Heart Disease Community
Dilated left ventricle w/ generalized severe hypokinesia
About This Community:

This patient support community is for discussions relating to angina, angioplasty, arrhythmia, bypass surgery, cardiomyopathy, coronary artery disease, defibrillator, heart attack, heart disease, mitral valve, pacemaker, PAD, stenosis, and stress tests.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Dilated left ventricle w/ generalized severe hypokinesia

I got the results of my stress echo and here are the findings: dilated left ventricle with generalized severe hypokinesia consistent with dilated cardiomyopathy with decreased systolic function. Visual estimate of EF is 25-30%. Slightly dilated left atrium, thickened aortic valve, thickened mitral valve with trivial to mild mitral regugitation, structurally normal tricuspid value with mid tricuspid regurgitation, structurally normal pulmonic valve with pulmonic regurgitation, normal pulmonary artery pressure, no new wall motion abnormality and no stress induced ischemia demonstrated on treadmill exercise echo at 10 METS. Persistent hypokinesia of the mid to apical segments is consistent with non ischemic cardiomyopathy.

With these results, is there a possibility that I can have heart failure? Should I be concerned about this?
Related Discussions
5 Comments Post a Comment
Blank
Avatar_f_tn
These findings would be consistent with heart failure which is a chronic form of heart disease. Normal EF is usually between 50-70%. Hypokinesia is the name given when the heart muscle cannot pump the way it should due to being to thin such as in CHF or too thick such as in HCM, RCM (Hypertrophic crdiomyopathy or Restrictive Cardiomyopathy) See a good cardiologist if you are not yet doing that.
Blank
367994_tn?1304957193
Hypokenisis is an impairment of heart wall movement.  Almost always the condition is due to damaged heart cells from a prior heart attack...non-ischemic indicates the impairment is not due to lack of oxygenated blood flow to the area described and confirmed by the stress test of no induced ischemia.

Dilated left ventricle will decrease and of course the hypokenises will reduce your EF...10 METs is not relatively very serious, and shouldn't interfere with normal activity.  Heart failure is a EF below 30%, and some individuals function very well and don't realize there is a heart problem (estimated to be 26% of heart disorder population).  Sometimes medication can increase the EF by reducing the heart's workload (lower blood pressure, reduce fluid volume, etc.).  Five years ago, I had an enlarged LV and an EF of 13 to 29%, and with medication my heart size is normal as well as the EF.  I had hypokinesis, and restoration of blood flow (stent and medication) revitalized dormant (medically termed hibernating) heart cells.

ongested heart failure (chf) is not due to a thin wall.  A thin wall would be an aneurysm,  CHF is the result of poor heart contractions and the underlying cause can be a dilated left ventricle (not thin wall) and the pathology of poor contractility of the LV is due to the Frank/Starling phenomonon related to physics of the heart anatomy.  This condition (dilated LV) can with medication reverse the remodeling (enlarged LV)...a thin wall may require a patch, etc.
Blank
Avatar_m_tn
Glad to see all the input on medhelp.org which is helping me after I read
my own echo/doppler report.  I don't feel like I'm alone with this anymore.
I know there are also other options for me other than surgery.  Like
medications.  
Blank
Post a Comment
To
Top Heart Disease Answerers
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
63984_tn?1385441539
Blank
Flycaster305
97303, OR
Avatar_f_tn
Blank
skydnsr
612551_tn?1247839157
Blank
Jerry_NJ
NJ
212161_tn?1410016711
Blank
heartfluttersflyawayplz
hoschton, GA
MedHelp Health Answers
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Blank
HeartRhythm Tracker
Track your Heart Condition
Start Tracking Now
Recent Activity
1755089_tn?1376057155
Blank
drewlevas uploaded new photos
37 mins ago
1236893_tn?1408490528
Blank
Glyphosate in Wheat Has Increased C...
Sep 14 by gymdandee
688115_tn?1410686105
Blank
skybluepink uploaded a new photo
Sep 14
Heart Disease Community Resources
RSS Expert Activity
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
Aug 28 by Roger Gould, M.D.Blank
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
Top Heart Disease Answerers
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
63984_tn?1385441539
Blank
Flycaster305
97303, OR
Avatar_f_tn
Blank
skydnsr
612551_tn?1247839157
Blank
Jerry_NJ
NJ
212161_tn?1410016711
Blank
heartfluttersflyawayplz
hoschton, GA