is often used as a screening test to determine who should undergo further testing.
Left atrial enlargement can be mild, moderate or severe depending on the extent of the underlying condition. Although other factors may contribute, left atrium size has been found to be a predictor of mortality due to both cardiovascular issues as well as all-cause mortality.
On physical examination, the most prominent features are due to the development of right-sided heart failure. These can include a raised jugular venous pressure, ascites, left parasternal heave and a tender, enlarged liver on palpation. [3] On inspection, patients may be chronically ill, cyanotic, cachectic and occasionally jaundiced. [citation ...
Ventricular hypertrophy (VH) is thickening of the walls of a ventricle (lower chamber) of the heart. [1] [better source needed] Although left ventricular hypertrophy (LVH) is more common, right ventricular hypertrophy (RVH), as well as concurrent hypertrophy of both ventricles can also occur.
An enlarged heart can be seen at echocardiography or sometimes on a chest X-ray. Similarities at presentation between athlete's heart and clinically relevant cardiac problems may prompt electrocardiography (ECG) and exercise cardiac stress tests .
Other considerations for causes of enlarged heart are athlete's heart and hypertension (high blood pressure). [10] Making the diagnosis of HCM often involves a family history or pedigree, an electrocardiogram, echocardiogram, and stress testing. [7] Genetic testing may also be done. [7]
It is also important to control heart disease risk factors including diabetes, high cholesterol, and high blood pressure. Exercise, pregnancy, and prior health conditions like ASD II can also promote cardiac remodeling, so routine primary care visits are important to distinguish between physiological and pathological atrial enlargement.
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