MyMerci › 기출문제 › Diseases of the circulatory system
Diseases of the circulatory system
문제
The patient's heart shows ______ motion of the posterior wall on echocardiogram, suggesting recent myocardial infarction.
1
hypokinetic
✓ 정답
2
dyskinetic
3
akinetic
4
hyperkinetic
5
normal
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 문제 The 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
핵심 개념
hypokinetic — Reduced or decreased movement of a body part or organ, characterized by diminished muscle function or contractility
dyskinetic — Abnormal, impaired, or disordered movement of a body part or organ, often involving involuntary muscle movements
akinetic — Complete absence of movement or motion in a body part or organ, indicating total loss of muscle function
hyperkinetic — Increased or excessive movement of a body part or organ, characterized by abnormally increased muscle activity
normal — Regular, typical, or expected movement pattern of a body part or organ, showing proper muscle function and coordination
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