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An enlarged heart is medically known as cardiomegaly. Cardiomegaly can be caused by a number of different conditions, including diseases of the heart muscle or heart valves, high blood pressure, arrhythmias, and pulmonary hypertension. Cardiomegaly can also sometimes accompany longstanding anemia and thyroid diseases, among other conditions. Infiltrative diseases of the heart, for example, in which abnormal proteins (amyloidosis) or excess iron (hemochromatosis) accumulate within the tissues of the heart, can also cause an enlargement of the heart.
CHF: The cause of the enlarged heart is what dictates the outcome from such a situation. If you have a very weak heart with congestive heart failure and both sides of the heart malfunctioning to cause this, that is very serious. If you have some more benign situation which is also possible could be less serious.