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Pulmonary hypertension is high blood pressure within the artery that connects the lungs and heart. It forces the heart to work harder to transfer blood between the heart and lungs, which may lead to an enlargement of the right side. Thyroid problems, whether they involve an underactive or overactive thyroid, can cause a heart to enlarge.
The right side of the heart receives deoxygenated blood (lacking oxygen) from the body. After passing through the right atrium and right ventricle this blood is pumped to the lungs. Here blood picks up oxygen and loses another gas called carbon dioxide. Once through the lungs, the blood flows back to the left atrium.