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Enlarged Heart?
Anon_2769 posted:
I have been seeing a cardiologist for about 3 years. The only thing they have told me about is that i have hbp and that is now under contol. I just had a chest x-ray to make sure i did not have asthma or anthing else and it said that i have an enlarged heart and that it has not changed.

Why is my asthma doc telling me i have an enlarged heart when my cardiologist should have told me this? I'm the old age of 35 and i'm just not sure what to think about it.
James Beckerman, MD, FACC responded:
I agree that further information would be helpful - sometimes a chest xray can overestimate the size of a person's heart. It can be useful to perform an echocardiogram (ultrasound of the heart) in these situations, so that you can determine the actual size, thickness, etc. of the heart. It's possible that your own cardiologist did this test recently and it was normal - and that's why enlargement hasn't been mentioned previously.
cardiostarusa1 responded:

......"and it said that I have an enlarged heart".

Noteworthy, there is a medical term known as the cardiothoracic ratio (CTR), which is a measurement on a routine chest X-ray (CXR) of the width of the heart divided by the width of the chest.

Typically, a CTR greater than 50% is suggestive of an enlarged or dilated heart. Noteworthy though, in some cases, a heart may/can be greater than 50% of the cardiothoracic ratio and still be considered a normal heart.
Also, and as seen on a resting echocardiogram (cardiac ultrasound), the entire heart (global enlargement thereof, cardiomegaly) may/can become affected or just an area of it (regional enlargement).

"I have hbp and that is now under contol."

There over four dozen risk factors, markers, indicators for cardiovascular disease, some iffy/questionable, new, novel emerging, with more certainly to come.

And, as reported, a risk factor merely increases the probability that one will develop cardiovascular disease, BUT doesn't 100% guarantee that one will develop it, nor does its absence (or even the absence of ALL known risk factors) 100% guarantee that one won't have a heart attack or brain attack/stroke.

"I'm the old age of 35"

Of the different types/kinds of heart conditions, some which may/can occur at ANY AGE, various symptoms 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.

Best of luck down the road of life. Live long and prosper.

Take care,


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