|
Global hypokinesis of left ventricle
|
Editing Global hypokinesis of left ventricle is the wall motion defect of the left ventricle (pumping chamber) and thickening of septum (wall between chambers). The defect is/can be the result of a heart attack causing necrosis (death of cells) or ischemia (lack of blood flow to the heart tissues) or continuous excitement of uncertain results especially one find in speculators or gamblers (gambler's syndrome). Testing Phase The test was performed to analyze wall motion defect (hypokinesis) of the left ventricle (pumping chamber) and septum (wall between chambers). Sometimes with hypokinesis the cells are in hypernation or stunned and with treatment to increase blood supply to the deficit area the cells can recover. Reversibility is the return to normal or near normal after a period of rest during the testing phase. Global hypokinesis of the LV indicates symetrical enlargement and septum is thickened and less flexible. Ejection Fraction The fraction of blood pumped into circulation with each heart beat is termed ejection fraction (EF). Normal is an EF of 55 to 75%, and heart failure range is below 29%. When the heart walls are thickened and the chamber dilated with damaged heart cells the contractions will be weak and EF will be low. Diastolic dysfunction Diastolic dysfunction addresses the filling phase of the left ventricle. If the walls are thickened, there will be less space for the filling phase and cardiac output will be reduced accordingly. Aortic sclerosis Aortic sclerosis is the narrowing of the aortic valve (usually due to calcification with age) and the will adversely add pressure to the left ventricle and dilate left atrium and left ventricle. The report indicates the condition is mild and I have outlined the worst case scenario. Case Study About 4 years ago patient's EF was below 29%. With medication his heart size is currently normal as well as an EF55%. He had some hypokinesis at the distal portion of the heart. A stent in a coronary artery increased blood flow and there is very little heart wall motion defect if any. Medication The medication is an ACE inhibitor that will dilate blood vessels and lightened the load the heart has to pump against. Also a beta blocker and for a while a diuretic, digoxin to strenghten contractions, aspirin. And isosorbide for chest pains (angina) when needed. Apparently, patient had a silent heart attack as he had no indication until congested heart failure. (It is for general knowledge only. Please consult doctor and follow his instructions regarding medication and treatment.) Immediate consultation with doctor and highest precautions must be taken. Low intake of fluid, keeping low blood pressure, leaving at a warm place and giving absolutely no excitement or distress is the part of treatment. Doctor alone cannot cure if patient is not ready to change his habits.
|
|
|