Is left ventricular end diastolic diameter 58mm severe

The left ventricular end diastolic diameter of 58mm belongs to mild enlargement and requires comprehensive evaluation based on clinical symptoms and other examinations. The common causes of heart enlargement include hypertensive heart disease, dilated cardiomyopathy, heart valve disease, etc., which may be accompanied by symptoms such as palpitations, shortness of breath, and decreased activity tolerance.

1. Physiological factors:

Long term uncontrolled hypertension can lead to compensatory hypertrophy and dilation of the left ventricle, which may result in higher values during measurement. It is recommended to regularly monitor blood pressure and keep it below 140/90mmHg to avoid high salt diets and emotional agitation.

2. Excessive cardiac load:

Valve diseases such as aortic valve regurgitation or mitral regurgitation can cause an increase in left ventricular volume load. The typical symptoms are difficulty breathing after activity and paroxysmal difficulty breathing at night, which need to be diagnosed by cardiac ultrasound.

3. Myocardial disease:

Dilated cardiomyopathy can lead to progressive enlargement of the ventricular cavity, often resulting in fatigue and lower limb edema. Further examinations such as BNP and myocardial nuclide scanning are needed to exclude secondary factors such as ischemic cardiomyopathy.

4. Metabolic abnormalities:

Metabolic diseases such as hyperthyroidism or severe anemia may cause a state of hyperdynamic circulation. Accompanying symptoms include excessive sweating, weight loss, palpitations, and thyroid function and blood routine examination are required.

5. Measurement Error: Improper section selection or respiratory effects during ultrasound examination may lead to measurement deviation. It is recommended to repeat measurements in different cardiac cycles and make a comprehensive judgment based on indicators such as left ventricular ejection fraction.

It is recommended to limit daily sodium intake to no more than 5 grams, avoid vigorous exercise but maintain moderate aerobic exercise. Monthly monitoring of weight changes and raising the head of the bed during sleep can alleviate nighttime breathing difficulties. If there is persistent chest pain, fainting, or worsening lower limb edema, immediate cardiology treatment is required. Regularly review cardiac ultrasound to dynamically observe changes in ventricular size, and if necessary, perform coronary angiography to evaluate myocardial blood supply.