Brief Answer:
Another specific test is recommended

Detailed Answer:
Hello and thank you for your question. Welcome to HCM. I read your query.

Well, EKG is more specific to assess the heart's conduction and electrical systems, rather than to evaluate the size of the chambers. Of course, it can give a simple, non-specific orientation about this domain, but it is not realible and not definitive. Although you are young to have an enlarged atrium, I would recommend you to have an echo cardiogram. Echo of the heart is more specific in evaluating the size, movement and function of heart chambers and valves. Also, if it is true that you have atrial enlargemet, it may assesss some of the factors that may have caused this.

I hope to have been of help. I am happy to help, if you have follow-up questions.

Kind regards,
Dr. Meriton

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Brief Answer:
Yes, they may be associated.

Detailed Answer:
Hello again.

There are cases when both organ involvement may coincide or there may be a complication. We are not in the position to speak clearly about it as there are statistically different data according to various countries, hospitals and personal experiences. However, it is clear that, if left untreated and uncontrolled, the probability for this to happen is higher. But, yes, theoretically, every granulomatous disorder may affect two organs in this pattern. However, granulomatous disorders deposited in the heart are more often accompanied with restrictive cardiomyopathy, rather than independent phenomena, such as atrial enlargement. I would, once again, recommend you to undergo an echo cardiogram, as it is the proper means to assess heart structures by size and function.

I hope my answer is helpful to you. Please close the discussion and rate the answer, if you do not have follow-up questions.

Regards,
Dr. Meriton

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