Was a heavy drinker, given up cos of heart palps, echo found small hypokinesis, could this be from my drinking? everything else on echo normal

Possibly: Alcohol can cause the heart muscle not to contract as well as it should (cardiomyopathy). Other causes of hypokinesis on your echo could be blockage of a coronary artery or frequent palpitations. Would consider a stress test to evaluate for ischemia and a 24 hour holter to evaluate for type and amount of palpitations.

Yes: Alcoholism can give you a dilated cardiomiopathy. Most of the time 2d echocardiogram will show global hypokinesia with ejection fraction less than 55%. The cardiac cath will be clear of coronary artery disease. Complete abstinence of alcohol necessary for treatment.