MyPACS.net: Radiology Teaching Files > Case 16221696

previously visited GLOBAL HYPOKINESIS
Contributed by: Ali Sayre, Mountain State University, West Virginia, USA.
Patient: 69 year old female
History:     Patient presents herself to the emergency room with shortness of breath and chest pain.  She was diagnosed, in the ER, with some degree of congestive heart failure.  She has a history of pericarditis, found at age 33, suggested to have been reoccurring.  Patient has also just completed her last chemotherapy treatment the first week of April 2008, she was being treated for Non-Hodgkin's lymphoma. 
    A pre-op baseline echocardiogram, for left ventricular function, was performed November 30, 2007, prior to initiating chemotherapy treatment.  Another echocardiogram was performed on May 19, 2008 after patient was admitted to the hospital for shortness of breath and chest pains.
   
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Findings:     On November 30, 2007 the echocardiogram showed a normal left ventricular global and segmental function.  The ejection fraction was 60 to 65 percent.  Normal left atrial and right sided chambers.  Grossly normal aortic, mitral, tricuspid, and pulmonic valve structurally for her age.  Mild mitral and mild tricuspid regurgitation noted with no significant pulmonary hypertension.  Peak right ventricular systolic pressure was 34 mm of mercury.
    On May 19, 2008 the echocardiogram showed left and right atrial enlargment. Left ventricular internal dimensions appeared dilated with normal wall thickness.  Left ventricular ejection fraction was estimated at 10 to 15% with global hypokinesis.  Right ventricle also appeared mildly dilated with hypokinesis.  There was moderate mitral regurgitation and moderate tricuspid regurgitation present.
Diagnosis:
  • Global Hypokinesis
  • Mitral Regurgitation and Tricuspid Regurgitation
Discussion:     With global hypokinesis there is poor function throughout the heart.  Congestive heart failure is a syndrome of low cardiac output (hypokinesis), shortness of breath, and swelling of the extremities. Some causes of congestive heart failure are ischemia, blockage of arteries, high blood pressure, viral, valvular, and idiopathic. 

References: http://www.medhelp.org/forums/cardio/archive/14894.html
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Additional Details:

Case Number: 16221696Last Updated: 06-05-2008
Anatomy: Heart   Pathology: Other
Modality: USAccess Level: Readable by all users

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