Cardiomegaly is a medical term which is used to address heart enlargement. When there is an increased demand of workload on the heart, it is subjected to thicken and may become bigger in size. It can be asymptomatic in some, while others may notice dizziness, shortness of breath, heart flutters, fatigue and lower extremity edema. It can be precisely diagnosed with help of imaging investigations like chest X-ray, CT scan, EKG, ECHO and cardiac MRI. It can be a temporary condition as seen in some of pregnancy or infectious heart disease scenarios. It resolves soon after such conditions are managed timely. Cardiomegaly can be long-term or permanent condition in patients with underlying heart diseases like coronary artery disease, cardiomyopathy, congenital or hypertensive heart disease. In those patients, the treatment should be continued lifelong with medications such as anticoagulants, diuretics, beta-blockers, ACE inhibitors and ARBs. Other systemic diseases like chronic anemia, hypothyroidism, hyperthyroidism, pulmonary hypertension, sarcoidosis, and rheumatoid arthritis can also cause heart enlargement.
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