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Doctor insights on: Anterior Wall Hypokinesis

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Dr. Creighton Wright
Board Certified, General Surgery
51 years in practice
17M people helped
1

1
Heart attack lv septal and anterior wall 10 weeks ago. Ef went from 25 to 50, hypokinesis severe to moderate. Could they normalize eventually?

Dr. Creighton Wright
Board Certified, General Surgery
51 years in practice
17M people helped
Heart attack lv septal and anterior wall 10 weeks ago. Ef went from 25 to 50, hypokinesis severe to moderate. Could they normalize eventually?

Possible: But likely some scar and slight residual. Stay with the good choices, nonsmoking, cardiac rehab, and your meds. Followup with echo at z6 months likely. ...Read more

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Dr. Cindy Juster
Board Certified
31 years in practice
2M people helped
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Dr. Cindy Juster
Board Certified
31 years in practice
2M people helped
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Dr. Sameer Azhak
Board Certified, Cardiology
14 years in practice
63K people helped
2

2
Mild fixed perfusion deficit in the distal anterior/anteroapical wall. Mildly enlarged left ventricle. Mild global hypokinesis, with moderate hypokinesis of the inferior and apical walls. Mildly low resting left ventricular ef of 45% post test 51%?

Dr. Sameer Azhak
Board Certified, Cardiology
14 years in practice
63K people helped
Mild fixed perfusion deficit in the distal  anterior/anteroapical wall. Mildly enlarged left ventricle. Mild global hypokinesis, with moderate hypokinesis of the inferior and apical walls. Mildly low resting left ventricular ef of 45% post test 51%?

What's the question?: This result indicates a blockage with resultant heart muscle damage (prior heart attack) likely involving an artery known as the "LAD". In this particular case the LAD is likely large with a "wrap around" to the apical inferior region. A cardiac catheterization would be recommended to visualize the coronary arteries followed by possible stenting if the area is "viable" and not scarred ...Read more

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Dr. Cindy Juster
Board Certified
31 years in practice
2M people helped
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Dr. Cindy Juster
Board Certified
31 years in practice
2M people helped
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Dr. Amrit Singh
Board Certified, Cardiology
46 years in practice
931K people helped
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Dr. Pavel Conovalciuc
Board Certified, Family Medicine
18 years in practice
58M people helped
4

4
LVSF low normal. Apical and anterior hypokinesis cannot be excluded. Minimal MR and trace AR. Mild TR, mild PR. Is this cause for concern?

Dr. Pavel Conovalciuc
Board Certified, Family Medicine
18 years in practice
58M people helped
LVSF low normal. Apical and anterior hypokinesis cannot be excluded. Minimal MR and trace AR. Mild TR, mild PR.  Is this cause for concern?

ECHO: None appears to be concerning but this needs to be interpreted with your symptoms, history, and physical exam. ...Read more

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Dr. Cindy Juster
Board Certified
31 years in practice
2M people helped
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Dr. Gabriel Purice
Board Certified, Internal Medicine
10 years in practice
111K people helped
5

5
EF 60%, LVSF low normal. Apical and anterior hypokinesis cannot be excluded. Minimal MR and trace AR. Mild TR, mild PR. Is this concerning?

Dr. Gabriel Purice
Board Certified, Internal Medicine
10 years in practice
111K people helped
EF 60%, LVSF low normal. Apical and anterior hypokinesis cannot be excluded. Minimal MR and trace AR. Mild TR, mild PR. Is this concerning?

2 things: 1. A relatively normal EF bit with possibly some focal hypokinesis may suggest ischemic heart disease. 2. The other reported findings on your heart valves are pretty benign. ...Read more

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Dr. Creighton Wright
Board Certified, General Surgery
51 years in practice
17M people helped
6

6
My echo says the following: " there is lvh with diastolic dysfunction and 57% lv ef. There is inferior wall hypokinesis ". What does this mean ?

Dr. Creighton Wright
Board Certified, General Surgery
51 years in practice
17M people helped
My echo says the following: " there is lvh with diastolic dysfunction and  57% lv  ef. There  is inferior wall hypokinesis ". What does this mean ?

Explanation: Lvh left ventricular hypertrophy which is thickening of the heart muscle wall. Diastolic dysfunction.. There is systole which is the squeezing phase and diastolic which is the relaxing phase. Lvef left ventricular, ejection fraction is a calculation of heart squeeze 55-65%!is in the normal range at 57% the bottom heart wall is called inferior and the hypokinesis is a part not the best squeeze. ...Read more

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Dr. Darrell Herrington
Board Certified, Family Medicine
29 years in practice
3M people helped
7

7
Normal lv size with hypokinesis of the basal segments of anterior, inferior and inferior septum, otherwise preserved global systolic function & ef 56?

Dr. Darrell Herrington
Board Certified, Family Medicine
29 years in practice
3M people helped
Normal lv size with hypokinesis of the basal segments of anterior, inferior and inferior septum, otherwise preserved global systolic function &  ef 56?

Echocardiagram: Your doctor needs to discuss the results of this test with you, in light of known disease, age, and other factors. The term "hypokinesis" is indicative of deficient muscle contraction, causing less than optimal pumping action of the heart muscle. This may be due to neuro and/or vascular deficiencies. Talk to your doctor. ...Read more

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Dr. Budi Bahureksa
Board Certified, Cardiology
26 years in practice
2M people helped
8

8
My recent stress test showed lv wall motion as moderate hypokinesis, should I be concerned?

Dr. Budi Bahureksa
Board Certified, Cardiology
26 years in practice
2M people helped
My recent stress test showed lv wall motion as moderate hypokinesis, should I be concerned?

Yes: Talk with your cardiologist -- you may need a heart cath. ...Read more

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Dr. Robert Uyeda
Board Certified, General Surgery
40 years in practice
5M people helped
9

9
Hi ,I had a heart attack three months ago, I want to know my echo is normal or no ? EF =54% severe hypokinesis of inferior wall , moderate MR

Dr. Robert Uyeda
Board Certified, General Surgery
40 years in practice
5M people helped
Hi ,I had a heart attack three months ago,  I want to know 
my echo is normal or no ? EF =54% severe hypokinesis of inferior wall , moderate MR

EF is depressed: and not normal. THE most important thing is to avoid another myocardial infarction. Follow your cardiologist's advice, because next one might be fatal. ...Read more

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Dr. Budi Bahureksa
Board Certified, Cardiology
26 years in practice
2M people helped
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Dr. Cindy Juster
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31 years in practice
2M people helped
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