Hello, doctor. My physical examination shows that my left heart is enlarged, but there is no problem with cardiac MRI + cardiac color Doppler ultrasound + pulmonary CT + pulmonary function. I have also been specially hospitalized for examination, which only shows that my left heart is enlarged. I was 206 kg three years ago, and now I am only 160 kg thin. Then I often go to the gym. I usually feel no discomfort, that is, I occasionally want to take a deep breath, which may be more anxious. I want to ask if it is serious. Thank you, doctor!
Hello, according to your description, since there are no problems in cardiac MRI, cardiac color Doppler ultrasound, lung CT and pulmonary function examination, there is no need to worry about left heart enlargement only. The analysis may be caused by serious overweight three years ago. It is recommended to monitor blood pressure more often, control blood pressure to normal, avoid excessive exercise, and regularly review cardiac color Doppler ultrasound and brain natriuretic peptide without too much anxiety.
There are many reasons for left ventricular hypertrophy, including physiological and pathological types. If ECG or color Doppler ultrasound shows that left ventricular hypertrophy has no clinical symptoms, such as dyspnea, it can be observed temporarily. You can do fitness exercises and temporarily observe the changes of your condition.
The enlargement of your left heart may be due to the compensatory hypertrophy of the heart caused by the increased heart burden caused by obesity. If you don't have to deal with physical discomfort, if it's not serious, you should pay attention to actively participating in outdoor sports, controlling diet and weight, which may control the development of the disease.