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Doctor insights on: Hypokinesis In Basal Mid Inferolateral Myocardium

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Basal to mid anterior wall hypokinesis noted at peak workload. No ECG clinical evidence of ischemia at a max workload.

Basal to mid anterior wall hypokinesis noted at peak workload. No ECG clinical evidence of ischemia at a max workload.

Unclear question: Your statement did not provide a question. You obviously are under the care of a doctor and she/he would be better equipped to answer your questions as she/he knows more about your health. ...Read more

Hypokinesis (Definition)

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. ...Read more


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Echo stress test shows "severe hypokinesis of the mid and distal anteroseptal segments". What is this?

Echo stress test shows "severe hypokinesis of the mid and distal anteroseptal segments". What is this?

A portion of the: Heart is not moving (pumping). There can be several reasons for this and none of them are good. Visit with the testing doctor for what needs to be done about it. Good luck. ...Read more

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LVEF 41% at stress. Reversible ischemia involving apicoanterior, distal anteroseptal. Reduced, non reversible perfusion involving the mid basal. Means?

LVEF 41% at stress. Reversible ischemia involving apicoanterior, distal anteroseptal. Reduced, non reversible perfusion involving the mid basal. Means?

Abnormal stress trst: Means you need to see a cardiologist for further testing to evaluate your heart for possible blockages in the arteries that supply your heart muscle. ...Read more

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

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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What is basal septum hypokinesis of the heart?

What is basal septum hypokinesis of the heart?

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. ...Read more

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Myocardial. Medium perfusion defect moderate intensity in basal mid inferior basal inferior partial reversibility. Ef54%. TID. 97 abnormal redegenson.

Myocardial. Medium perfusion defect moderate intensity in basal mid inferior basal inferior partial reversibility. Ef54%. TID. 97 abnormal redegenson.

Abnormal stress test: A "myocardial perfusion defect with reversibility" indicates that there is something reducing the blood supply to the heart muscle. Most commonly this would be because of atherosclerosis causing a blockage in the coronary artery. The next steps depend on the medical details. Additional testing, such as a catheter angiogram, may be needed. ...Read more

Dr. Irv Loh Dr. Loh
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Can you tell me what reversible ischemia in the basal and mid inferior walls of the heart means please?

Dr. Irv Loh Dr. Loh
1 doctor agreed:
Can you tell me what reversible ischemia in the basal and mid inferior walls of the heart means please?

"Significant" block: Infer you have had an imaging study, using exercise or a pharmacologic agent to induce or provoke ischemia, and then using an imaging agent like a radioactive tracer, to show blood flow distribution. Subtracting a resting image from the "stress" image shows what areas have inadequate blood flow. Since the blood comes from the coronary arteries, a reversible image implies partial, not total, block. ...Read more

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What is basal septum hypokinesis of the heart? How serious is it?

What is basal septum hypokinesis of the heart? How serious is it?

Hypokinesis: We describe the motion of the heart walls in terms descriptive of the motion and the location. Basal septum being described as hypokinetic in the absence of any other areas of wall motion abnormality is difficult to interpret. It could suggest real abnormality or just be a phenomenon of view angle and not really be a big deal. Best to discuss with the reader of the study ...Read more

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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. ...Read more

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What is basal septum hypokinesis of the heart and is it serious?

What is basal septum hypokinesis of the heart and is it serious?

Well: It usually means there's some problem with Coronary blood flow the now or prior heart attack. The heart muscle is not moving normally. For specific advice consult your cardiologist ...Read more

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What is basal septum hypokinesis of the heart and is it serious?

What is basal septum hypokinesis of the heart and is it serious?

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. ...Read more

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What does this mean? Impost: Basal & mid inferior wall, basal inferoseptal segments are abnormal, this was finding on an echo stress. I have COPD

What does this mean? Impost: Basal & mid inferior wall, basal inferoseptal segments are abnormal, this was finding on an echo stress. I have COPD

Stress echo: Depending on the nature of abnormality you likely have disordered heart muscle function in the described areas indicative commonly of coronary artery stenosis ;talk to your physician ...Read more

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My echo conclusion said basal and mid inferoseptal hypokinetic. Visual EF was 55-60%. EF was 50.0 in report. Was this likely a heart attack?

My echo conclusion said basal and mid inferoseptal hypokinetic. Visual EF was 55-60%. EF was 50.0 in report. Was this likely a heart attack?

Possibly: Wall motion abnormalities could indicate a prior injury to the heart from MI or trauma or may indicate a current perfusion problem that may be correctable. Need evaluation by cardiologist to determining ne if abnormalities are old or current and whether or not they are correctable now. Your EF function is still well preserved and shouldn't limit your activites but if problem is current correct it ...Read more

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What this means? Myocardial perfusion imaging with Tc-99m Sestamibi after exercise revealed no scintigraphic evidence of hemodynamically significant ischemia. Medium-sized, mid to basal inferior wall mild-to-moderate mostly fixed perfusion deficit, excep

What this means? Myocardial perfusion imaging with Tc-99m Sestamibi after exercise revealed no scintigraphic evidence of hemodynamically significant ischemia. Medium-sized, mid to basal inferior wall mild-to-moderate mostly fixed perfusion deficit, excep

Stress test: A stress test with myocardial perfusion imaging is a way of detecting whether the heart muscle is getting insufficient blood supply because of coronary artery disease. It can be normal even with lots of coronary plaque, because it only detects severe narrowings. If there is a "fixed" perfusion defect that generally suggests a scar in the heart muscle from prior heart attack. Need more info. ...Read more

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Skin biopsy result: superficial to mid dermal perivascular lymphocytic infilitrate with focal basal vacuolar changes. Does thismean allergic vasculitis?

Skin biopsy result: superficial to mid dermal perivascular lymphocytic infilitrate with focal basal vacuolar changes. Does thismean allergic vasculitis?

No: There is no involvement of the blood vessels themselves- thus not vasculitis by definition. This is a very common skin biopsy finding which has no diagnostic meaning other than ruling out a more serious condition. ...Read more

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How come the myocardium be replaced by connective tissue rather than muscle tissue if an injury occurs?

How come the myocardium be replaced by connective tissue rather than muscle tissue if an injury occurs?

Connective tissue: This is the bodies response to cell injury and cell death as muscle does not regenerate. ...Read more

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What type of tissue comprises the bulk of the myocardium? Is this different than other parts of the heart?

What type of tissue comprises the bulk of the myocardium? Is this different than other parts of the heart?

Cardiac muscle: Cardiac muscle is the biggest part of the myocardium, which is what most of the heart is. Additional parts are the endo & epcardium plus the valves. ...Read more

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I was diagnosed with ejection fraction rate 75%, very small reversible apical defect with myocardium at risk. What does this mean?

I was diagnosed with ejection fraction rate 75%, very small reversible apical defect with myocardium at risk. What does this mean?

Nuclear study: An ef of 75% with a nuclear stress test is on the hyperdynamic end but likely normal. Ef is basically the heart pump function which is normally between 55-65%. A small apical reversible defect means that the tip or apex of the heart is not getting blood flow during the stress portion of the test, & the area affected is small at rest it reverses back to normal. Please seek a follow up with your dr. ...Read more

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Stress test fine but what does "perfusion is mildly nonuniform but appears preserved through the myocardium" mean? Should I be worried?

Stress test fine but what does "perfusion is mildly nonuniform but appears preserved through the myocardium" mean? Should I be worried?

Nuclear imaging: I presume you are referring to a radionuclide stress test imaging report. The technique of the study can cause what your report says and usually does not represent a problem. There are anatomic abnormalities and variations which could also cause that appearance so although the likelihood is nothing to worry about, you can't get a guarantee from out here. ...Read more

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What does coronary arteries myocardium arise from?

What does coronary arteries myocardium arise from?

From aorta: They arise from the aorta and sit on outer surface of the myocardium. ...Read more

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Does reactive hyperaemia also occur in the myocardium?

No: Not to my knowledge. At least not in a way that is clinically apparent or likely to cause symptoms. ...Read more

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Can you define hibernating myocardium?

Can you define hibernating myocardium?

See below: It is a chronically low blood supply of the heart due to blockage of the artery resulting in low contractivity of the heart. ...Read more

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What is the medical definition of hibernating myocardium?

Alive but...: Hibernating myocardium is heart muscle that is viable and alive but unable to contract normally. It is generally related to inadequate blood supply to that area of the heart. ...Read more

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Describe the structure and function of myocardium and endocardium.?

Describe the structure and function of myocardium and endocardium.?

Endocardium: Endocardium: inner lining of the heart. Heart valves are made up of endocardium.
Myocardium: thick muscle mass in the middle of the heart. Function: electrical conductivity and contractility of the heart
pericardium or epicardium: outer protective fibrous layer. ...Read more

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What are the differences between stunned myocardium & hibernating myocardium?

What are the differences between stunned myocardium & hibernating myocardium?

Timing: Stunned myocardium usually refers to a sudden event like a heart attack after which the heart does not function properly. If it is not completely damaged, the stunned heart may recover. Hibernating myocardium is not functioning well because of a chronic lack of blood flow to the heart and may improve if that blood supply is restored. ...Read more

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What arteries supply the myocardium muscle?

What arteries supply the myocardium muscle?

Coronary arteries: The coronary arteries (left anterior, left circumflex, right) and their branches supply the myocardium. ...Read more