Top
30
Doctor insights on: Hypokinesis Involving The Basal And Mid Inferolateral Wall Of The Left Venttricle

Share
1

1
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 ...Read more


2

2
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

Dr. Irv Loh Dr. Loh
1 doctor agreed:
3

3
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

4

4
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

5

5
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

6

6
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

7

7
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

8

8
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

9

9
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

10

10
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

11

11
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

12

12
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

13

13
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

14

14
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 shouldnt limit your activites but if problem is current correct it ...Read more

15

15
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

16

16
What does 'prominent osseous spur that projects laternally bet left middle and inf turbinate to contact the lateral wall of left mid nasalcavity' mean?

What does 'prominent osseous spur that projects laternally bet left middle and inf turbinate to contact the lateral wall of left mid nasalcavity' mean?

Septal spur: The most common osseous spur that projects between the middle and inferior turbinate arise from the bony septum. If this spur is obstructing the nasal cavity and causing difficulty in breathing through that side of the nose, a septoplasty can be performed by an ENT surgeon with good results. ...Read more

17

17
Petachiae in left lateral tracheal wall in the mid portion what's it mean?

Petachiae in left lateral tracheal  wall in the mid portion what's it mean?

Wow....: The only way to see this is by bronchoscopy or surgery..... Your should ask the doctor performing the study. Petechia are usually not good and can represent many different problems. Can be either mild or serious. If found on the pharynx they can be a symptom of strep throat. An ear, nose and throat doctor can clear up the considerable possibilities. ...Read more

18

18
There is reverse of redistribution in the mid to distal anteroapical wall which may represent ischemia, and left ventricular ejection fraction 60%, and fixed inferior wall defect What do they mean?

There is reverse of redistribution in the mid to distal anteroapical wall which may represent ischemia, and left ventricular ejection fraction 60%, and fixed inferior wall defect  What do they mean?

Concern: you appear to have a limitation of blood flow to the heart during the stress of the test that you had as well as the possibility of a previous heart attack but with still good heart pump function currently. Please see your cardiologist for follow up of the limitation of blood flow seen on the current test ...Read more

19

19
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

20

20
7x6.7x6.5cm cyst mid pole of kidney compressing left renal pelvis with mild calyceal dilatation Somewhat thickened walls and multiple enhanced septat?

 7x6.7x6.5cm cyst mid pole of kidney compressing left renal pelvis with mild calyceal dilatation Somewhat thickened walls and multiple enhanced septat?

Here are some ...: Despite medical advance and known to most if not all, all modern medical care are still based on INDIRECT evidence resulting from continual collection & analysis of available experience so to apply currently available knowledge, skills, technology, drugs, commonsense, and tads of wisdom at reasonable time in reasonable way to reasonable patients; then, we hope the possible best and have to move on ...Read more

21

21
I found a moveable knot left mid side of back. what could it be.

I found a moveable knot left mid side of back. what could it be.

Depends: I presume it doesn't cause you pain. Depending on location, it could be a lipoma (a benign fatty tumor), sebaceous cyst (benign sebum filled cyst), lymph node, etc. To really know what it is, you need to see a doctor for an exam. ...Read more

22

22
Can you tell me if there are any organs on the mid left side of your back?

Can you tell me if there are any organs on the mid left side of your back?

Yes.: Mid left back symptoms could be referred to left kidney, spleen or back musculature. ...Read more

23

23
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. ...Read more

24

24
What may cause worsening left mid-rib cage pain for several weeks?

Rib alignment issue: The pain can be coming from the cartilage at the insertion of the rib and sternum or the rib is out of alignment. This causes the muscles and nerve between the rib to be irritated. Costochondritis is inflammation of the cartilage at the insertion of the rib to the sternum and can cause pain in the center of the chest. Pain along the side of rib cage is more likely from a rib alignment issue. ...Read more

25

25
What could cause worsening left mid-rib cage pain that has been occurring for over a week?

See your doctor: This is a problem that requires a face-to-face meeting with your doctor. In that meeting, your doctor will listen to you, perform a throrough examination and possibly order labs or other tests. Based on this information, he/she will be able to tell you what's wrong and what to do about it. ...Read more

26

26
What causes the occassional pain in the left side of my mid area. Do I have a problem in my liver?

It depends: The liver is located under the right side of your rib cage, however the left lobe of your liver can cross into your mid area. Usually this doesn't cause occasional pain, however, without knowing the details of the pain, i would recommend visiting your pcp or a gastroenterologist for a specific diagnosis. ...Read more

27

27
What would most likely be the cause of pain that wraps around from the low left back to the mid left section of the abdomen?

What would most likely be the cause of pain that wraps around from the low left back to the mid left section of the abdomen?

Hard to know...: It could be a sign of a kidney issue (like infection) to a musculoskeletal cause (muscle). If it is bothersome and persistent or accompanied by other symptoms, it would be worthwhile for a health care provider to do a medical history and physical exam. I hope you feel better soon. ...Read more

28

28
I have been have severe pain on the mid left side of my back that radiates to my left ribcage and have discomfort under my ribcage. ?

Monitor: Could be muscle spasm, rib joint irritation, pinched nerve, or GI problem. If present for more than a week and getting worse, would seek eval. Can try heat, rest, anti jnflammatories. ...Read more

29

29
Slipped and fell down a hill yesterday. Back on left side is killing me (mid and lower) as well as my shoulder. Not sure what to do. ?

Slipped and fell down a hill yesterday. Back on left side is killing me (mid and lower) as well as my shoulder. Not sure what to do. ?

Injuries: Injuries were probably contusions and strained muscles best treated with rest and cold applications for 48 hours followed by Heat applications and liniment. Nsaid like ibuprofen,if you can take them, help relieve associated pain and inflammation. If symptoms don't improve or worsen, see your physician. ...Read more

30

30
I have been getting pain in my mid-left lower back, the pain worsens when I lay down or sit. Pain medicine doesn't seem to help at all.?

More info: I am a pain specialist and have treated thousands of pain patients with severe lower back pain. There are numerous pain modalities to treat your lower back pain. I cannot answe your question until i know what pain medication you are on, and what dosage of each medication. ...Read more