Global Hypokinesis

[IRS]

I am a 47 year old woman who recently had an MRI which yielded the following results:

Dilated left ventricular cavity size is severely depressed systolic function. Calculated left ventricular ejection fraction is 35%.  There is severe global hypokinesis. Trace mitral regurgitation. Trace tricuspid regurgitation.  Technically challenging study due to irregular heart rhythms/frequent ventricular ectopy.

I have also had a cardic catheterization which showed no blockages.

Can you please explain the MRI findings in layman terms.  Also, is this reversable.

Sincerely,
Irene in OH

[diptavnit]

Hi kenkeith,

I have also having same problem,please let me know the medications which will  to return to normal size and the EF is normal also.

[kenkeith]

QUOTE: "Dilated left ventricular cavity size is severely depressed systolic function. Calculated left ventricular ejection fraction is 35%.  There is severe global hypokinesis. Trace mitral regurgitation. Trace tricuspid regurgitation.  Technically challenging study due to irregular heart rhythms/frequent ventricular ectopy."

You can discount the valve regurgitation (some blood flows back into the upper chamber when the left ventricle pumps) as medically insignificant.  

Global hypokinesis indciates there is heart wall movement disorder that causes the heart to not pump effectively and shown by an EF 35%.  The EF is the amount of blood pumped into circulation with each heartbeat (normal is 50 to 70%).

An abnormally dilated left ventricle impedes the heart's contractility and that explains the low EF and hypokinesis.  I was in the same condition 6 years ago, but my EF was 13-29% (heart failure) and a dilated left ventricle.  The left ventricle increased in size due to being overworked pumping against high resistence vascular system (high blood pressure).  Medication to help reduce the heart's workload enabled the heart to return to normal size and the EF is normal also.

The underlying cause for your dilated left ventricle should be diagnosed, and proper treatment can be beneficial.  Take care.