Q&A: How do I know if I have an enlarged left atrium and what does it mean for A-Fib patients, if it is?
When in A-Fib, your left atrium has to work harder than normal and tends to stretch and dilate over time. Obstructive sleep apnea (OSA) and high blood pressure can also contribute to an enlarged left atrium.
Consequences of an Enlarged Left Atrium: One study showed that Persistent A-Fib was associated with left atrium size (but not the number of years that a patient had A-Fib).
Left atrium size has been found to be a predictor of mortality due to both cardiovascular issues as well as all-cause mortality (although other factors may contribute).
As a result, some medical centers won’t do a Pulmonary Vein Ablation (Isolation) procedure if the left atrium is enlarged (over 5.5 cm). However, with the newer ablation techniques, other centers will. Surgeons also are reluctant to operate on someone with an enlarged heart.
Why You Need to Know Your Measurement…continue reading, Includes the table, “Indexing the Left Atrial Size,“ to rank the size of your atrium.





