Left ventricular hypertrophy and Left Artial Enlargement

65/F BP: 160/100 symptom : chest pain during sleeping <img src="https://t1.daumcdn.net/cfile/cafe/1513283F50A5B0042D" class="txc-image" style="FLOAT: none; CLEAR: none" actualwidth="580" border="0" hspace="1" vspace="1" width="580" id="A_1513283F50A5B0042D1C67"/>   pic 1. EKG PVC R/O LVH R/O Anterior- wall ischemia   <img src="https://t1.daumcdn.net/cfile/cafe/1521514150A5B0022E" class="txc-image" style="FLOAT: none; CLEAR: none" actualwidth="580" border="0" hspace="1" vspace="1" width="580" id="A_1521514150A5B0022E9AC1"/>   Pic 2. PLAX - LA  diameter -  4.0cm - slightly enlarged <img src="https://t1.daumcdn.net/cfile/cafe/1348304150A5B00202" class="txc-image" style="FLOAT: none; CLEAR: none" actualwidth="580" border="0" hspace="1" vspace="1" width="580" id="A_1348304150A5B00202BFB2"/>  Pic 3. PLAX - LV wall thickness slightly enlarged septal 12mm <img src="https://t1.daumcdn.net/cfile/cafe/1821724150A5B0022E" class="txc-image" style="FLOAT: none; CLEAR: none" actualwidth="580" border="0" hspace="1" vspace="1" width="580" id="A_1821724150A5B0022E1118"/>  pic 4. 4CV - LA 가 LV 보다 커져 보임. <img src="https://t1.daumcdn.net/cfile/cafe/0320864150A5B0032E" class="txc-image" style="FLOAT: none; CLEAR: none" actualwidth="580" border="0" hspace="1" vspace="1" width="580" id="A_0320864150A5B0032EFC88"/>  pic 5. LA volume = 56 ml ( severity - mild ) <img src="https://t1.daumcdn.net/cfile/cafe/1244594150A5B00306" class="txc-image" style="FLOAT: none; CLEAR: none" actualwidth="580" border="0" hspace="1" vspace="1" width="580" id="A_1244594150A5B003069833"/>   <img src="https://t1.daumcdn.net/cfile/cafe/17460C4150A5B00304" class="txc-image" style="FLOAT: none; CLEAR: none" actualwidth="580" border="0" hspace="1" vspace="1" width="580" id="A_17460C4150A5B00304C35D"/>   <img src="https://t1.daumcdn.net/cfile/cafe/11207D4150A5B0042E" class="txc-image" style="FLOAT: none; CLEAR: none" actualwidth="580" border="0" hspace="1" vspace="1" width="580" id="A_11207D4150A5B0042EC188"/>   pic 6,7,8 -Mtral Regurgitation - mild   hypertension과 약간의 symptom 있으시던 분이 였지만 medication 하지 않고 계셨던 분으로 LV wall thickness 약간 두꺼워져 있었고 MR 은 mild 정도 였으나 상대적으로 LA enlargement가 되어있었음.