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Left Ventricular Hypertrophy Symptoms. A person with a mildly enlarged heart may not have symptoms. Symptoms of an enlarged heart may include: Chest pain. Loss of appetite. Mild fatigue: Fatigue during exercise.
The shortness of breath may be accompanied by fatigue or a sensation of smothering or sternal compression. In the later stages of left ventricular failure, the pulmonary circulation remains congested, and dyspnea occurs with mild exertion. Moreover, the patient may develop orthopnea or paroxysmal nocturnal dyspnea.