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Enlarged Left Ventricle
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reynja posted:
My son had a chest x-ray to see what might be the reason for a 2 month cough that 10 different medications could not get rid of. The x-ray showed the lungs to be clear, yet showed the heart to be enlarged. The pediatrition set up an echocardiogram which showed everything to be functioning correctly, but the left ventricle is enlarged. She said that it was probably not anything major, but she is sending us to a cardiologist just to make sure. I have done a little bit of research and found only two explanations for an "enlarged left ventricle". Cardiomyopathy or mitral valve regurgitation are the two that came up. Both of which seem pretty serious to me! If anyone has any information on this subject, feel free to comment. I would just like to know if it might be something else. The only symptom he has is a barking like cough. There's no drainage, just a dry "seal" sounding cough. He has had a rapid weight gain, but I just thought he was going through a growth spurt. His appointment isn't until January 6th. So, we get to worry through the Holidays!
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reynja responded:
One other symptom is a slight heart arrythmia.
 
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CardiostarUSA1 responded:
Hi:

"Found only two explanations for an enlarged left ventricle"

There are more.

"Both of which seem pretty serious to me!"

If/when diagnosed (typically with an echocardiogram), cardiomyopathy (heart muscle disease) is always serious, while the overall seriousness of mitral valve regurgitation (typically determined with an echocardiogram) depends on the actual amount of regurgitation (leakage).

Valvular regurgitation levels goes from trace or physiologic (also known as minimal or trivial, found in many otherwise heart-healthy individuals) to mild to moderate to severe.

Valvular regurgitation grading scale by echocardiography (cardiac ultrasound) is 0-4+. Valvular regurgitation can cause various symptoms or no symptoms at all. As necessary, prescription drug-therapy treats symptoms, but does not cure the condition.

Additionally, of the different kinds/types of heart conditions, some which may/can occur at ANY AGE, various symptoms (includes arrhythmia, irregular heartbeat) may/can be acute (occurring suddenly), be chronic (occurring over a long period of time), come and go (be transient, fleeting or episodic) or even be silent.

Most important, communicate well with his doctors at ALL times. Best of luck to your son down the road of life. May he live long and prosper.

Take care

CardioStar*

WebMD community member (8/99)

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Health Central

Cardiac Enlargement: A Patient Guide

Cardiac enlargement refers to an increase in the size of the heart. There are two types of cardiac enlargement: hypertrophy and dilation. (Though usually occurring separately, they may occur at the same time.)

Dilation involves an increase in the size of the inside cavity of a chamber of the heart.

With the exception of exercise-induced enlargement, all forms of cardiac enlargement are abnormal and associated with further....

What causes cardiac dilation?

www.healthcentral.com/heart-disease/patient-guide-44614-6.html

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WebMD

Heart Disease TYPES

Men and Women

Acquired in life or congenital (born with it)

www.webmd.com/heart-disease/heart-disease-men

Heart Disease SYMPTOMS

www.webmd.com/heart-disease/guide/heart-disease-symptoms

Mayo Clinic

Cardiovascular disease 101

Understanding all the different types of cardiovascular disease can be confusing. Get a basic overview of cardiovascular disease and the conditions that can affect your......

www.mayoclinic.com/health/cardiovascular-disease/HB00032

LEARN ABOUT the Heart

WebMD Health/The Cleveland Clinic

How the Healthy Heart Works

Arteries, Chambers, Valves

www.webmd.com/heart-disease/healthy-heart-works

Your-doctor

How the Heart Pumps

Animated Tutorial

your-doctor.com/healthinfocenter/medical-conditions/cardiovascular/heartpump-tutorial.html

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WebMD/Cleveland Clinic

Heart Disease: Abnormal Heart Rhythm

What are the types of arrhythmias?

www.webmd.com/heart-disease/guide/heart-disease-abnormal-heart-rhythm

Cleveland Clinic Heart & Vascular Institute

Management of Arrhythmias

w/ECG waveform images

www.clevelandclinic.org/heartcenter/pub/guide/disease/electric/arrhythmia.htm

LEARN ABOUT the heart's delicate and precise electrical conduction system

Your-doctor

Animated Tutorial

your-doctor.com/healthinfocenter/medical-conditions/cardiovascular/conductiontutorial.html

Heart Rhythm Society

Patients and Public Information Center

www.hrspatients.org

Quote

"Be a questioning patient. Talk to your doctor and ask questions. Studies show that patients who ask the most questions, and are most assertive, get the best results. Be vigilant and speak up!"

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James_Beckerman_MD responded:
You are correct that both valvular disease (like mitral regurgitation) or intrinsic heart disease (like a cardiomyopathy) can cause left ventricular enlargement. It is very encouraging that the remainder of the echo was normal. I would recommend discussing getting a follow-up echocardiogram routinely for at least a few years.

Regarding his weight gain, I suggest looking specifically for "edema" in his legs - can you press into his skin and make a fingerprint stay there? It can have the appearance of finger indentations on sandwich bread. His doctors might also want to check a thyroid level to make sure that's all right as well.

Take care.
 
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MILMOM2 responded:
I HAVE THE SAME AS YOUR SON, AND I HAVE CARDIOMYOPATHY. I TOO HAVE HAD A COUGH WITH THE LUNGS CLEAR ETC. I SUGGEST YOU CLARIFY THAT YOUR SON DOES NOT HAVE CARDIOMYOPATHY. IF HE DOES, TAKE HIM TO AN HYPERTROPHIC CARDIOMYOPATHY CTR. I KNOW OF THREE DEPENDING ON WHERE YOU LIVE.

I TAKE A MEDICATION FOR THE ARRYTHMIA. I HAVE AN ICD/PACEMAKER IMPLANT. I AM ALSO 57 YEARS OLD. I HAVE HCM FOR TEN YEARS NOW. THINK POSITIVE AND SEE THE PROPER EXPERTS.


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