The patient's heart shows ______ motion of the posterior wal… | 마이메르시 MyMerci
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Diseases of the circulatory system
문제

The patient's heart shows ______ motion of the posterior wall on echocardiogram, suggesting recent myocardial infarction.

해설
Hypokinetic motion refers to reduced wall movement of the heart muscle. When seen on echocardiogram, hypokinesis of a specific area often indicates damaged heart muscle, commonly due to reduced blood flow or previous infarction in that region.
같은 주제 다음 문제The patient's EKG shows significant ST ______ in leads V2 through V4, suggesting acute ant…

임상 시나리오

Key Concepts in Cardiac Wall Motion:

1. Types of Wall Motion Abnormalities:
- Hypokinesis: reduced wall motion
- Akinesis: absence of wall motion
- Dyskinesis: paradoxical wall motion
- Hyperkinesis: increased wall motion

2. Echocardiographic Assessment:
- Regional wall motion analysis
- Segmental wall motion scoring
- Left ventricular ejection fraction
- Wall thickness measurement

3. Clinical Correlations:
- Acute myocardial infarction
- Coronary artery disease
- Myocardial stunning
- Myocardial hibernation

4. Diagnostic Criteria:
- Wall motion score index
- Systolic wall thickening
- Endocardial excursion
- Timing of contraction

5. Associated Findings:
- ST-segment changes
- Cardiac enzyme elevation
- Regional perfusion defects
- Ventricular remodeling

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