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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.
Left ventricular hypertrophy is enlargement and thickening (hypertrophy) of the walls of your heart's main pumping chamber (left ventricle). Left ventricular hypertrophy can develop in response to some factor â such as high blood pressure or a heart condition â that causes the left ventricle to work harder. As the workload increases, the muscle tissue in the chamber wall thickens, and sometimes the size of the chamber itself also increases.