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What Does The Doctor Mean When He Says You Have An Enlarged Heart?

Is it very dangerous? I know two people who were told they have an enlarged heart. One because of sports he plays and one because he is old. If he stops the sports, will his heart become normal? The person who is old doesn’t do hardly anything. How could he get his heart back to normal? Should they be taking medicine for this?

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2 Comments

  1. Athletes sometimes have some thickening of their heart wall and some wierd EKG changes, but it may still be within the range of normal for them. If they are able to perform well, it is hard to say they have a problem. But occasionally when we thought they were OK, they drop dead during performance. Its best that they be evaluated by a cardiologist. They don’t always know for sure either, but they know more than the rest of us. As far as the older guy who can’t get around well, he has a problem. He needs a thorough evaluation by a cardiologist. Needs to make sure he doesn’t have any heart attacks to further weaken his heart. If he has a valve problem, it may need to be corrected surgically. Most of them are on ACE inhibitors or ARB drugs to dilate the arterioles and reduce “afterload” on the heart. Most are on a low salt diet. Digoxin (Lanoxin), which is originally a derivative from the foxglove plant, helps alot of these folks, helps their heart to beat stronger. If they swell up with fluid, they need Lasix (furosemide), a diuretic, and then they will need potassium because the lasix knocks out the potassium. Many will live a fairly long life this way, but if it gets progressive, they will need a heart transplant, which is hard to come by. They need to walk to get some exercise, but they need to get plenty of rest and not overexert. Big feasts on the holidays tends to stress them out and overload them with salt, which often puts them into overt pulmonary edema and in the ER. Eating too much stresses them just as much as exercising too much.

  2. it must mean that your heart has got bigger