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What can be done for cardiomegaly (an enlarged heart) depends on what is causing it. If isn't a disease, but a result of other diseases. For instance, if the cause is hypertension, then medications to control the blood pressure can help. If it is from obesity, then weight loss and exercise can help. It it is coronary artery disease, then controlling high cholesterol can help. Other possible causes are pulmonary hypertension, heart valve disease, disease of the heart muscle itself (cardiomyopathy), thyroid problems, alcohol abuse, prior damage from a heart attack, etc.
Congestion is a common finding in cardiomegaly. It can be from blood collecting in the vessels in the heart from increased pressure, or from inflammation.
The bot***** *****ne is that you need to be under the care of a cardiologist who can determine the cause(s) of the cardiomegaly and plan a course of action depending on findings.
Please let me know what additional information you need about this.
What has your cardiologist determined is the cause of the cardiomegaly? He or she should be focused on improving the cause. The treatments for cardiomegaly depend completely on the underlying cause.
Medical treatments may include diruretics, ACE inhibitors or angiotension receptor blockers (ARBs), anticoagulants, antiarrhythmics, beta blockers, statins, etc. There are also devices such as ICDs (implantable cardioverter-defibrillator), LVADs (left ventricular assist device), and surgical possibilities (heart valve replacement, coronary bypass, heart transplant). It all depends on what the cause is.
No, this isn't caused by having an upper respiratory infection, although a bad infection could make it worse, since the heart is having to work harder. Cardiomegaly can sometimes improve with treatment of the underlying cause, but an enlarged heart is usually due to long term damage.