Atrial Hypokinesis?

[Tacy]

I am a 32 year old female.  I donated a kidney in 2004, so have been through extensive general well being testing.  I have had tachycardia since before that donation.  In fact, during recovery, they would not allow me out (despite a few different medications tried with no success) until I came around enogh to tell them it was "normal" for me.  My resting heart rate has never been below 100 when taken.  Recently, it was as high as 140.  I had an EKG and Echo done last week.  I'm not sure about the EKG, but the Echo showed atrial hypokinesis that the cardiologist wants to investigate further.  My questions - what cases/can cause atrial hypokinesis, and could it be related to the tachycardia?  I really didn't find a lot helpful on the internet.  Thank you.

[Tacy]

Thank you for responding.  You mentioned thyroid and I do have a thyroid disease but it is under control, tests done just this week.  The echo shows this atrial hypokinesis.  Is that something that always has to be treated?  Is it something that can go away or is it kind of a permanent problem?  I see treatments that include medicaion and ablation, is that always necessary or is it sometimes just left alone?   Thanks.

[Michael J. McWilliams, M.D.]

It could be related to the fast heart rate as either the cause or the effect, it is impossible to know which caused which.  Besides thyroid studies and echo, I am not sure what other non invasive techiques can be done to investigate the cause and I am not sure what could be done about it if the cause was identified.  I am afraid I am not going to be much help on this one.