An enlarged heart can be treated and, in some cases, it is possible over time to reduce the area of your heart that has become enlarged.
Treatments for an enlarged heart focus on correcting the underlying cause of heart enlargement.
There are medicines available to treat high blood pressure which is the most important reason for the heart muscle to get enlarged.
ACE inhibitors and angiotensin receptor blockers are often found helpful in patients with enlarged heart.
A medical procedure or a surgery may be required if the condition cannot be controlled with medications and lifestyle modifications.
If there is any particular heart condition to blame for your enlarged heart, your doctor will prescribe medications for treatment and/or controlling it. These medications may include:
If medications do not significantly help, your doctor may recommend medical procedures. These may include such as:
In particular if the enlarged heart is due to dilated cardiomyopathy, a pacemaker may be placed between the left and right ventricle as necessary. Pacemaker is an implantable medical device to coordinate heart contractions.
In people who are at risk of arrhythmias, an implantable cardioverter-defibrillator (ICD) may be used.
ICDs are small devices that are implanted in your chest to continuously monitor your heart beats and deliver electrical shocks when needed to control abnormal rhythms of the heart.
You may be recommended medical procedures to return your heart to regular rhythm or to avoid your heart from beating too quickly if the main cause of enlarged heart is atrial fibrillation.
If the enlarged heart is caused due to a problem with any of your heart valves or if the heart enlargement has caused heart valve problems, your doctor may suggest for a surgery to repair or replace the affected valve(s) to fix the problem.
Your doctor may recommend coronary artery bypass surgery if the underlying cause of your enlarged heart is coronary artery disease or any other type of blockage in the arteries.
If you have had a heart failure, you may need an implantable mechanical pump to help maintain pump function of the heart.
You may require an LVAD that is implanted in the body till you get a heart donor for heart transplant or if you're not eligible for a heart transplant. This serves as a long-term treatment for heart failure.
If all other options do not work, a heart transplant may be a final option. Because of the shortage of donor hearts, even people who are critically ill may have a long wait before having a heart transplant. In several cases, they do not get a heart donor.
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