Hypertrophy of the right atrium

  • Shortness of breath during physical activity or at rest, dry coughing (caused by stagnation of blood in the pulmonary circulation and pulmonary hypertension),
  • Heaviness in the side on the right and periodic pain in the right hypochondrium (due to increased blood supply in the liver and overstretching of its capsule),
  • Swelling of the lower extremities, growing in the morning, after a long horizontal position of the body,
  • A feeling of interruption in the work of the heart,
  • Paroxysms of atrial fibrillation and supraventricular tachycardia, provoked by the malfunction of the sinus node located in the ear of the right atrium, as well as irregular and chaotic contractions of the overstretched and thickened muscle fibers of the right atrium.

The occurrence of any of these symptoms, especially in people with an existing pathology of the heart or lungs, requires immediate medical attention for the purpose of examination and additional diagnostics.

This pathology is a rather serious problem requiring the treatment of a causative disease. In most cases, when the provoking factor is eliminated, the muscle of the right atrium ceases to experience constant overload and can return to its normal size. Of the therapeutic measures used to treat causative diseases, the following can be noted:

  1. Competent and timely treatment of pulmonary pathology (the use of inhalers for bronchial asthma, antibiotic therapy for pneumonia, surgical treatment for bronchiectasis, etc.).
  2. Timely surgical correction of heart defects.
  3. Prevention of myocardial remodeling after heart attacks and myocarditis using drugs with antihypoxic and cardioprotective effects. The first group includes antihypoxants such as Actovegin, Mildronate, Mexidol and Preductal. From the second group, antihypertensive drugs are prescribed – ACE inhibitors or angiotensin II receptor antagonists (ARA II). They significantly reduce the rate of myocardial hypertrophy and are able to delay the development of chronic heart failure. Enalapril, quadripril, perindopril, etc. are usually prescribed.
  4. Comprehensive treatment of coronary heart disease. Nitroglycerin, beta-blockers (metoprolol, bisoprolol, nebivolol, etc.), ACE inhibitors, antiplatelet agents that prevent thrombosis (aspirin) and lipid-lowering drugs that normalize blood cholesterol (statins) are required.

Regarding the treatment of myocardial hypertrophy proper, it should be noted that ACE inhibitors and beta-blockers significantly reduce the development of decompensation of heart failure with hypertrophy of the right heart.

The increase in the amplitude of the tooth P with a sharpening (acute)With the innervation of the atrium, a change in the gentle tooth with a rounded apex is noted.
Increase in height and width of tooth PExceeding the norm (up to 2,5 mm) of the amplitude, width fluctuations within 0, 12 sec.
EO deviationA sharp shift in the electric axis in different directions.

The appearance of P-signs on the cardiogram can be caused by various reasons. Including atrial overload under the influence of pathology or an increase in the load on the body.

In pregnant women, the risk of developing this pathology increases due to hormonal changes, changes in blood pressure, stress and difficulty breathing caused by weight gain.

To assess the ability to normal bearing the fetus, women are prescribed repeated passage of the procedure. This is especially true in the presence of congenital, or detected during gestation, pathologies of the cardiovascular system.

The deviation of the electric axis is also not always attributed to critical signs. A slight displacement is often observed in people with asthenic physique, for whom such a phenomenon is considered the norm.

To clarify the data, additional diagnostic methods are usually prescribed.

A complete cure for right atrial hypertrophy is possible only under one condition – to cure the underlying disease that caused it.

The main diseasesTreatment
Lung diseasesRegarding the revealed pathology, compensatory therapy is prescribed with bronchodilators, glucocorticosteroids, anticoagulants, fibrinolytic or antibacterial drugs.
Pathology of the heart musclePrescribe antiarrhythmic drugs, cardioprotectors, antiplatelet agents.
After a heart attack or myocarditisAcceptance of cardioprotective effects, ACE inhibitors, nitrates.
CHDPrescribe nitroglycerin, adrenergic blockers, antiplatelet agents.
With heart defectsApply correction surgically.

In most cases, lifelong administration of certain drugs is prescribed. Therapy is usually carried out under the strict supervision of a specialist.

Adequate individual treatment may require placement in a hospital.

At the initial stage of GLP, or to achieve a confident result after therapy, you need to follow simple recommendations:

  1. Completely eliminate the use of alcohol and tobacco.
  2. Balance nutrition to normalize weight, preferably under the supervision of an experienced nutritionist.
  3. Avoid emotional and physical stress.
  4. Strict observance of the regime of work and rest.
  5. Include daily exercise therapy.
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Military service

The GSP itself is not an exemption from conscription. However, together with this diagnosis, changes in other parts of the heart and neighboring organs can be detected, depending on which, the category of fitness of the conscript to military service is determined.

If hypertrophy is confirmed, then to select the appropriate treatment option, you need to determine the cause of the violations.

Based on the diagnostic results, therapeutic methods are selected. To resolve the problem, a set of techniques is selected aimed at preventing the development of complications.

In the presence of infectious diseases that caused hypertrophic changes, treatment with antibacterial drugs is necessary. Viral infections are eliminated with antiviral agents.

With constantly elevated blood pressure, a course of antihypertensive drugs is prescribed to stabilize it.

Often, atrial hypertrophy on an ECG is determined in the presence of mitral valve insufficiency, which is caused by rheumatism. In this situation, streptococcal infection should be detected and Bicillin should be prescribed to the patient for a year.

But it is not always possible to achieve improvement by eliminating the underlying disease. In the presence of severe changes resort to surgical treatment.

Other tips must be followed:

  1. The diet should contain fresh fruits and vegetables, fish, lean meat. You should completely abandon fried, animal fats, sweets. It is recommended to refuse salt altogether or at least reduce its presence in food.
  2. The body should regularly receive potassium, which is a lot in bananas, raisins, seaweed.
  3. An important part of therapy is trace elements. They are obtained from bran, rice, avocado.

If hypertrophy of the left atrium of the heart occurs, the doctor should decide how to treat it after a thorough examination and determination of the cause of the disease.

The likelihood of left atrial hypertrophy can be reduced by following simple recommendations:

  1. First of all, you need to lead a healthy lifestyle.
  2. It is recommended to sleep at least eight hours a day, find time to relax during the day.
  3. Eat foods rich in vitamins and minerals, give up fasting for weight loss and do not overeat.
  4. Provide the body with regular exercise. But you can’t overstrain too much. If you walk on the street every day, this will help to avoid serious disorders in the body that contribute to the development of heart pathologies.

Many people think that exhausting exercises on simulators will help prevent health problems. In athletes, the heart works harder, so the heart tissue thickens, which is a common problem among such people.

A negative effect on the heart is exerted by emotional stress. They need to be fought in a timely manner. To do this, you can carry out auto-training, do meditation, turn to relaxation techniques. This will improve the body’s resistance to stress.

The prevention of an increase in the right atrium also includes the timely treatment of diseases that can lead to such a complication. If diagnostic studies have shown the presence of hypertrophy, then you need to start therapy without delay. Only this will help to avoid unpleasant consequences. In severe cases, you can not do without surgical intervention. Also, the patient must follow all doctor’s prescriptions in order to achieve success in treatment.

An increase in blood pressure is considered the basis for the development of HPV. At high blood pressure, blood enters the chambers of the heart with great force. The main blow of the abnormal throw-up is taken by the right ventricle. Under the influence of adverse factors, vasoconstriction occurs, resistance increases. This condition is compensated by the heart for hard work, increasing the frequency of contractions. In this mode, the organ cannot function normally for a long time. As a result, muscle building occurs.

A change in the size of the heart muscle is accompanied by a significant increase in the number of cardiomyocytes (cardiac cells). Their numerical growth never occurs “out of the blue”.

Hypertrophy is considered a consequence of cardiac or pulmonary pathology.

The following types are distinguished:

  • moderate – noncritical increase in the right ventricle;
  • classic – an increase in the right ventricle, but its mass is less than the left;
  • pronounced – the weight of the right ventricle significantly exceeds.


  • obstructive bronchitis;
  • bronchial asthma;
  • pneumosclerosis;
  • emphysema;
  • polycystic;
  • tuberculosis;
  • sarcoidosis;
  • bronchiectatic disease;
  • pneumoconiosis.
  • Shortness of breath during physical activity or at rest, dry coughing (caused by stagnation of blood in the pulmonary circulation and pulmonary hypertension),
  • Heaviness in the side on the right and periodic pain in the right hypochondrium (due to increased blood supply in the liver and overstretching of its capsule),
  • Swelling of the lower extremities, growing in the morning, after a long horizontal position of the body,
  • A feeling of interruption in the work of the heart,
  • Paroxysms of atrial fibrillation and supraventricular tachycardia, provoked by the malfunction of the sinus node located in the ear of the right atrium, as well as irregular and chaotic contractions of the overstretched and thickened muscle fibers of the right atrium.
  • Competent and timely treatment of pulmonary pathology (the use of inhalers for bronchial asthma, antibiotic therapy for pneumonia, surgical treatment for bronchiectasis, etc.).
  • Timely surgical correction of heart defects.
  • Prevention of myocardial remodeling after heart attacks and myocarditis using drugs with antihypoxic and cardioprotective effects. The first group includes antihypoxants such as Actovegin, Mildronate, Mexidol and Preductal. From the second group, antihypertensive drugs are prescribed – ACE inhibitors or angiotensin II receptor antagonists (ARA II). They significantly reduce the rate of myocardial hypertrophy and are able to delay the development of chronic heart failure. Enalapril, quadripril, perindopril, etc. are usually prescribed.
  • Comprehensive treatment of coronary heart disease. Nitroglycerin, beta-blockers (metoprolol, bisoprolol, nebivolol, etc.), ACE inhibitors, antiplatelet agents that prevent thrombosis (aspirin) and lipid-lowering drugs that normalize blood cholesterol (statins) are required.
    • considerable excess weight;
    • rib deformation;
    • stress;
    • smoking and alcohol abuse.


    The type of hypertrophy of the right atrium is directly related to the cause of the development of pathology.

    There are three varieties of GLP:

    1. Regeneration – a post-infarction condition in which a scar forms on the affected area. To restore the contractile functions of the cells, a muscle layer grows around the scar.
    2. Replacement – the inclusion of a compensatory mechanism by increasing muscle mass for normal function in various diseases.
    3. Myofibrillar (or working) – develops as a result of constant physical overstrain in professional athletes or people in professions that involve heavy physical labor (miners, loaders, etc.).

    Right atrial hypertrophy during pregnancy

    Cardiovascular pathologies are referred to rather complex extragenital diseases when carrying a baby. Any pregnancy is characterized by the dynamics of a gradual, constant, sometimes sudden type with obvious physiological and hormonal changes. The cardiovascular system undergoes tremendous stress during pregnancy, for this reason it is important to establish the correct diagnosis in a timely manner, as well as assess the woman’s ability to bear and give birth.

    The ideal option would be to resolve the issue of the admissibility of pregnancy before conception in order to prevent the risk of health and the threat to the life of the mother and baby. It is known that hypertrophy of the right atrium during pregnancy is not an independent violation. The disease can be caused by both congenital and acquired, including during the gestation period, pathologies.

    In order to control the condition, pregnant women with heart problems are shown to be hospitalized three times for the entire period. The first placement in the hospital is necessary for a thorough study of the defect, determining the activity of the pathological process and the functioning of the circulatory system with consideration of the possibility of terminating the pregnancy.


    Manifestations of GLP depend on concomitant pathology, as well as on how enlarged the right atrium is.

    • fatigue;
    • problems with concentration, impaired attention;
    • tingling or slight discomfort on the left side of the chest;
    • paroxysmal interruptions in heart rhythm (extrasystole);
    • cough, shortness of breath. swelling
    • impaired respiratory function, especially when lying down;
    • pale skin tone, up to cyanosis (cyanosis);

    At an early stage of development, hypertrophy of the right atrium proceeds without visible changes in the general condition. Signs depend on the disease that caused the changes in the heart.

    For example, when forming a pulmonary heart, such terrible symptoms are observed:

    • the appearance of shortness of breath during exercise or at rest;
    • dry coughing at night;
    • expectoration of blood.

    Circulatory failure in the main circle is manifested with a large load on the right atrium, with which it can not cope. This is due to stagnation of venous blood.

    What this threatens:

    • soreness from the right hypochondrium;
    • swelling of the legs, especially in the morning;
    • growth of the abdomen with the development of varicose veins.

    Hypertrophy of the right atrium: causes, signs, diagnosis, how to treat, prognosis


    • violation of the structure of the musculoskeletal system (scoliosis, ankylosing spondylitis);
    • decrease in neuromuscular transmission (polio);
    • pathology of the pleura and diaphragm associated with trauma or surgery;
    • severe obesity (Pickwick syndrome).

    The primary lesion of the pulmonary vessels, which leads to hypertrophy, can develop as a result of:

    • primary pulmonary hypertension;
    • thromboembolic foci in this area;
    • arteriosclerosis of arteries;
    • volume formations in the mediastinum.

    An increase in the mass of the right ventricle occurs with various diseases of the respiratory and circulatory systems.

    Hypertrophy of the right ventricle in the baby is associated with congenital malformations of the heart:

    1. Tetralogy of Fallot, which leads to a violation of the emptying of the right ventricle, as a result of which hypertension occurs in it.
    2. Violation of the integrity of the interventricular septum. In this case, the pressure in the right and left parts of the heart is equalized. This leads to a decrease in oxygenation (oxygenation) of the blood, as well as to hypertrophy.
    3. Stenosis of the valves of the pulmonary artery, which impedes the movement of blood from the heart to the vessels of the pulmonary circulation.
    4. Pulmonary hypertension associated with increased vascular resistance.

    With congenital malformations, hypertrophy appears already at an early age.


    Symptoms of right ventricular hypertrophy are not specific and are directly related to the causes of the disease. At the very beginning of the pathological process, signs may be absent or not noticeable. However, as myocardial mass increases, the manifestations become more pronounced:

    • sudden dizziness, which may be accompanied by loss of balance and fainting;
    • shortness of breath or feeling short of breath;
    • pain in the chest;
    • arrhythmia, palpitations and interruptions;
    • signs of heart failure (leg swelling, increasing in the evening, an increase in liver pressure and its soreness).

    Hypertrophy of the right ventricle in a child is often accompanied by a decrease in oxygen concentration in the peripheral blood. As a result, his skin becomes cyanotic, which is especially noticeable when crying.


    Diagnosis of an increase in the size and mass of the right ventricle is usually done using standard cardiac examination methods. These include:

    1. Electrocardiography ECG signs of right ventricular hypertrophy can only be determined by an experienced doctor, since this area of ​​the heart makes a much smaller contribution to electrical potential than the left ventricle. By changing the teeth, only the fact of the presence of an increase in the ventricle can be established, however, the dimensions of the chamber themselves cannot be determined.
    2. Ultrasound of the heart (ECHO-KG), in contrast to the previous technique, is much more informative. In this case, it is possible to establish the fact of hypertrophy and its degree, as well as identify the most significant deviations in the structure of the heart. If you supplement the usual ultrasound with dopplerography, then you can visually examine the speed and direction of blood flows flowing, including through pathological vessels and holes.

    Hypertrophy of the right ventricle on an ECG, unfortunately, becomes noticeable only with pronounced and most often irreversible changes. That is why, even normal examination results do not exclude the presence of pathology.

    The greatest diagnostic value in determining hypertrophy is ECHO-KG.

    As the child grows, the load on his heart also increases. If there is any obstacle to the blood flow through the vessels of the small (respiratory) circle of blood circulation, an increase in muscle mass of the right ventricle occurs. According to disappointing statistics, this disease is much more common in children, which is associated with the congenital nature of the pathology.

    With prolonged hypertrophy, secondary damage to the vessels of the lungs occurs. They become more rigid and less elastic, which further aggravates the course of the disease.

    Physiological hypertrophy of the right departments can occur in the first days of life of the crumbs, since during this period there is a sharp restructuring of the circulatory system. However, more often the causes of this pathological condition in infants are as follows:

    • heart septal defect;
    • violation of the outflow of blood from the cavity of the right ventricle;
    • increased load on these parts of the heart during fetal development;
    • pulmonary stenosis.

    In this case, the symptoms of the disease may not appear immediately, but after some time. This is due to the fact that at first, heart dysfunction is compensated by various protective mechanisms. With the development of a decompensated state, the first signs appear, but the condition of the child can be quite serious.

    In case of suspicion of a change in the structure of the myocardium, it is necessary to perform an ultrasound of the heart in the hospital.


    Right ventricular myocardial hypertrophy is most often subject to surgical treatment. At the same time, it is very important to understand that the mass of the myocardium itself is unlikely to decrease and return to normal. Surgical intervention will more likely help prevent the further progression of the disease.

    The technique of surgery in this pathological condition can be of two types:

    1. Open heart manipulations when cutting the sternum and opening the chest. This procedure is rather traumatic and requires a temporary stop of blood circulation. In this way, valve replacement, repair of defects in the muscular septum, and transplantation of a donor organ are performed.
    2. Minimally invasive access is via the femoral artery or jugular vein. At the same time, using special tools, contrast and X-rays, the doctor performs all the procedures on a working heart, practically without damaging the surrounding tissue. Valve prosthetics according to this technique began recently, but occluders (patches) have been placing defects on the muscular septum for a long time.

    Medicines for hypertrophy help eliminate the symptoms or signs of the disease, but do not affect the causes. Commonly used:

    • antiarrhythmic drugs;
    • bronchodilators;
    • magnesium and potassium preparations;
    • metabolic agents (preductal, mexicor);
    • calcium channel antagonists that can reduce pulmonary pressure.

    A specific combination of drugs should be prescribed by a doctor, taking into account all the features of the disease.

    The primary appointment with a cardiologist to identify signs of increased load on the right atrium includes preliminary diagnostic methods:

    • questioning the patient to describe a detailed history;
    • percussion – tapping in the heart;
    • palpation – pressing on certain parts of the body to identify pathological abnormalities;
    • auscultation – listening to a heart rhythm.

    To establish an accurate diagnosis, instrumental studies are prescribed:

    1. ECHO-KG (echocardiography) or ultrasound of the heart – examination of the anatomical structure of the organ (increase in atrial volume, thickening of the walls), as well as determining the type of defect.
    2. Contrast radiography and CT (computed tomography) – detecting changes in the borders of the atrium and ventricle on the right, checking the status of the arterial mesh.
    3. MRI – performed with difficulty assessing echocardiography.
    4. Duplex scanning dopplerography – to obtain hemodynamic characteristics.

    Military service

    • cough, shortness of breath, impaired respiratory function;
    • puffiness;
    • blanching of the skin, cyanosis;
    • dull attention;
    • slight tingling, discomfort in the heart;
    • pathology of the heart rhythm.

    In most cases, hypertrophy is asymptomatic, and the manifestation of clinical symptoms is already noted at an advanced stage. Consult a doctor immediately if you notice – palpitations, dizziness (loss of consciousness), swelling of the lower extremities.

    • patient survey – a specialist should study the medical history;
    • palpation – the doctor clicks on specific areas of the body to detect abnormal changes;
    • percussion – the procedure involves tapping in the region of the heart;
    • auscultation – consists in listening to the rhythm of the heart.
  • Ultrasound or echocardiography of the heart – manipulations are performed to examine the organ. Using the procedure, it is possible to detect the volume of the atrium, to reveal the thickening of its walls and to determine the type of defect.
  • Contrast radiography and computed tomography – they allow you to identify the deviation of the borders of the right ventricle and atrium from the norm, as well as assess the state of the arterial network. Studies help to detect hypertrophy not only of the right atrium, but also of the right ventricle.

    The doctor will make a suspected diagnosis based on the patient’s complaints, which can be confirmed by the following studies:

    • ECG;
    • duplex ultrasound scanning;
    • dopplerometry of blood vessels;
    • tomography.
  • increase in height and sharpening of a tooth of P;
  • change in the width of the tooth P;
  • increase in amplitude of tooth S.

    Echocardiographic signs are reliable and informative enough to prove the presence of hypertrophy. Ultrasound scanning will help assess the size of the heart, the size of the dilatation and the degree of thickening of the wall of the right atrium, which normally should not exceed 12 mm. Dopplerometry will reveal hemodynamic disturbances, and with tomography, the doctor will be able to examine in detail the three-dimensional image of the atria and ventricles.

    ECG signs of right atrial hypertrophy


    Shortness of breath during physical activity

    In the early stages, as a rule, the patient does not suspect that his right atrium is “gaining” mass. Its increase can be observed only on the ECG. there may be complaints of shortness of breath during physical activity, sometimes at rest, weakness, cough, increased pulsation of the veins of the neck. With the formation of circulatory failure in a large circle, heaviness occurs under the rib on the right, the edge of the liver, swelling and pastiness of the feet, ankles, and abdomen can be felt.

    There are no specific signs of atrial hypertrophy. All symptoms are due to developing heart failure. In this case, it is worth paying attention to such manifestations:

    • shortness of breath in a calm state and during movement;
    • discomfort and pain in the left side of the chest;
    • cough at night;
    • the periodic appearance of a sensation of deviations in the rhythm of the heart;
    • violation of respiratory functions – become more intense when the patient lies down;
    • swelling of the extremities;
    • severe pallor of the skin;
    • violation of vascular tone, the development of hypertension;
    • fatigue.

    Important: In order to avoid dangerous health effects, it is necessary to detect heart disease as early as possible. Therefore, it is strictly forbidden to ignore the listed symptoms. In some situations, hypertrophy has an asymptomatic development. The disease manifests itself only in advanced cases. Therefore, the appearance of deviations in the rhythm of the heart, swelling of the limbs or dizziness should be the reason for an urgent appeal to a specialist.

    Typical signs of right atrial hypertrophy are absent. All manifestations are due to the underlying disease and symptoms of developing heart failure. It is important to pay attention to the following symptoms in a timely manner:

    • discomfort and pain in the left chest;
    • periodically arising feeling of interruptions in heart rhythm;
    • shortness of breath when moving and at rest;
    • night cough;
    • breathing problems, especially in a horizontal position;
    • change in vascular tone towards hypertension;
    • swelling of the extremities;
    • severe pallor;
    • fast fatiguability.

    As heart failure progresses with impaired blood flow in a small circle, typical manifestations of the pulmonary heart occur. It is advisable to identify cardiac pathology before signs of serious complications appear.

    Atrial hypertrophy develops as a result of functional abnormalities. Let’s figure out what it is. Strong loads on the myocardium entail an increase in the number of its contractions, which, in turn, leads to a violation of metabolic processes. Deviations of the metabolism provoke an increase in cell mass and thickening of the walls of the atria.

    Pathology on ECG Pathology occurs against the background of various diseases that exert a load on the heart muscle, as a result of local or general blood flow disturbance. The only exception is myocardial compaction under the influence of constant physical activity. Such a deviation is called the “athlete’s heart” and does not refer to it as pathological.

    Right atrium

    Forecast and Possible Consequences

    The prognosis is determined taking into account the causes of the development of pathology and the timeliness of contacting a doctor. If irreversible changes have not occurred in the myocardium, and the provoking factor can be eliminated, the person can be completely cured. If you do not start therapy on time or ignore the symptoms of pathology, it leads to dangerous health consequences. These include the following:

    • decompensated form of stable angina pectoris;
    • blockage of the pulmonary artery;
    • atrioventricular block – is a violation of conduction and entails the development of arrhythmia;
    • the occurrence of a chronic form of the pulmonary heart;

    Doctors claim that, provided that the ailment is timely detected and adequate therapeutic measures are taken, this violation does not pose a threat to the patient’s health.

    Dilation of the cavity of the right atrium with a thickening of the myocardial wall in the absence of adequate therapy can cause the following dangerous complications:

    • chronic heart failure;
    • progressive pulmonary heart;
    • cardiac arrhythmia and impaired conduction as a blockade;
    • complete pulmonary embolism;
    • myocardial infarction;
    • sudden cardiac death.

    Combination therapy and prolonged medical supervision are the best option for treatment tactics: with the right treatment approach, it is possible to prevent deadly complications, reduce heart size and significantly improve the quality of life of a sick person.

    If we talk about the consequences of right atrial hypertrophy, it is worth noting that the natural course of the process, without treatment, inevitably leads to severe chronic heart failure. The heart of such patients is not able to withstand normal household activities. They often experience severe heart rhythm disturbances and attacks of acute heart failure that can cause death.

    An increase in the size of this part of the heart can cause complications in the form of:

    1. Heart failure. At the same time, the heart cannot provide the body with enough blood.
    2. Violations of the rhythm of contractions of the body.
    3. Inadequate myocardial oxygen supply.
    4. Heart attack.

    The prognosis of the disease depends on what violations it was provoked and the degree of damage to the heart muscle.

    If you make a diagnosis in time, carry out treatment and adhere to preventive measures, then you can minimize the risk of complications and lead a normal lifestyle.

    But an increase in the heart muscle in the left parts of the organ can provoke pathological changes throughout the heart. So, if there are problems with the left atrium, then there is an increase in pressure in the left ventricle, and it also begins to increase.

    Left ventricular hypertrophy is a serious disorder that cannot be ignored. The pathological process not only leads to a violation of lifestyle, but also causes life-threatening changes. If the disease develops at the last stage, then there is a possibility of pulmonary edema, attacks of cardiac asthma appear.

    The prognosis depends on the root cause and the patient’s reaction rate to the appearance of signs of GLP.

    If the irreversible processes in the myocardium are not reached, or the provoking factor is easily eliminated, then the problem is completely solved.

    Hypertrophy of the right atrium is dangerous if untreated or ignoring severe symptoms.

    What are the consequences of GLP?

    • decompensated form of CCH;
    • development of chronic pulmonary heart;
    • atrioventricular block (conduction dysfunction), leading to arrhythmia;
    • blockage of the artery of the lung;
    • death.

    It is believed that with a timely diagnosis and strict adherence to the instructions of a cardiologist, hypertrophy of the right atrium is safe for the health and life of the patient.

    The result of increased load on the heart – hypertrophy of the right ventricle


    An increase in the mass and thickness of the heart wall is called hypertrophy. It appears during overload by pressure or blood volume.

    For the right ventricle, this may be the difficulty of ejecting blood into the lungs when the valve of the pulmonary trunk is narrowed or high blood pressure in the vessels.

    The return of blood from the atrium or reflux from the left ventricle (septal defect) leads to overfilling of the cavity and hypertrophy of the muscle layer.

    Surgery is performed to correct heart defects; lung diseases are usually treated with medications.

    A thickening and an increase in the mass of the right ventricular myocardium is most often a reaction to lung disease or circulatory failure in heart disease. Also, signs of hypertrophy of other parts of the heart can also be noted at the same time.

    Ventricle only

    An increased risk of increased pressure in the pulmonary vessels has been proven for patients who take drugs, birth control pills, and appetite suppressants in HIV-infected patients.

    Changes in wall thickness and dilatation of the inner cavity of the right atrium appear when the load increases: venous blood is collected in the right heart, which enters the pulmonary artery into the pulmonary circulation and is saturated with oxygen in the lungs.

    The main causes of myocardial hypertrophy on the right arise when it is difficult to get blood into the right ventricle and pulmonary arterial trunk in the following cases:

    • partial blockage of the vessel (pulmonary embolism);
    • pulmonary heart;
    • chronic diseases of the bronchopulmonary system;
    • congenital malformations of the heart (atrial septal defect, transposition of large vessels);
    • acquired defects with a significant narrowing of the opening between the atrium and the ventricle (valve failure or stenosis);
    • right ventricular myocardial hypertrophy;
    • myocardial infarction.

    Factors contributing to pulmonary hypertension and the formation of hypertrophied heart chambers include:

    • obesity;
    • alcohol abuse;
    • tobacco smoking;
    • heavy physical labor;
    • chest injuries;
    • congenital deformities of the skeleton (kyphosis, scoliosis).
  • compensatory (myofibrillar) that occurs with severe physical exertion;
  • replacement (with pronounced tension of the heart muscle against the background of lung diseases and cardiovascular pathology);
  • regenerative, which is a consequence of restoration processes in the heart against the background of myocardial infarction.

    Having ascertained the presumptive cause of the heart disease, it is necessary to evaluate the symptoms and conduct all the necessary diagnostic studies.

    Tactics of therapy

    To obtain the desired positive effect of complex treatment, the following doctor’s recommendations must be followed:

    • complete cessation of smoking and alcohol;
    • gradual decrease in body weight;
    • regular performance of a complex of physiotherapy exercises;
    • normalization of the diet under the supervision of a dietitian.

    ”Alt =” ”>

    Effective therapy tactics implies mandatory treatment of the underlying disease. If there are indications (congenital or acquired defects, thromboembolism), surgery is performed. In other cases, medication aimed at normalizing blood flow through the pulmonary artery, correcting diseases of the lungs and bronchi, normalizing blood pressure and preventing myocardial infarction will be optimal (for more information about this disease, see our article here).

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  • Svetlana Borszavich

    General practitioner, cardiologist, with active work in therapy, gastroenterology, cardiology, rheumatology, immunology with allergology.
    Fluent in general clinical methods for the diagnosis and treatment of heart disease, as well as electrocardiography, echocardiography, monitoring of cholera on an ECG and daily monitoring of blood pressure.
    The treatment complex developed by the author significantly helps with cerebrovascular injuries and metabolic disorders in the brain and vascular diseases: hypertension and complications caused by diabetes.
    The author is a member of the European Society of Therapists, a regular participant in scientific conferences and congresses in the field of cardiology and general medicine. She has repeatedly participated in a research program at a private university in Japan in the field of reconstructive medicine.