Wall Motion Abnormality Part II: cases & practice

practicing WMA
BY: Seyed A Sadatian MD. RDCS, RDMS. RVT

[@Assad966]

Beautifully explained and presented ❤❤

[@davidcarroll8805]

My answer: last cineloop shows an apical 4 chamber (contrast enhanced) view with an akinetic basal inferoseptum, normokinetic mid/apical inferoseptum+apex+anterolateral segments, and a hyperkinetic basal anterolateral segment (I think!) - thanks for these videos, they're great!

[@masteringEcho-US-cardiology]

great

[@HaoNguyen-gs4nu]

How about mid anterolateral? I think it's akinetic !

[@desankazizic9865]

Procena kinetike trazi znanje i iskustvo.Korisno je u svakodnevnoj praksi uraditi ECG i uporedjivati elektricnu provodljivost ,sa mehanickim kretanjem.Moze se kontraktilnost pratiti i blagim opterecenjem,npr.malom setnjom pre pregleda. Izvrsni su prilozi.Hvala doktoru za veliko znanje,vestine i profesionalnost,kao i zelju da podeli sve to.Mnogo vise vredi od knjige,in real time snimanje.

[@masteringEcho-US-cardiology]

you are right. thanks

[@lonewanderer8414]

Exactly what i was looking for. Thanku

[@masteringEcho-US-cardiology]

you are welcome

[@ashifariyas9739]

Thank you so much sir.. Good teaching...It's very useful to us.. Waiting for more videos...

[@masteringEcho-US-cardiology]

you are welcome, sure

[@yumavaldez5203]

THE BEST ECHO TEACHER. GOD BLESS YOU DOCTOR

[@masteringEcho-US-cardiology]

thank you

[@Kevin031]

Thank you so much for your great videos, sir! I've been trying hard to actually enhance my "eyeball estimation", but no other videos provide much of information about what I wanna know and learn. Your videos, including this one, really help me a lot.

[@masteringEcho-US-cardiology]

you are very welcome

[@hamsterdailyfunction]

Very good ..Thank you

[@drshamimsiddiquee]

This is absolutely an awesome collection

[@masteringEcho-US-cardiology]

thank you

[@drafsheensultrasound9572]

Excellent video

[@syedtanveeralam6365]

Thats Great...Thank You so much.....Can you give some more with contrast please

[@masteringEcho-US-cardiology]

you are welcome. sure , I'll

[@syedtanveeralam6365]

Actually I sometime struggles in Stress Echo. I wish if you could upload complete teaching on that please

[@masteringEcho-US-cardiology]

@@syedtanveeralam6365 . I'll, but be patient

[@christinafinazzo7501]

Thank you for these videos. So very helpful.

[@masteringEcho-US-cardiology]

you are welcome

[@skao7089]

Thank you sir super useful i absolutely looove your videos❤❤

[@masteringEcho-US-cardiology]

you are very welcome

[@crushquake10]

Useful Video. Thank you sir. I have one doubt. How to differentiate RWMA in Concentric LVH Patient?

[@masteringEcho-US-cardiology]

you are welcome,! The best way is RV free wall strain & check each segments, if the patient has good window.

[@atheeralsaeed13]

Very helpful ...thank you sir .....we are greatful...all are appreciate your lectures

[@keccha]

Very helpful. Thank you guru.

[@drsomarjacoub1600]

Amazing Prof 🙏👍🏻

[@masteringEcho-US-cardiology]

Thank you Dr.

[@janewambugu2721]

great job

[@dr.husainhamdard426]

Thank you very much. Really useful

[@masteringEcho-US-cardiology]

You are very welcome

[@EvgeniGaidukov]

Apical segments are akinetic. Thank you, sir.

[@masteringEcho-US-cardiology]

you are welcome

[@winterpark02]

Enjoy your teaching . Please post more basic valve assessment with gradients etc lectures n bodies please . Thanks for all that you do .

[@masteringEcho-US-cardiology]

. I'm glad it is useful. I'll , just be a little patient

[@joannsummers3347]

Thank You

[@giacomodeluca5993]

Thank you very much. Have you got some websites to practice with visual EF and WBA?

[@masteringEcho-US-cardiology]

. you are welcome. there are in my channel , just go through them. but not website

[@dragonspirit779]

Can people recover from mild inferior wall hypokinesis?

[@masteringEcho-US-cardiology]

with life style changing (less stress, diet, exercise, sleep... and following cardiologist recommendation and controlling risk factors , usually yes.

[@dragonspirit779]

@@masteringEcho-US-cardiology That is encouraging. Thank you, I will do all you suggested, much appreciate your reply.

[@masteringEcho-US-cardiology]

@@dragonspirit779 sure, just remember life style changing should be in all aspects of life and take it serious like eating see food more , less gluten, no process food, less dairy, early and enough sleeping ... fun and enjoyable exercise ...

[@dragonspirit779]

​@@masteringEcho-US-cardiology Thank you for formerly answering my question. I have an update on my follow up Echo regarding abnormal wall motion. My question: I had an Echocardiogram in Oct 2021 r/t atypical chest pain, at that time, they showed mild Inferior Wall Hypokinesis, at that point I also had tightness of chest, reduced breathing capacity at rest, EF was 59.5%. My follow up Echocardiogram in March 2022, showed no wall abnormalities, with a verbal comment by nurse about initial reading being in question, with a second look, showing possibility of misread? Is this possible? Can Sonographers misread wall abnormalities? Should I get a 2nd opinion? What is likelihood, if one has no wall abnormalities on follow up, there can be a relapse? or is this unlikely? Is prognosis good, bad, etc? Finally, my End Diastolic Volume was at 73ml (at rest, no stress test this time), I read normal is closer to 100-120ml? What would cause a low EDV and can it be reversed? Or is mine normal? EF was at 61.5%, somewhat increased from former Echo. :) Thank you in advance.

[@masteringEcho-US-cardiology]

@@dragonspirit779 I am glad your hypokenesia gone. that is good sign. It depends on your ECG, and blood test. and your risk factors. Talk with your Dr . if sh/e recommended stress Echo will be a good idea your EDV isn't too much important

[@waruni2639]

Sir 2d echo test can detect pancreas problem

[@ethanhunt5913]

Very useful and precise indeed

[@ododhouda2578]

Thank you very much.. may god bless you

[@masteringEcho-US-cardiology]

thanks

[@yellobra6452]

Merci 💚 🥰

[@abhishekKumar-pz2el]

Very good

[@СправедливостьАрхангел]

Thanks

[@gulraizify]

i have one question , can u please ANSWER ?

[@masteringEcho-US-cardiology]

I don't see your question!!!

[@gulraizify]

@@masteringEcho-US-cardiology Sir it was something else thats why i took your permission. SIR of some one have sinus tachycardia during rest ECHO CARDIO then still u can see aortic or any other valve regurgitation or else u can't see it during sinus tachycardia of beat around 125 bpm.? Thanku

[@masteringEcho-US-cardiology]

@@gulraizify with increasing heart rate (any kind) diastolic time decreases and so you expect to see less time for AI . even in systolic type (like MR) even though systolic time doesn't change, but since diastolic time decreases it causes less end diastolic volume so MR maybe show less . but in any situation still yo can see but since time has been shorted maybe you don't see it very obvious , but in slow motion and cineloop you still can see it

[@gulraizify]

@@masteringEcho-US-cardiology thanku so much respected SIR. I had a echo test with sinus tachycardia but then i came home my heart beat was at normal rate but still my heart pounds like it will come out (increased force of contraction) .However my ECHO was normal but when ever i go to hospital my heart rate increases but when come home it slows down but thumping of heart stays there all day with fatigue. I hope mu echo was done correctly as i dont feel well.

[@masteringEcho-US-cardiology]

@@gulraizify that's psychologic and normal. if yo u are not too old, don't have any major heart diseases risk factor and stress echo was normal , don't worry and follow your Dr recommendation

[@drgadham]

Excellent teaching

[@masteringEcho-US-cardiology]

thank you

[@purnalamichhane7205]

Sir, What is the solution once wall motion of the heart is diagnosed abnormal?

[@masteringEcho-US-cardiology]

if it is not late (first hrs of heart attack) , coronary angiography and if needed, putting stent or ....

[@abhishekKumar-pz2el]

Echo me heart ulta rhata hai, or sidha

[@drlamia6614]

Thank you so much sir

[@masteringEcho-US-cardiology]

you are very welcome

[@MahmudulHasan-rk6ze]

Thanks sir.

[@黃紹閔]

where is part 1 ?

[@masteringEcho-US-cardiology]

Sorry ! Members have access to it . Join there you will love it

[@tahaatahaa-eg2ct]

Thank you sir

[@Rosalulu705]

Last one was normal?

[@masteringEcho-US-cardiology]

No. mid lateral segment is akinetic (more accurate dyskinetic)

[@РоксанаСагеева]

Thank you!

[@thankschristyeshu3231]

thank you

[@masteringEcho-US-cardiology]

you are welcome

[@naserbsnon196]

Thank you so much

[@masteringEcho-US-cardiology]

you are welcome

[@MM-wp4kq]

Thank you,

[@masteringEcho-US-cardiology]

you are welcome

[@haripriya4841]

Apical segments

[@c.chudasama9158]

Anterior wall

[@masteringEcho-US-cardiology]

in A4C we have anterolateral (lateral) and I think you mean that. yes but only mid segment is abnormal

[@tahaatahaa-eg2ct]

Apical

[@haripriya4841]

Apical anterolateral

[@ahmadshawky8026]

Thank you sir

[@masteringEcho-US-cardiology]

you are welcome