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Originally published June 5, 2020
Last updated June 28, 2025
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Having a big heart can be a good thing, when youβre talking about emotions, but when doctors talk about an enlarged heart, or cardiomegaly, itβs usually a sign that something else is going on with your ticker.
Hearts are often described as the size of a human , but suggests that sex, height, body weight and age play a part in determining what a βnormalβ heart size is. If yours is bigger than it should be, your doctor might tell you that you have an enlarged heart. And unless youβre an athlete whose heart has gotten , an enlarged heart can indicate a problem.
βThe heart is a sac,β explains Fernando Fleischman, MD, a cardiothoracic surgeon with the ίχίδΙηΗψ Cardiac and Vascular Institute, part of ίχίδΙηΗψ. βWhen the heart begins to fail, it isnβt able to push blood out. As a result, blood stagnates, and the heart gets bigger β similar to a balloon with too much fluid in it.β
One symptom you might experience, if you have an enlarged heart, is when you exert yourself.
βIf you decide to exercise, for example, you might find that you are short of breath,β Dr. Fleischman says. βOr, you might not be able to get up and get to the bathroom without huffing and puffing.β
You may also feel fatigued, dizzy or light-headed. You can have swelling in your legs, ankles, feet or abdomen, as well.
There are a number of health conditions that can cause an enlarged heart β these four are among the most common.
If you have high blood pressure, or hypertension, your heart has to . This extra work your heart is doing can cause the heart to . High blood pressure can lead to , where the heartβs left pumping chamber becomes thickened, weak and stiff, interfering with normal blood flow.
If the flaps that open and close the chambers of the heart arenβt functioning correctly, it can lead to an enlargement of the heart, according to Dr. Fleischman.
βEvery beat of the heart is supposed to eject a quantity of blood, but when the valve isnβt working properly, that doesnβt happen, and the blood that isnβt pumped out makes the heart get bigger,β he says.
βHeart disease can cause failure of the heart muscle by taking away its oxygen supply,β Dr. Fleischman notes. βThis decreased oxygen supply means that the heart canβt beat, so it canβt push out blood, and the heart enlarges.β
is a broad term used to describe diseases that can lead to a rigid, thick or . There are different types of cardiomyopathies, but one in particular, known as , is caused by .
Reducing your risk for coronary artery disease, high blood pressure and heart disease can help prevent your heart from becoming enlarged in the first place. Dr. Fleischman recommends eating a well-balanced diet, maintaining a healthy weight and not smoking to reduce your risk.
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