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Pulmonary hypertension is high blood pressure within the artery that connects the lungs and heart. It forces the heart to work harder to transfer blood between the heart and lungs, which may lead to an enlargement of the right side. Thyroid problems, whether they involve an underactive or overactive thyroid, can cause a heart to enlarge.
An increase or enlargement in the size of the right ventricle of the heart is called right ventricular hypertrophy. Edema in the ankles, legs, and feet may be a manifestation of right ventricular hypertrophy. Severe enlargement of the right venticule can cause shortness of breath and chest pain. Along with discovering an enlarged heart, a chest x-ray can expose other conditions that may have lead to the enlargement.