Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

Do you mean "right atrium of the heart is enlarged"? Was this a finding in your cardiac ultrasound?

This would mean that one of the cardiac chambers is enlarged.

This may be related to different causes such as: chronic pulmonary disease, severe mitral valvular abnormalities with pulmonary hypertension, pulmonary emboli and tricuspid valvular stenosis.

Do you have shortness of breath, difficulty breathing? Are you a smoker? Did you suffer from any pulmonary disease before? Do you have palpitations time after time? What are your actual blood pressure and heart rate values?

Coming to this point, it I would recommend consulting with your cardiologist for a resting ECG and a cardiac ultrasound (if you have not performed any) to examine your cardiac function and structure.

I would be happy to review your uploaded ECG and cardiac ultrasound reports, and give my professional opinion regarding the prognosis and the possible treatment options.

Regarding your total cholesterol levels seem to be normal. But this is just a total cholesterol level, and I can't say much only with this value. Could you please upload your blood lipid profile (HDL, LDL and triglycerides), so I can give a more specific opinion.

Hope to have been of help!

Kind regards,

Dr. Iliri

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Brief Answer:
Optimal management of the pulmonary disorder is the key point.

Detailed Answer:

Hello again,

It seems that your frequent pulmonary infections during life and your main diagnosis (asthma) has led to a higher stress over the right heart (and hence to your right atrial chamber dilation), because the right heart is responsible for pumping blood to the lungs.

An increase in the resistance to blood flow through the lungs (as may occur in asthma and other pulmonary diseases) may lead to an abnormal elevation in right heart pressures. This consequently causes right heart dilation if the triggering factor is quite enough.

An optimal treatment of your pulmonary disorder will have important positive effects over the heart (especially right chambers), protecting the heart from further dilation and preserving the cardiac pumping function, which in fact is the most important predictor of prognosis.

For what I explained above, I would like to directly review your cardiac ECHO report.

Could you upload it here, please?

Regarding your lipid blood profile, I am glad to confirm you that it is quite perfect: a high enough level of HDL-cholesterol (which in fact is considered "the good cholesterol" because it protects the blood vessels from lipid depositions); low levels of triglycerides, and a very favorable cholesterol ratio (LDL/HDL) of 1.6.

LDL/HDL ratio of >3.5 to 1 is quite optimal, and confirms that you are not at any great risk from potential dyslipidemia.

So, I could not say else, but: Congratulation for this metabolic achievement!

I remain at your disposal whenever you have further uncertainties.

Wishing you the best!

Regards,

Dr. Iliri

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Brief Answer:
You are welcome!

Detailed Answer:
Hi,

No surgery is necessary for correcting right atrial enlargement; just a better control of the chronic pulmonary disorder and possible subsequent acute infections.

I would be glad to review your echo report.

Greetings!

Dr. Iliri

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Brief Answer:
Waiting your uploads.

Detailed Answer:

I hope everything is going to be OK!

Wishing you a nice time till tomorrow.

Regards,

Dr. Iliri

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