A chest radiograph showed new findings of pulmonary venous congestion and interstitial edema, suggestive of progressive heart failure or fluid overload, and an echocardiogram showed global hypokinesis
RVD was confirmed as paradoxical septal motion hypokinesis
of the RV-free wall and right ventricular dilatation (end-diastolic diameter greater than 30 mm or right-toleft ventricular end-diastolic diameter greater than 1 mm on the apical 4-chamber view) and pulmonary hypertension.
15) This inability to contract causes localized edema, dysfunction of the walls of the heart (called hypokinesis
, the hallmark of ischemic disease as seen on stress echoes and nuclear thallium stress tests), and eventually necrosis of the tissue, which we call an MI.
Transthoracic echocardiography showed hypokinesis
of the anterior wall with an ejection fraction of 48% and minimal pericardial effusion.
Today the man, being parent or child, has little and poor physical activity, causing situations of overweight, motor hypokinesis
and uneasiness showing clear situations of a low level of the movement culture.
LV angiography demonstrated the characteristic morphology of apical ballooning with hyperkinesis of the basal segments and hypokinesis
of the mid-apical segments (Fig.
CMRI short axis (SAX) (Figure 1), two-chamber (2CH) (Figure 2), three-chamber (3CH) (Figure 3), and four-chamber (4CH) (Figure 4) CINE imaging confirm global mild hypokinesis
with proximal apical-inferior wall thinning and akinesis, and mid- and basilar-inferior septum, inferior wall, and posterior-lateral wall myocardial thinning with mild hypokinesis
Depending on the size and location, lesions can result in valvular dysfunction, outflow tract obstruction, ventricular hypokinesis
, or arrhythmias.
This showed that all bypass grafts were patent, but confirmed apical hypokinesis
(Figure 1B) consistent with a diagnosis of Takotsubo cardiomyopathy.
Echocardiogram and coronary angiography revealed an inferior ST-elevated MI, a 100% occlusion (< 1 mm) of a small distal pulmonary venous branch of right coronary artery and mild inferior hypokinesis
The cardiac catherization showed no evidence of obstructive coronary heart disease, increased left ventricular end diastolic pressure and marked distal anterior and distal inferior wall hypokinesis
with apical dyskinesis.
19 Since the dose injected was minimal, there was no perceivable hypokinesis
at 6 months follow up.