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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Possible Left Atrial Enlargement Mean In ECG?

Hi! I had chest pain with high blood pressure reading of 190/90 i went to an urgent care and i had to pay $190.00 cash for checkup, and ECG. The MD said my lungs, and heart are fine. He also said the high BP reading have to monitered before a HTN diagnoses. And as far as the chest pain, he said it could be my gallbladder or ulcer from NSAID use. He said stop taking NSAID, and take Prilosec, and regarding my chest pain if it continues to see a stomach specialist. However, I was reading my ECG and it says Sinus rhythm possible left atrial enlargement"borderline ECG" what does this mean? is my heart ok?
Wed, 4 Feb 2015
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Pathologist and Microbiologist,  's  Response
Hi! as per your description your case could just be an isolated episode of hypertension and for confirmation of high BP, serial measurements are necessary in resting condition.

sinus rhythm is normal but left atrial enlargement means some pressure/problem with the lungs or some problem with the mitral valve; an echocardiography could confirm it!

if you are a smoker just quit it!

Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.
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What Does Possible Left Atrial Enlargement Mean In ECG?

Hi! as per your description your case could just be an isolated episode of hypertension and for confirmation of high BP, serial measurements are necessary in resting condition. sinus rhythm is normal but left atrial enlargement means some pressure/problem with the lungs or some problem with the mitral valve; an echocardiography could confirm it! if you are a smoker just quit it! Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.