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Best Answer: An enlarged left atrium means simply that the atrium that pumps blood in the ventricle that pumps blood to the rest of the body is larger than it should be, the seriousness depends on the size of the enlargement, a small enlargement usually won't pose any noticable problems, however, a larger deviation from normal size can lead to problems ranging from electrical dissarray such as atrial fibrillation to stroke, due to blood pooling in the atrium.
My left atrium is enlarged and my left ventricular end diastolic pressure is 24 mmHg. >20 mmHg is considered diastolic heart failure. The high filling pressure in the left ventricle caused the left atrium to enlarge. I received my echo report saturday (in the mail) from 3 weeks ago, showing an enlarged left atrium.