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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is Hypokinesis Of The Anterolateral Area?

what is hypokinesis of the inferolateral area? i just had an echocardiogram in follow up to chemo therapy (with 2 drugs that may be cardio toxic - herception and adriamycin). that finished 1.5 years ago. i am being followed as part of a clinical study. this is the first time we have had hypokinesis. i am supposed to fly on sunday. is there some kind of risk?
Mon, 29 Jun 2015
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Cardiologist,  's  Response
Hello. Thank you for your question and welcome to HCM. I understand your concern.

A hypokinesis of a certain area of the heart muscle is indicative of ischemia of that are. It means that this certain part of heart does not move the same (it is "lazy") in comparison with the rest of the heart muscle, throughout the cardiac cycle. I would suggest you run a blood test for Troponin and cratine phosphokinase - MB (CK-MB), and lactat dehydrogenase (LDH), to check if this is a recent or a remote event. I am assuming that there is a blockage somewhere in your left anterior descendant (LAD) coronary artery or a great diagonal branch of this artery. I would recommend you to undergo a coronary angiogram for further investigation and, eventually, treatment.

I hope I was helpful with my answer. Take care.
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What Is Hypokinesis Of The Anterolateral Area?

Hello. Thank you for your question and welcome to HCM. I understand your concern. A hypokinesis of a certain area of the heart muscle is indicative of ischemia of that are. It means that this certain part of heart does not move the same (it is lazy ) in comparison with the rest of the heart muscle, throughout the cardiac cycle. I would suggest you run a blood test for Troponin and cratine phosphokinase - MB (CK-MB), and lactat dehydrogenase (LDH), to check if this is a recent or a remote event. I am assuming that there is a blockage somewhere in your left anterior descendant (LAD) coronary artery or a great diagonal branch of this artery. I would recommend you to undergo a coronary angiogram for further investigation and, eventually, treatment. I hope I was helpful with my answer. Take care.