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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Left Atrial Enlargement?

hello doctor , my father had a by-pass heart surgery on dec 2014 which was done in India . so before the surgery, his heart size was 37 mm and after 1 yr when we did the routine checkup it was still 37mm but the Left Atrium has increased to 39mm. We consulted a doctor to know the reason for the increase of the Left Atrium by 2mm and he advised it was due to hypertension. But my father had always a normal BP. So, could you please tell me what might be the reason for the increase of the Left Atrium by 2mm?
Tue, 23 Aug 2016
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General & Family Physician 's  Response
HI, THANK YOU FOR POSTING, COULD HAVE TWO POSSIBLE REASONS FOR HEART GROWTH: COULD BE A NORMAL VARIATION BETWEEN THE MEASURE OF A TECHNICAL AND OTHER, SINCE THE DIFFERENCE FOR NOW IS MINIMAL (two millimeters) , OTHER REASON ( THIS IS IN CASE OF continuing gROWING ofDIFFERENCE ). Heart after myocardial damage, REMAINS WITH A PERCENTAGE OF DAMAGE , SO THE FORCE WILL NOT BE THE SAME BEFORE THE BYPASS ,THEN THE HEART IS FACING A BLOOD PRESSURE NORMAL BUT WITH A FORCE DIMINISHED WHAT MAKES atrium dilate becausi it wall is a thinner than the ventricle should CHECK HEART PERIODICALLY TO ENSURE THAT GROWTH DO NOT PROGRESS.
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What Causes Left Atrial Enlargement?

HI, THANK YOU FOR POSTING, COULD HAVE TWO POSSIBLE REASONS FOR HEART GROWTH: COULD BE A NORMAL VARIATION BETWEEN THE MEASURE OF A TECHNICAL AND OTHER, SINCE THE DIFFERENCE FOR NOW IS MINIMAL (two millimeters) , OTHER REASON ( THIS IS IN CASE OF continuing gROWING ofDIFFERENCE ). Heart after myocardial damage, REMAINS WITH A PERCENTAGE OF DAMAGE , SO THE FORCE WILL NOT BE THE SAME BEFORE THE BYPASS ,THEN THE HEART IS FACING A BLOOD PRESSURE NORMAL BUT WITH A FORCE DIMINISHED WHAT MAKES atrium dilate becausi it wall is a thinner than the ventricle should CHECK HEART PERIODICALLY TO ENSURE THAT GROWTH DO NOT PROGRESS.