The three hour test you need to fast for 12-14 hours prior because that test is fasting the lab needs a base fasting glucose to compare the rest of the blood after you drink the glucola. With that test you should still have nothing in between the blood draws, even though the taste is very bad.
Because valvular heart disease can cause the heart to work harder, enlarge, and ultimately lead to congestive heart failure, symptoms like shortness of breath, fatigue, fainting, chest pain, and ankle swelling may appear as the disease progresses.
Valvular Heart Disease. Disorders of certain heart valves can also lead to left atrial enlargement. The mitral valve separates the left atrium from the left ventricle. If the mitral valve becomes narrow -- a condition known as mitral stenosis -- blood accumulates in the left atrium and causes enlargement.