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Doctor insights on: Hypokinesis

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Hypokinesis (Overview)

Decreased mobility of the walls of the heart than the normal force& speed to eject the normal fraction of the blood from the heart to supply all tissues is hypokinesisno mobility of the wall/part of wall is akinesis -worser than hk. Both hk and ak can involve a part of the heart muscle in the walls of the chambers as well as in the septum separating the chambers of the heart. Cad, viral dz -exampl.


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My godson has been diagnosed with mild right apical hypokinesis. How is this caused and how can this be treated?

My godson has been diagnosed with mild right apical hypokinesis. How is this caused and how can this be treated?

How old is he?: We need more history. Was he symptomatic / or a casual observation. Apical hypokinesis is decresed participation of apex of heart in the contractile fn. And the weakness of muscles could be from congenital weakness, poor blood supply from narrowed coronary vs. Without a heart attack/ silent heart attack/a obviously diagnosed heart attack, some infiltrative diseases- amyloidosis.Get a cardiolo. Opin.

Hypokinesis (Overview)

Decreased mobility of the walls of the heart than the normal force& speed to eject the normal fraction of the blood from the heart to supply all tissues is hypokinesisno mobility of the wall/part of wall is akinesis -worser than hk. Both hk and ak can involve a part of the heart muscle in the walls of the chambers as well as in the septum separating the chambers of the heart. Cad, viral dz -exampl.


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Hello What does a lv ejection fraction of 43% with mild hypokinesis mean? This was from an MRI. I had an echo done a year ago and it was 59%.

Hello What does a lv ejection fraction of 43% with mild hypokinesis mean? This was from an MRI. I had an echo done a year ago and it was 59%.

Depends.: The ejection fraction is measuring how well the heart is pumping during systole. An EF of 43% may be slightly reduced based on the normal ranges, and the hypokinesis is commenting on certain segments of the heart not moving as well as they should. The heart is dynamic and measurements can fluctuate especially between 2 different imaging modalities. Discuss these findings with your cardiologist.

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How do you treat mild septal hypokinesis?

May not: Require therapy. This just means the wall of the heart between the pumping chambers may not be functioning perfectly. If the rest of the heart is ok probably not a concern.

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My echo shows mild hypokinesis, will this require treatment? My cardiologist doesn't want to see me for 6 weeks!

My echo shows mild hypokinesis, will this require treatment? My cardiologist doesn't want to see me for 6 weeks!

Likely: Mild hypokinesis means that either a region or the entire heart is not moving as strongly as normal, however this weakness is mild. This may require more testing and will likely require treatment especially if symptomatic.

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How could we cure the patient suffering from global hypokinesis, severe lv dysfuntion?

How could we cure the patient suffering from global hypokinesis, severe lv dysfuntion?

No cure: Treatment will depend on cause. A search for reversible causes should be undertaken. The pt should be assessed for hibernating myocardium, hemochromatosis, severe hypertension, and toxins. A betablocker like carvedilol and an ACE-inhibitor should be administered. Digoxin may also be beneficial. If LBBB is present, resynchronization should be done. Advanced directives should be considered.

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I have dilated la, hypokinesis, dilated mv and functional mr. When I exercise I have lvot obstruction (velocity 1 - 4.5) no hcm on mri. Doc is stumped?

I have dilated la, hypokinesis, dilated mv and functional mr. When I exercise I have lvot obstruction (velocity 1 - 4.5) no hcm on mri. Doc is stumped?

Need echocardiogram: Mri is not the best test to diagnose hcm. If you have outflow obstruction when the left ventricle becomes hyperdynamic (exercise), then you most likely have hcm. The other abnormalities are consistent with hcm. You need a good echocardiogram so that the thickness of the interventricular septum can be compared to the thickness of the left ventricle. There is also a genetic test that can confirm.

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What is inferior basilar hypokinesis?

What is inferior basilar hypokinesis?

Decreased movement: The inferior and basilar part of the left ventricle show decreased movement. Hypo (decreased) kinesis (motility). Usually because of compromised blood supply to that part of the heart because the local coronary has a critical stenosis or there was an infarct because the coronary feeding that area closed or is severely blocked.

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What is the definition or description of: hypokinesis?

What is the definition or description of: hypokinesis?

Wall motion abnormal: Decreased mobility of the walls of the heart than the normal force& speed to eject the normal fraction of the blood from the heart to supply all tissues is hypokinesisno mobility of the wall/part of wall is akinesis -worser than hk. Both hk and ak can involve a part of the heart muscle in the walls of the chambers as well as in the septum separating the chambers of the heart. Cad, viral dz -exampl.

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What is global severe hypokinesis?

What is global severe hypokinesis?

Hypokinesis: Global severe hypokinesis means the whole heart is contracting poorly. It implies very significant heart muscle dysfunction.

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What is the significance of inferior apical hypokinesis?

What is the significance of inferior apical hypokinesis?

Hypokinesis: Hypokinesis on a cardiac echo refers to a less than expected contraction of the heart muscle. This is often seen due to damage of an area of the heart - usually associated with or following a heart attack. Inferoapical means the bottom part of the heart.

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My godson has been diagnosed with mild right apical hypokinesis. How is this caused and how can this be treated?

How old is he?: We need more history. Was he symptomatic / or a casual observation. Apical hypokinesis is decresed participation of apex of heart in the contractile fn. And the weakness of muscles could be from congenital weakness, poor blood supply from narrowed coronary vs. Without a heart attack/ silent heart attack/a obviously diagnosed heart attack, some infiltrative diseases- amyloidosis.Get a cardiolo. Opin.

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

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.

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What is basal inferior hypokinesis?

What is basal inferior hypokinesis?

Heart movement: One thing cardiologist look on a 2d echocardiogram is the heart movement. When there is an infarct or an area of the heart not receiving enough blood, the movement is slower that the rest. Hypokinesis means that: decreased movement, in this case of the inferior wall.

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How do you treat mild septal hypokinesis?

May not: Require therapy. This just means the wall of the heart between the pumping chambers may not be functioning perfectly. If the rest of the heart is ok probably not a concern.

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Is left ventricular hypokinesis dangerous?

Is left ventricular hypokinesis dangerous?

It can be: Depends on location and overall involvement of the heart muscle as determined by an echocardiogram. It is not dangerous if associated with a conduction abnormality (bundle branch block) for example or a normal ejection fraction.

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What are the potential dangers of cardiac hypokinesis?

What are the potential dangers of cardiac hypokinesis?

Depends: Hypokinesis means abnormally low contraction and wall motion of the segment of the heart. The greater the number of left ventriculuar wall segments with hypokinesis, the worse the overall heart function is, and the greater the chance of developing heart failure and premature death.

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What is hypokinesis of inferior/anteroseptal myocardium?

Hypokinesis: Hypokinesis means decreased wall motion/shortening of the wall named inferior, anterior or lateral.

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What does global hypokinesis at the septum and apex mean?

What does global hypokinesis at the septum and apex mean?

Reduced function: It means that the part of your heart supplied by the left anterior descending coronary artery is functioning at reduced efficiency.

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Is it normal to have mild global hypokinesis at 19 years old?

Is it normal to have mild global hypokinesis at 19 years old?

NO: That's not normal but often resolves over time - I assume you're on medical treatment and have been evaluated. Mild forms of dilated cardiomyopathy are often transient. You should be under the care of a cardiologist and have your test (echo, I assume) repeated in 6 months. Good luck!