An enlarged heart (cardiomegaly) isn't a disease, but rather a sign of another condition.

The term "cardiomegaly" refers to an enlarged heart seen on any imaging test, including
a chest X-ray. Other tests are then needed to diagnose the condition that's causing the
enlarged heart.
Heart damage and certain types of heart disease can cause an enlarged heart.
Sometimes short-term stress on the body, such as pregnancy, can cause the heart to
get larger. Depending on the condition, an enlarged heart may be temporary or
permanent.
Treatment for an enlarged heart may include medications, medical procedures or
surgery.

Symptoms
In some people, an enlarged heart (cardiomegaly) causes no signs or symptoms.
Others may have these signs and symptoms of cardiomegaly:

 Shortness of breath, especially while lying flat

 Waking up short of breath
 Irregular heart rhythm (arrhythmia)
 Swelling (edema) in the belly or in the legs
When to see a doctor
An enlarged heart may be easier to treat when it's detected early. Talk to your health
care provider if you have concerns about your heart.
Call 911 or your local emergency number if you have signs and symptoms of a potential
heart attack:

 Chest pain
 Discomfort in other areas of the upper body, including one or both arms, the
back, neck, jaw, or stomach
 Severe shortness of breath
 Fainting

REFERENCE:
https://www.mayoclinic.org/diseases-conditions/enlarged-heart/symptoms-causes/syc-20355436