Treatment FAQ

what is treatment for enlarged heart

by Elmer Kassulke Published 3 years ago Updated 2 years ago
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Medication

Nov 17, 2021 · You can manage an enlarged heart with lifestyle changes like these: Exercise. Exercise on most days of the week. Ask your doctor which types of exercises are safest for you. If you smoke, quit....

Procedures

Jul 19, 2021 · Treatments including procedures to repair or replace the valves can help control the size of the heart. Blood Disorders Certain blood disorders can result in the enlargement of the heart. These include: Anemia Beta thalassemia Sickle cell disease Blood disorders impact the delivery of oxygen to tissues in the body by hemoglobin.

Nutrition

Jul 19, 2021 · Treatment for an enlarged heart Treatment for this condition depends on the underlying cause. If cardiomyopathy or any other heart condition is the cause of your enlarged heart, you may be prescribed to take medications, which include: Diuretics Angiotensin Angiotensin II receptor blockers (ARBs) Beta blockers Anticoagulants Anti-arrhythmics

How do you shrink an enlarged heart?

Aug 01, 2019 · For patients with certain diagnoses such as refractory heart failure – that’s heart failure that’s no longer responding to treatment – a heart transplant may be offered as a …

How to treat and manage an enlarged heart?

How do you treat an enlarged heart?

How dangerous can having a slightly enlarged heart be?

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What causes the left ventricle to enlarge?

High blood pressure. Your heart may have to pump harder to deliver blood to the rest of your body, enlarging and thickening the muscle. High blood pressure can cause the left ventricle to enlarge, causing the heart muscle eventually to weaken. High blood pressure may also enlarge the upper chambers of your heart.

Why does my heart look enlarged on X-rays?

Accumulation of fluid in the sac that contains your heart may cause your heart to appear enlarged on a chest X-ray. Blocked arteries in your heart (coronary artery disease). With this condition, fatty plaque in your heart arteries obstruct blood flow through your heart vessels, which can lead to a heart attack.

What happens when your heart is in a dilated state?

In heart failure, your heart muscle weakens, and the ventricles stretch (dilate) to the point that the heart can't pump blood efficiently throughout your body. Blood clots. Having an enlarged heart may make you more susceptible to forming blood clots in the lining of your heart.

What are the complications of an enlarged heart?

Complications of an enlarged heart can include: Heart failure. An enlar ged left ventricle, one of the most serious types of enlarged heart, increases the risk of heart failure.

What does it mean when your heart is enlarged?

Enlarged heart, in heart failure. As the heart weakens, as it can with heart failure, it begins to enlarge, forcing the heart to work harder to pump blood on to the rest of the body. An enlarged heart (cardiomegaly) isn't a disease, but rather a sign of another condition.

What are the four valves that open and close to direct blood flow through the heart?

Heart valve disease. The heart has four valves — aortic, mitral, pulmonary and tricuspid — that open and close to direct blood flow through your heart.

What is the condition where the heart pumps blood?

Cardiomyopathy. This disease of the heart makes it harder for your heart to pump blood throughout your body. As it progresses, your heart may enlarge to try to pump more blood. High blood pressure in the artery that connects your heart and lungs (pulmonary hypertension).

What are the health risks of an enlarged heart?

The health risks of an enlarged heart depend on the cause. They also depend on which part of your heart is enlarged. Potential health complications from an enlarged heart can include: Blood clots, which can block blood flow and lead to a heart attack, stroke or pulmonary embolism (clot in the lung).

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, ...

What are the best medications for heart disease?

Common heart medications include: Anti-arrhythmics to keep your heart beating in a normal rhythm. Angiotensin-converting enzyme (ACE) inhibitors to lower your blood pressure. Angiotensin II receptor blockers (ARBs) to lower your blood pressure . Anticoagulants to reduce your risk of blood clots.

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.

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.

What do doctors prescribe for blood clots?

If he is worried that you may be at risk for blood clots, your doctor may prescribe you anticoagulants. These medications reduce the risk of blood clots that can lead to strokes or heart attacks. He may also prescribe anti-arrhythmics, which are medications designed to help keep your heart at a normal rhythm. [20]

How to treat scarring in heart?

These medications help lower the levels of water and sodium in the body and help decrease the thickness of your heart muscles. This medication may lower blood pressure.

What is an ICD for heart failure?

The ICD is a matchbox-sized device that helps the heart maintain its normal rhythms through electrical shocks.

What causes a heart to enlarge?

These include heart valve or heart muscle disease, arrhythmia, weakening of the heart muscle, fluid around your heart, high blood pressure, and pulmonary hypertension.

What are the risk factors for an enlarged heart?

If you have high blood pressure, blocked arteries, congenital heart disease, valvular disease, or have had a heart attack. You are also at risk if your family has a history of enlarged hearts, since they tend to run in families.

How to diagnose an enlarged heart?

Diagnose an enlarged heart. There are multiple ways that your doctor can diagnose your enlarged heart. The first step is typically an x-ray, where your doctor will look at the size of your heart. He may also perform an echocardiogram or an electrocardiogram if the x-ray is not conclusive.

What is an enlarged heart?

Experts say that an enlarged heart, also known as cardiomegaly, occurs when your heart is larger than what is considered normal. This condition is not a disease itself, but rather a condition that is brought on by other various diseases and conditions. [1]

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 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 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.

What is the first test to see if your heart is enlarged?

A chest X-ray may be the first test your doctor does because it can show whether your heart is enlarged. Tests like these can help your doctor find the cause of the enlargement: Echocardiogram (ECG or EKG) uses sound waves to look for problems with your heart’s chambers.

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.

What is the purpose of stress test?

A stress test involves walking on a treadmill or pedaling a stationary bike while your heart rhythm and breathing are monitored. It can show how hard your heart is working during exercise.

What is patent ductus arteriosus?

patent ductus arteriosus, a hole in the aorta. Ebstein’s anomaly, a problem with the valve that separates the two right chambers of the heart (atrium and ventricle) tetralogy of Fallot (TOF), a combination of birth defects that disrupt the normal flow of blood through the heart. Other possible causes of an enlarged heart include:

Heart Disorders

There are a variety of heart disorders that can lead to mild cardiomegaly. Mild cardiomegaly is generally not considered to be a disease of the heart, but instead the consequence of certain heart diseases. Understanding the cause of mild cardiomegaly makes management and treatment much more effective. Causes can include:

Blood Disorders

Certain blood disorders can result in the enlargement of the heart. These include:

Pregnancy

Pregnancy can impact the size of the heart temporarily. In pregnancy, your heart is responsible for pumping your blood and the blood to your baby. The extra demand makes the heart work harder and enlarge. Usually, the cardiomegaly in pregnancy is reversible, and the heart goes back to a normal size a few months after the baby is born.

Drugs and Alcohol

Consuming cocaine, methamphetamine, or large amounts of alcohol is known to cause a heart disease called cardiomyopathy. 2 Stimulants such as cocaine and methamphetamine place the heart under a large amount of stress. Over time, the stress causes the heart to enlarge. Alcohol can create toxins in the body that damage the heart.

Frequently Asked Questions

Mild cardiomegaly is used to describe a mildly enlarged heart. Mild cardiomegaly may be one of the first signs of another heart disorder. If you have cardiomegaly, you should consult with a physician so they can evaluate the potential causes of an enlarged heart.

A Word From Verywell

Medications and procedures to treat heart diseases can help patients live long and fulfilling lives, making issues like mild cardiomegaly manageable. Heart disease is the most common disease in the world, and many advances have been made to treat heart disease effectively.

What is the most common cause of cardiomegaly?

Ischemic heart disease. “One of the most common causes of cardiomegaly is ischemic heart disease ,” Karas says. Also known as coronary artery disease, coronary heart disease or more generally as simply heart disease, ischemic heart disease is the No. 1 killer in the U.S. today, responsible for 1 in every 4 deaths or about 610,000 deaths per year ...

What is the bottom number on a blood pressure reading?

Diastolic pressure is represented as the bottom number in a blood pressure reading. Either way, the result is the heart isn’t working properly, and over time, that can lead to not only cardiomegaly but also death. Blood clots and blocked arteries.

What does it mean when your heart is enlarged?

Clinically known as cardiomegaly, an enlarged heart is a sign of a heart that’s been weakened by injury or disease. “Cardiomegaly isn’t a disease, but rather a sign of another condition,” says Dr. Khalid Sheikh, a cardiologist with Health First Medical Group in Melbourne, Florida.

What causes a weak heart?

In response to this, the heart may enlarge and become weaker. Myocarditis. This inflammatory condition of the heart muscle can disrupt the heart’s electrical signaling, which can constrict the heart’s ability to pump blood and cause arrhythmias.

What are the symptoms of aging?

Dizziness or fainting. Chest pain. Radiating pain down the left arm and into the left shoulder and upper back area. Any of these symptoms should send you to the doctor for evaluation, but Hasan says that sometimes their onset is gradual and could be mistaken for simple aging.

Is cardiomegaly a reversible condition?

Although cardiomegaly can be dangerous, in some cases it may be reversible with the right medical intervention. To treat cardiomegaly, it’s important to ascertain the underlying medical condition and treat that, which in turn may lead to a reversal of the dilation or thickening of the heart muscle. “We’ll take a good history and family history and look at which medications they’re on. I’ll review what the heart looks like,” which may include taking X-rays or conducting an EKG (a test that records electrical activity) or an echocardiogram (an ultrasound image of the heart), Carry says. Once a determination is made as to the cause, that will dictate the appropriate course of treatment. “Sometimes we can shrink the heart with medication, and sometimes we can improve the function of the heart if it is indeed decreased,” Carry says.

Does alcohol affect the heart?

Long-term abuse of alcohol weakens the heart muscle, making it less effective at pumping blood. Hormonal changes. “Various hormone systems affect the heart function,” Hasan says, and hormonal disruptions can lead to a dilation or enlargement of the heart. This is why some women experience cardiomegaly during pregnancy.

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Overview

Symptoms

Causes

Risk Factors

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment procedure varies depending upon the causative factor.
Medication

Diuretics: Diuretics to lower the pressure in your arteries and heart.

Chlorothiazide . Chlorthalidone . Bumetanide . Ethacrynic acid . Amiloride . Eplerenone


Angiotensin receptor blockers: To lower the blood pressure and improve pumping capability.

Azilsartan . Candesartan . Eprosartan . Irbesartan . Losartan . Olmesartan . Telmisartan . Valsartan


Beta blockers: To lower the blood pressure and improve heart’s efficiency.

Acebutolol . Atenolol . Bisoprolol . Metoprolol . Nadolol . Nebivolol . Propranolol


Anticoagulants: To reduce the risk of blood clots.

Warfarin . Heparin . Lovenox . Bivalirudin


Anti-arrhythmic drugs: To maintain the normal rate of heart beat.

Amiodarone . Flecainide . Procainamide

Procedures

Heart valve surgery: If the enlargement of the heart is due to a problem in the valves, the valve is repaired or replaced.

Coronary artery bypass graft (CABG): Advised if the problem is related to coronary heart disease.

Left ventricular assist device: This is a mechanical device implanted to help the weakened heart to pump normally.

Heart transplant: This is the last resort if all other medications and procedures fail.

Nutrition

Foods to eat:

  • Include fruits, vegetables and whole grains in your diet

Foods to avoid:

  • Limit the intake of salt and spicy food in your diet
  • Eliminate junk food from your diet
  • Avoid processed foods like hotdogs and canned beef
  • Restrict the intake of trans fat in your diet

Specialist to consult

Cardiologist
Specializes in the diagnosis and management heart related disorders.

Complications

Prevention

  • There are ways to improve your condition, even though you can't cure it. Your doctor may recommend the following lifestyle changes: 1. Quit smoking. 2. Lose excess weight. 3. Limit salt in your diet. 4. Control diabetes. 5. Monitor your blood pressure. 6. Get modest exercise, after discussing with your doctor the most appropriate program of physica...
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