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Victorian government portal for older people, with information about government and community services and programs. Type a minimum of three characters then press UP or DOWN on the keyboard to navigate the autocompleted search results. The heart is a muscular pump about the size of a clenched fist. Older people are at increased risk of having an enlarged heart. Another name for an enlarged heart is cardiomegaly. The range of underlying problems that can lead to an enlarged heart may be. In some cases, an enlarged heart is asymptomatic has no symptoms. When symptoms do occur, it may be because the heart fails to pump blood effectively and this leads to a syndrome known as congestive heart failure. Symptoms may include. The following content is displayed as Tabs.