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Doctor insights on: Ventricular Wall Motion

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For the past 2 years often having chest pain. Done echo test report says ventricular wall motion abnormality, is it serious?

For the past 2 years often having chest pain. Done echo test report says ventricular wall motion abnormality, is it serious?

Yes it's serious!: A wall motion abnormality is not a normal finding at any age. This could be a sign of myocardial ischemia, or decrease blood flow to that region of the heart. Medical or surgical treatment can improve this condition and prevent further progression. Please continue to see your primary care physician or cardiologist for treatment and follow-up. ...Read more

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In reference to my other question is there anything that would make an echo appear to have a wall motion abnormality when there isn't one?

In reference to my other question is there anything that would make an echo appear to have a wall motion abnormality when there isn't one?

No test is perfect: Hi, this is something that occurs commonly. An ECHO uses sound waves to visualize the motion of the heart. There are many factors that can limit the usefulness of an ECHO, including technique, (transthoracic vs. Esophageal probe), patient size, muscle or fat composition, large breasts, and even obesity can all interfere with capturing images of the heart. Sometimes future ECHOs will be normal. ...Read more

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, I just had a Exercise Cardiolite Imaging done and the test found a fixed inferior defect with normal wall motion in this distribution. Can u explain?

, I just had a Exercise Cardiolite Imaging done and the test found a fixed inferior defect with normal wall motion in this distribution. Can u explain?

A "fixed": Defect means there is an area that is not perfused in either stress or rest. Generally this implies a prior infarct. Sometimes there are artifactual causes for this finding, so talk to your doc about it. ...Read more

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What does 'mild lv dilation with interior/posterior wall motion abnormality mean?

What does 'mild lv dilation with interior/posterior wall motion abnormality mean?

Heart dysfunction: Dilatation of left ventricle can commonly ve related to coronary artery disease and episodes of ischemia and infarction. The muscle inferioly and posteriorly does not contract normally due to damaged muscle. Left ventricula dilation can be secondary to the damage to the left ventricle. This ventricle pumps blood to all the organs of the body. Meidcations can sometimes strengthen heart.Contraction. ...Read more

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Is it true that a myocardial wall motion study is the same as a nuclear stress test?

Is it true that a myocardial wall motion study is the same as a nuclear stress test?

Part of study: Wall motion a small part of myocardial perfusion study. Important findings of perfusion are related to ischemia and infarction of myocardial muscle. Spect (tomographic imaging) obrtains images in sagittal, coronal, and transaxial projections during stress and resting phase. 2 phases compared. Technetium99m and thallium201 are isotopes. Also see cardiac chamber size and cardiac ejection fraction. ...Read more

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Had 2 echos one came back clear other one said MVP wall motion abnormality. Is it a false positive? What could cause this?

Had 2 echos one came back clear other one said MVP wall motion abnormality. Is it a false positive? What could cause this?

There are many: Things that can affect the ECHO result including the interpreter's quality and experience. In addition the quality of the technician and the views obtained will affect the result. Also the state of hydration and physiological dynamics when you are having the ECHO. Regardless, if it is questionable whether you have MVP it is probably not clinically relevant and you shouldn't be concerned. ...Read more

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My echo states: There is normal LV regional wall motion at rest, with the exception of inferior basilar hypokinesis. Please explain.

My echo states: There is normal LV regional wall motion at rest, with the exception of inferior basilar hypokinesis. Please explain.

U should ask your Dr: As your doctor actually sees the image, but normally if I read these words in a report it would mean to me that there has been a prior heart attack that caused the hypokinesis. this means that the inferior (lower) basilar (bottom) part of the heart is not moving as much as it is expected to move. This can be a sign of a prior heart attack. ...Read more

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I am very thin with large breasts. Can this affect echo? Would it show a wall motion abnormality that wasn't there? As 1 echo said I had 1 2nd said no

I am very thin with large breasts. Can this affect echo? Would it show a wall motion abnormality that wasn't there? As 1 echo said I had 1 2nd said no

Maybe: Some of the time very large breast size can affect part of the sensitivity of the echo. but noncardiac causes of wall motion abnormalities are frequently from what is going on in the diaphragm or abdomen. The "normal" on the second test is assuring that it is ok. ...Read more

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Reversible defect ant wall/apex. No fixed defects. Lv motion & thickning incl. Apex. Efr 55%. Ant/apical ischemia. Normal lv wall motion. What to do?

Reversible defect ant wall/apex. No fixed defects. Lv motion & thickning incl. Apex. Efr 55%. Ant/apical ischemia. Normal lv wall motion. What to do?

Perfusion report: Need to discuss with your dr. Generally with those data weight loss, low fat diet, no smoking, 30min minimum aerobic exercise daily, continue BP control, other meds might also be considered but should discuss choices and meaning of data with dr. ...Read more

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I just had a nuclear stress test. What is decreased perfusion in the apico-anterior &basio interior walls with wall motion abnormality apex/inferior?

I just had a nuclear stress test. What is decreased perfusion in the apico-anterior &basio interior walls with wall motion abnormality apex/inferior?

Study: The study suggests some congruent wall motion abnormality with areas of decreased perfusion images. You should discuss your full data with your cardiologist who knows you and your cath data and other data. All these things should be collated to present to you what your diagnosis is and what therapy may be appropriate. ...Read more

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"Poor endocardial definition precludes localized wall motion assessment septal dyskinesis questionable" what does this mean?

"Poor endocardial definition precludes localized wall motion assessment septal dyskinesis questionable" what does this mean?

Sub-optimal: It means that, for reasons unrelated to your health, they couldn't see the walls of your heart very well, but they think that the interventricular septum was not contracting normally. Previous heart surgery or left bundle branch block could do that. ...Read more

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What does hypokinesia of intraventricular septum apical. Concentric remodeling of the left ventricle w/segmental wall motion abnormality mean?

What does hypokinesia of intraventricular septum apical. Concentric remodeling of the left ventricle w/segmental wall motion abnormality mean?

Consequences: Description is very typical reflection for consequences of long term uncontrolled high cholesterol and blood pressure. I also guess that you might have had heart attack in past. (silent infarct?).
Practically this mean that your heart is no longer as efficient pumping blood through your body as it used to be.
You definitely need to be under care and see your doctor regularly to avoid worsening. ...Read more

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Echocardiography report, left ventricle, prominent septal bulge 1.2cm without tract obstruction, also resting wall motion abnormalities were present, spectral doppler shows impaired lv diastolic filli?

Echocardiography report, left ventricle, prominent septal bulge 1.2cm without tract obstruction, also resting wall motion abnormalities were present, spectral doppler shows impaired lv diastolic filli?

Complicated: To understand a report one needs to talk with one's physician. Resting wall motion abnormalities means areas of the heart are damaged and not contracting or squeezing normally. That is the heart "walls" are not moving correctly. Sometimes this can cause the wall inside the heart that separates the right and left side to "bulge". Impaired filling means the heart does not "relax" normally. ...Read more