
Causes
- High blood pressure. Having a blood pressure measurement higher than 140/90 millimeters of mercury.
- A family history of enlarged hearts or cardiomyopathy. If an immediate family member, such as a parent or sibling, has had an enlarged heart, you may be more susceptible.
- Congenital heart disease. ...
- Heart valve disease. ...
Symptoms
Surgery or other procedures
- Pacemaker. A pacemaker is a small device that's usually implanted near the collarbone. ...
- Heart valve surgery. If an enlarged heart is caused by heart valve disease, surgery may be needed to repair or replace the affected valve.
- Coronary bypass surgery. ...
- Heart transplant. ...
Prevention
What are the possible complications?
- Heart failure. When the left ventricle enlarges, it can lead to heart failure. ...
- Blood clots. When the heart doesn’t pump as well as it should, blood can pool and clump together into clots. ...
- Heart murmur. When valves in your heart don’t close properly, they create an abnormal sound called a murmur.
- Cardiac arrest. ...
Complications
How Dangerous Can Having a Slightly Enlarged Heart Be? An enlarged heart is dangerous because it can be indicative of congenital heart problems, arrhythmia, high blood pressure and diseases of the heart valve, according to Mayo Clinic. Kidney disease and HIV infections can also cause an enlarged heart, according to WebMD.
What are the dangers of an enlarged heart?
What is the best treatment for an enlarged heart?
What are the side effects of an enlarged heart?
How dangerous can having a slightly enlarged heart be?
See more

What is the most common cause of enlarged heart?
An enlarged heart (cardiomegaly) can be caused by damage to the heart muscle or any condition that makes the heart pump harder than usual, including pregnancy. Sometimes the heart gets larger and becomes weak for unknown reasons. This condition is called idiopathic cardiomyopathy.
Is having an enlarged heart serious?
Over time, an enlarged heart can cause serious health problems. Most notably, it can increase the risk of sudden death. In addition, it can cause fluid to build up in the body and lungs, which can lead to heart failure.
Can an enlarged heart go back to normal?
Some people have an enlarged heart because of temporary factors, such as pregnancy or an infection. In these cases, your heart will return to its usual size after treatment.
How do you fix an enlarged heart?
Surgery or other procedures to treat an enlarged heart may include:Pacemaker. A pacemaker is a small device that's usually implanted near the collarbone. ... Implantable cardioverter-defibrillator (ICD). ... Heart valve surgery. ... Coronary bypass surgery. ... Left ventricular assist device (LVAD). ... Heart transplant.
What is the life expectancy with an enlarged heart?
The effect of an enlarged heart on life expectancy depends in part on the underlying cause. But even with treatment, many people have a downhill course. Most with severe heart disease die within a few years.
What are the warning signs of an enlarged heart?
Symptomsshortness of breath.chest pain.heart palpitations (rapid, fluttering, or pounding heartbeat)arrhythmia (irregular heartbeat)dizziness.fainting.rapid exhaustion with physical activity.swelling.
Is it OK to exercise with an enlarged heart?
According to new research, aerobic exercise does just that for patients with stable heart failure, literally turning an enlarged heart into a trimmer, more efficient organ for pumping blood throughout the body.
Can losing weight help an enlarged heart?
People who lose weight actually improve their hearts by decreasing the thickness of the heart muscle, and that probably lowers their risk for heart failure, he added. Weight gain in the belly, where fat accumulates around the organs, may produce hormones that can harm the heart and cause inflammation, Neeland said.
Can high blood pressure cause enlarged heart?
High blood pressure may cause your left ventricle to enlarge (a type known as hypertrophy). The thickening (which doctors call hypertrophic cardiomyopathy) can also be inherited. An enlarged heart keeps more of its pumping ability when it's "thick" rather than "thin."
Can alcohol cause an enlarged heart?
Alcoholic cardiomyopathy is due to drinking too much alcohol over a long period of time, which can weaken your heart so it can no longer pump blood efficiently. Your heart can also become enlarged. This is a form of dilated cardiomyopathy.
What does a cardiac cough sound like?
1:274:47how can a cough be a sign of heart problems? - Online interviewYouTubeStart of suggested clipEnd of suggested clipAnd when that happens people start getting breathless. And then the cough mechanism is activatedMoreAnd when that happens people start getting breathless. And then the cough mechanism is activated just to try and clear the airways. And that's how you get what we call a cardiac cough.
What are 4 signs of cardiomyopathy?
SymptomsBreathlessness with activity or even at rest.Swelling of the legs, ankles and feet.Bloating of the abdomen due to fluid buildup.Cough while lying down.Difficulty lying flat to sleep.Fatigue.Heartbeats that feel rapid, pounding or fluttering.Chest discomfort or pressure.More items...
Is enlarged heart curable?
including high blood pressure and coronary artery disease. It may not pump blood effectively, which can cause congestive heart failure. It may improve over time. But most people with an enlarged heart need lifelong treatment with medications.
Is it OK to exercise with an enlarged heart?
According to new research, aerobic exercise does just that for patients with stable heart failure, literally turning an enlarged heart into a trimmer, more efficient organ for pumping blood throughout the body.
Is mild heart enlargement normal?
Mild cardiomegaly isn't considered as serious as moderate or severe cardiomegaly. But for all forms of cardiomegaly, the focus should be on the underlying condition. Some mild forms are temporary, such as those caused by drug and alcohol abuse.
What is a mild enlarged heart?
In mild cardiomegaly, the heart is slightly bigger than your fist. This matters because it can be a sign of underlying heart disease. If someone has told you that you have mild cardiomegaly, that means they have seen your heart, usually through an imaging method such as an X-ray or ultrasound.
1. High blood pressure
If you have high blood pressure, or hypertension, your heart has to work harder. This extra work your heart is doing can cause the heart to enlarge. High blood pressure can lead to left ventricular hypertrophy, where the heart’s left pumping chamber becomes thickened, weak and stiff, interfering with normal blood flow.
2. Heart valve problems
If the flaps that open and close the chambers of the heart aren’t functioning correctly, it can lead to an enlargement of the heart, according to Fleischman.
4. Cardiomyopathy
Cardiomyopathy is a broad term used to describe diseases that can lead to a rigid, thick or enlarged heart muscle. There are different types of cardiomyopathies, but one in particular, known as ischemic cardiomyopathy, is caused by coronary artery disease.
What does it mean when your heart is enlarged?
An enlarged heart (cardiomegaly) means that your heart is bigger than normal. Your heart can become enlarged if the muscle works so hard that it thickens, or if the chambers widen. An enlarged heart isn’t a disease. It’s a symptom of a heart defect or condition that makes the heart work harder, such as cardiomyopathy, heart valve problems, ...
Why does my heart get bigger?
Any disease that makes your heart work harder to pump blood through your body can cause an enlarged heart. Just as the muscles of your arms and legs get bigger when you work them, your heart gets bigger when you work it. The most common causes of an enlarged heart are ischemic heart disease and high blood pressure.
What is the condition that causes a hole in the heart?
Congenital conditions. Congenital cardiomegaly is a heart disorder you’re born with. Congenital heart defects that cause this symptom include: atrial septal defect, a hole in the wall separating the two upper chambers of the heart. ventricular septal defect, a hole in the wall separating the two lower chambers of the heart.
Why do you need an echocardiogram?
Your doctor might recommend a fetal echocardiogram if you have a family history of cardiomegaly or heart defects, or if your baby has a genetic disorder like Down syndrome.
What is the term for a progressive heart disease?
Cardiomyopathy. Cardiomyopathy is a progressive heart disease with several types. Diseases that damage the heart muscle can cause it to enlarge. The more damage that occurs, the weaker and less able to pump the heart becomes.
How to prevent heart enlargement?
Yet you can prevent later damage to your heart that can make it enlarge by: eating a heart-healthy diet high in fruits and vegetables, lean poultry, fish, low-fat dairy, and whole grains. limiting salt, along with saturated and trans fats.
How to lower cholesterol and blood pressure?
doing aerobic and strength-training exercises on most days of the week. checking your blood pressure and cholesterol level regularly, and working with your doctor to lower them if they’re high. You should also see your doctor for regular checkups to make sure your heart is healthy.
Why does my heart get enlarged?
Some people may have an enlarged heart because of a temporary condition, such as pregnancy. Or underlying conditions , such as high blood pressure or cardiomyopathy, may lead to an enlarged heart. You can prevent cardiomegaly by living a healthy lifestyle and managing risk factors. Though an enlarged heart may not go away, ...
Why does an enlarged heart cause heart failure?
An enlarged heart has trouble pumping blood efficiently. For this reason, having an enlarged heart increases your risk for heart complications, such as heart failure or stroke.
What is an enlarged heart?
What's an enlarged heart? An enlarged heart (cardiomegaly) refers to a heart that is bigger than typical. The heart may be unusually thick or dilated (stretched). An enlarged heart may be temporary or permanent, depending on the cause. Cleveland Clinic is a non-profit academic medical center.
Why does my heart get bigger?
Some people have an enlarged heart because of temporary factors, such as pregnancy or an infection. In these cases, your heart will return to its usual size after treatment. If your enlarged heart is due to a chronic (ongoing) condition, it usually will not go away.
What is the purpose of an echocardiogram?
Echocardiogram to evaluate and create an image of your heartbeat and blood flow. Electrocardiogram (EKG) to study your heart’s electrical activity. Exercise stress test, raising your heart rate with medicine or exercise to learn how your heart responds.
Why do people implant pacemakers?
Implant a pacemaker to help your heart beat a steady rhythm.
How to help your heart beat?
Implant a pacemaker to help your heart beat a steady rhythm. Place an implantable cardioverted-defibrillator (ICD), a device that can shock your heart back into rhythm. Repair or replace a damaged heart valve. Coronary artery bypass or stent placement.
Why does my heart enlarge?
An enlarged heart is usually the result of disease or health problems , but if the enlargement only lasts for a short while before returning to its normal size, there is likely a less ominous explanation—like pregnancy or a history of strenuous exercise.
What are the consequences of an enlarged heart?
Dizzy spells or fainting. Radiating pain or discomfort originating in the shoulder and going down the arms, back, neck, or stomach. The most devastating consequences of an enlarged heart are sudden cardiac arrest and heart attack.
What are the symptoms of an enlarged heart?
Some rare symptoms may be associated with an enlarged heart, especially if the condition worsens and heart failure ensues, including: 1. Shortness of breath when lying down (orthopnea) Coughing, especially when lying down. New arrhythmias or heartbeat irregularities. Abdominal bloating.
How to diagnose cardiomegaly?
Cardiomegaly can be diagnosed via chest X-ray, but this is far from the best way to diagnose it. The chest X-ray may alert the physician to an enlarged heart, but the confirmatory, or true diagnosis, will come from additional, more specific testing such as an echocardiogram, cardiac MRI, or cardiac CT scan. 1.
How do you know if you have an enlarged heart?
Some of the most common symptoms of an enlarged heart include: 2. Shortness of breath on ex ertion or rest, orthopnea, and paroxysmal nocturnal dyspnea. Swelling, also known as edema, of the hands, feet, and abdomen. Fatigue or extreme tiredness. Poor exercise tolerance.
What are the complications of a damaged heart muscle?
Complications. A damaged heart muscle can lead to stagnated blood flow, arrhythmias, and even death. Complications are most often due to dilated cardiomyopathy, a thinning of the ventricle walls that leads to an enlarged heart. The ventricles generate most of the pumping force of the heart.
Why does my heart grow?
An enlarged heart, also known as cardiomegaly, is a condition that occurs when the heart has to work harder as a result of stress, infection, or heart disease. The heart is usually the size of a fist, but it has the ability to grow in response to the demands that are placed on it, as is the case during pregnancy, strenuous exercise, and when you have a heart condition.
What causes an enlarged heart?
Causes. Symptoms. Diagnosis. Treatments. An enlarged heart may have several causes. including high blood pressure and coronary artery disease. It may not pump blood effectively, which can cause congestive heart failure. It may improve over time. But most people with an enlarged heart need lifelong treatment with medications.
Why does the heart enlarge?
The heart enlarges because of damage to the heart muscle. Up to a point, an enlarged heart can still pump blood normally. As the condition progresses, though, the heart 's pumping ability declines.
What is the best treatment for congestive heart failure?
When an enlarged heart is causing congestive heart failure, other treatments focus on easing symptoms and keeping your heart working as it is, such as: Diuretics. "Water pills" make you pee more. This means the heart doesn’t have to pump as much. These also help ease leg swelling.
What is the term for a pregnancy with the heart enlarging around the time of delivery?
Pregnancy, with the heart enlarging around the time of delivery (your doctor may call this peripartum cardiomyopathy)
What tests can be done to check for enlarged heart?
Blood tests: These may be done to check for things that can lead to enlarged heart, such as: CT scans and MRIs: These may help diagnose an enlarged heart in certain situations. Biopsy: Very rarely, a doctor may obtain a small tissue sample from inside the heart to determine the cause of an enlarged heart.
How to make your heart work better?
Hypertension: Controlling high blood pressure can prevent further damage. It can also make your heart work better. Alcohol or drug use: Stopping use of the harmful substance can improve the symptoms of an enlarged heart and improve heart function.
What is the best way to diagnose a heart attack?
Other times, it’s found out through a test for something else. An ultrasound of your heart -- you may hear it called an echocardiogram -- is the best way to diagnose it. There’s no pain or risk from it.
What causes an enlarged heart?
There are many different causes of an enlarged heart. As people get older, chronic underlying medical problems can gradually lead to enlargement of the heart.
What does it mean when your heart is enlarged?
An enlarged heart is usually a sign of an underlying medical issue that is causing the heart to have to grow in order to function properly. When a heart enlarges, it can follow one of two patterns: Either the walls of the heart can get thicker, or the chambers of the heart can enlarge and expand.
How is an enlarged heart diagnosed?
Occasionally, there are signs that a doctor may be able to pick up on by listening to the heart or examining a patient.
What are the treatment options for an enlarged heart?
The first step is identifying the problem and diagnosing the enlarged heart. Given that some people do not have any symptoms, this can be challenging. Once someone has been found to have an enlarged heart, the treatment depends on the cause of the problem, as well as the severity of the condition.
How does Simon’s Heart help?
We provide free heart screenings to identify young people at risk for heart-related problems before they occur. We believe that every student should get a heart screening. We screen our kids’ eyes and ears – why not their hearts?
How to tell if you have an enlarged heart?
One of the challenging aspects of identifying people with an enlarged heart is the fact that, often, people with an enlarged heart don’t experience any symptoms. While there are many possible symptoms caused by an enlarged heart, sometimes a cardiac arrest could be the first sign, which is why heart screenings are so important. There may, however, be warning signs, including the following: 1 Fainting or seizure during or immediately after exercise. 2 Unexplained shortness of breath. 3 Dizziness 4 Extreme fatigue. 5 Racing heart (feels like it is beating out of your chest). 6 Sudden and unexplained death of a family member under the age of 50 (e.g. drowning, auto accident, sudden infant death syndrome (SIDS)).
Why does my heart get bigger?
As people get older, chronic underlying medical problems can gradually lead to enlargement of the heart. Any medical condition that increases the amount of force the heart has to generate to pump blood , or increases the amount of blood the heart has to pump, ...
What causes enlargement of the heart?
So-called infiltrative diseases of the heart, for example, in which abnormal proteins ( amyloidosis) or excess iron ( hemochromatosis) accumulate within the tissues of the heart, can also cause an enlargement of the heart.
What causes a heart to enlarge?
Cardiomegaly can be caused by a number of different conditions, including diseases of the heart muscle or heart valves, high blood pressure, arrhythmias, and pulmonary hypertension. Cardiomegaly can also sometimes accompany longstanding anemia and thyroid diseases, among other conditions. So-called infiltrative diseases of the heart, for example, in which abnormal proteins ( amyloidosis) or excess iron ( hemochromatosis) accumulate within the tissues of the heart, can also cause an enlargement of the heart. Infections, nutritional deficiencies, toxins (such as alcohol or drugs ), and some medications have been associated with cardiomegaly. In some situations (for example, pregnancy ), there can be a temporary increased demand on the heart, resulting in some temporary enlargement.
How do you know if you have myocarditis?
Symptoms of myocarditis include chest pain, shortness of breath, fatigue, and fluid accumulation in the lungs. Treatment mainly involves preventing heart failure with medication and diet, as well as monitoring for heart rhythm abnormalities.
What is it called when your heart beats too fast?
An arrhythmia is an abnormal heart rhythm. With an arrhythmia, the heartbeats may be irregular or too slow (bradycardia), to rapid (tachycardia), or too early. When a single heartbeat occurs earlier than normal, it is called a premature contraction.
What is the term for the accumulation of fluid in the sac surrounding the heart?
A pericardial effusion is the accumulation of fluid in the sac surrounding the heart, which can lead to the appearance of an enlarged heart. Cardiomyopathy is a related term that refers to damage to the heart muscle. Cardiomyopathies are often accompanied by cardiomegaly. Symptoms of cardiomegaly depend on the cause.
What is the term for a heart attack that causes heart failure?
Heart Attack (Myocardial Infarction) A heart attack happens when a blood clot completely obstructs a coronary artery supplying blood to the heart muscle. A heart attack can cause chest pain, heart failure, and electrical instability of the heart.
Why does my chest hurt?
Causes of chest pain include broken or bruised ribs, pleurisy, pneumothorax, shingles, pneumonia, pulmonary embolism, angina, heart attack, costochondritis, pericarditis, aorta or aortic dissection, and reflux esophagitis. Diagnosis and treatment of chest pain depends upon the cause and clinical presentation of the patient's chest pain.
