Secondly, can the left atrium size be rectified?
Answer Dear Bill, Possible left atrial enlargement, wheezing, BP 135/90 and fatigue as main symptom. The BP is borderline. I suggest: 1) get an albuterol inhaler, take 2 puffs just before you start riding your bike, and see if that relieves the wheezing and fatigue. This (wheezing) suggests that exertional asthma may be responsible for your fatigue. 2) If this fails to relieve your fatigue, write back via AllExperts and remind me to think about lowering BP for 6 months to see if that helps the fatigue and left atrial volume. Of course, write back any time you think I could help.