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What Does My Echocardiogram Test Result Indicate?
Question: in my echo said moderate hypokinesis LV normal size EF 35% mitral valve leaflets abnormal mobility full motion leaflets thickened. what does this mean? EKG normal and blood work ups. Test were done due to tachycardia. What important questions should I ask my carsiologist
Brief Answer:
Echo results
Detailed Answer:
Greetings and welcome to HCM. Thank you for your question. I understand your concern.
Well, the combination of normal size of left ventricle with low ejection fraction and low motility of the left ventricle muscle mass, points more toward a restrictive cardiomyopathy. However, this is not a definite diagnosis, since there are more tests that are left to be done. EKG is normal in these cases or with mild non-specific changes, which can be present even in normal heart muscle masses. As I saw in your echocardiographic report, the mitral valve leaflets are indeed thickened, but with trivial mitral regurgitation and no mitral stenosis. This lack of compliance of the left ventricle in diastole (resulting in the low EF) may be due to within muscle mass deposition of certain materials such as proteins or minerals, which can only be certainly elicited after a myocardial biopsy is done. Also, it could be as a result of infectious or systemic diseases which also acts on the heart muscle. These depositions are usually found in between heart muscle cells, making the heart muscle more rigid and non-compliant, hence the global hypokinezia (low motility of every part of the ventricular muscle mass). Therefore, I would recommend a ventricular muscle biopsy to conclude whether this is restrictive cardiomyopathy or not and, if so, what is the cause and how it can be treated.
I hope I was helpful with my answer. I am happy to help, if you have follow-up questions. Please rate the answer, if you do not. Wish you a good health.
Best regards,
Dr. Meriton
Echo results
Detailed Answer:
Greetings and welcome to HCM. Thank you for your question. I understand your concern.
Well, the combination of normal size of left ventricle with low ejection fraction and low motility of the left ventricle muscle mass, points more toward a restrictive cardiomyopathy. However, this is not a definite diagnosis, since there are more tests that are left to be done. EKG is normal in these cases or with mild non-specific changes, which can be present even in normal heart muscle masses. As I saw in your echocardiographic report, the mitral valve leaflets are indeed thickened, but with trivial mitral regurgitation and no mitral stenosis. This lack of compliance of the left ventricle in diastole (resulting in the low EF) may be due to within muscle mass deposition of certain materials such as proteins or minerals, which can only be certainly elicited after a myocardial biopsy is done. Also, it could be as a result of infectious or systemic diseases which also acts on the heart muscle. These depositions are usually found in between heart muscle cells, making the heart muscle more rigid and non-compliant, hence the global hypokinezia (low motility of every part of the ventricular muscle mass). Therefore, I would recommend a ventricular muscle biopsy to conclude whether this is restrictive cardiomyopathy or not and, if so, what is the cause and how it can be treated.
I hope I was helpful with my answer. I am happy to help, if you have follow-up questions. Please rate the answer, if you do not. Wish you a good health.
Best regards,
Dr. Meriton
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Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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