Heart Disease Community
Regional wall motion question
About This Community:

A community of people with Heart Disease to guide and support your heart-health journey. Ask a question, join a conversation, share experiences: symptoms, nutrition, and management.

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

Regional wall motion question

Just noticed on my echo it refers to 'regional wall motion abnormalities
noted since  last echo'. What does this mean? I have idiopathic dilated cardiomyopathy with meds having reduced my heart measurements to, basically ,normal and increased my EF to 40%-45%. I have an ICD .
Related Discussions
  • LVEF (3 replies):
    Can LVEF increase by medicine or food care?
  • Re: Wall Motion
    Posted By sumi on August 06, 1999 at 10:50:32 I'm 36 ye...[more]
  • dilated left ventricle (3 replies):
    my fathers result in his 2d echo was dilated left ventic...[more]
  • LVEF (3 replies):
    Can EF in a diabetic/blood pressure patient of 73 years ...[more]
  • heart issue (3 replies):
    do anyone know what New Wall Motion Abnormality means. I...[more]
3 Comments Post a Comment
Blank
367994_tn?1304957193
Hypokenesis is the medical term for abnormally decreased muscular movement.  Wall motion abnormality can/will reduce the EF (normal 55-75).

Idiopathic (cause unknown) dilated cardiomyopathy is an enlargement of usually the left ventricle.  I believe the evidence is sufficent to support the dilation is/was due to overstressed/overworked heart.

When there is hypokenesis (poor contractions) it reduces cardiac output.  The heart has to work harder and to compenste the left ventricle enlarges (more capacity during filling) and heart rate increases...a faster heart rate may not provide enough time to adequately fill.  With medication, the workload for the heart is reduced by dilating vessels, slow the heart rate (provides more filling time)reduce fluids, etc.  The heart chamber often returns to normal size.

I was in the same condition 4 years ago as you describe and with medication my EF is now normal at 55% and left ventricle size is normal.  I had had a silent heart attack that damaged some heart muscle and reduced my EF to below 29% (heart failure range).  Hypokenesis can be in an area or segment and to a degree that doesn't significantly compromise heart contractions and the EF.  An EF 40-45% is just slightly less than normal.
Blank
Post a Comment
To
Top Heart Disease Answerers
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
63984_tn?1385441539
Blank
Flycaster305
97303, OR
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
11548417_tn?1431627317
Blank
Ger57
Netherlands
Avatar_m_tn
Blank
Occupant
IL
Avatar_n_tn
Blank
markmsn10
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Blank
HeartRhythm Tracker
Track your Heart Condition
Start Tracking Now
Recent Activity
1236893_tn?1408490528
Blank
Why Hand Washing Dishes Is Good for...
2 hrs ago by gymdandee
1236893_tn?1408490528
Blank
Dissenting Lawmakers Punished as Co...
2 hrs ago by gymdandee
1236893_tn?1408490528
Blank
Health Insurance Companies Seek Big...
20 hrs ago by gymdandee
Heart Disease Community Resources
RSS Expert Activity
233488_tn?1310696703
Blank
Marathon Running Done Over Many Yea...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
233488_tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
748543_tn?1371753642
Blank
TMJ/TMJ The Connection Between Teet...
Jan 27 by Hamidreza Nassery , DMD, FICOI, FAGDBlank
Top Heart Disease Answerers
976897_tn?1379171202
Blank
ed34
watford, United Kingdom
63984_tn?1385441539
Blank
Flycaster305
97303, OR
159619_tn?1318997813
Blank
erijon
Salt Lake City, UT
11548417_tn?1431627317
Blank
Ger57
Netherlands
Avatar_m_tn
Blank
Occupant
IL
Avatar_n_tn
Blank
markmsn10