I have done echo 5 years ago in which Left atrium was - 31 mm Now with other echo echo shows 40 mm LA size in two different echo centres Then I got worried and on internet I have seen term RCM releted Left atrium dialated this... Then I did 3 more echo from different centres.. 34, 33, 34 LA size came respectively...but at that time I was nervous and HR was above 100 -107... Other parameters was same and normal Ao- 3.0 cm Septal- 1.2 cm Posterior - 1.1 cm LV size - 4.3 cmm * 2.9 cm No PAH Trivial mr and trivial tr mild LVH Dystolic dysfunction grade 1 E/A ratio - 1.5 Pressure gradient 20 mmHg EF - 62% All values same as 5 years ago , only dystolic dysfunction grade 1 new Please guide