Cardiomegaly refers to an enlarged heart and can be caused by conditions that weaken the heart muscle like heart attacks or abnormal heart rhythms. Symptoms include shortness of breath, arrhythmias, and swelling. An enlarged heart can lead to complications like heart failure, blood clots, murmurs, and cardiac arrest. Diagnosis and treatments may involve medications like diuretics, ACE inhibitors, and beta blockers, or surgeries.