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Suggest Treatment For Left Atrial Enlargement

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Posted on Wed, 17 Sep 2014
Question: my 18 year old son went in for an exam and was told his left heart valvev was enlarged and the ateries were misfiring what does his all mean? he has been tired a lot. what is wrong and what is the possible cures
doctor
Answered by Dr. Lilit Baghdasaryan (31 minutes later)
Brief Answer:
Need more information

Detailed Answer:
Hi,
Could you, please, send your son's echo data.
And I would like to know for how long he has complains, whether he had other complains besides of beeing tired.

Regards
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Lilit Baghdasaryan (5 hours later)
blood work was good 5 months ago.
pr 148 msec sinus rhythm
QT/QTc 374/374 incomplete right bundle branch block
left artrial enlargement
qrsd 115 abnormal precordial qrs countours non diagnostic for this age

p axis 68
qrs axis 63 abnormal
t axis 48
complaining of being tired several months. no other complaints. had pnenomia 5 months ago very ill.
doctor
Answered by Dr. Lilit Baghdasaryan (3 hours later)
Brief Answer:
Slightly prolonged QRS duration

Detailed Answer:
About you son's ECG
1. left atrial enlargement - ECG is not enough sensitive for detecting left atrial enlargement, there are many false positive results. It means there are cases ECG shows left atrial enlargement , but actually patient's atria is not enlarged.
2. PR 148, P axis, Qrs axis 63, T axis, QT/QTc are within the normal ranges, incomplete right bundle branch block can be seen in healthy individuals.
3. the only thing which is slightly abnormal is QRS duration of 115ms.

Your son's complains can be due the pneumonia.

ECG is slightly abnormal. To be in the safe side you can do echocardiography to check whether there is structural heart disaese. And left atrial enlargement can be detected only with echo.

Hope I could help you.
If you have further questions don't hesitate to ask

Regards,


Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Lilit Baghdasaryan (13 hours later)
thank-you for your answer.
he had pnenomia 5 month ago.
he has been c/o being tired for several months till now
what does the qrs duration mean?
what is structural heart disease?
the dr. felt the two arteries that lead to the heart, one misfired the other was fine
doctor
Answered by Dr. Lilit Baghdasaryan (14 hours later)
Brief Answer:
Hi

Detailed Answer:
qrs duration is the time when impulses reach to the heart muscle to contract.
We speak about structural heart disease when some parts of heart are enlarged.
As in your case you were told about left atrial enlargement on ECG, which is not very sensitive for detecting structural changes.
So my advise to you was undergo echo, which will reveal how is your son's heart structure, to exclude problems.

Hope I could answer to your query.
Regards,
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Lilit Baghdasaryan

Cardiologist

Practicing since :2007

Answered : 1536 Questions

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Suggest Treatment For Left Atrial Enlargement

Brief Answer: Need more information Detailed Answer: Hi, Could you, please, send your son's echo data. And I would like to know for how long he has complains, whether he had other complains besides of beeing tired. Regards