Abnormal exercise echocardiogram with subtle anterior wall hypokinesis

Posted by OzzieTexas @cthbusse, 17 hours ago

Hi there. I am a 59-year-old female with great bloodwork, in good shape, never smoked, run 3 to 4 miles a day. I have a normal American diet but am at a good weight. Even though my blood work is good. I have a calcification score of 282 with a stress test today with results Abnormal exercise echocardiogram with subtle anterior wall hypokinesis. My lp(a) is < 6 so that is low as well. I am just so disappointed that even though it seems like I’m in good shape, my heart health is telling me otherwise. Sharing my story and wondering if anyone else has a similar one.

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I don't know much about it:
https://iliveok.com/health/hypokinesia-heart_129710i15949.html
This site suggests that treatment is often palliative....ensuring little or no further progression, reducing or eliminating symptoms to the extent possible...that kind of thing. IOW, the causes are thought to be several, and it's difficult in many patients to determine what their hypokinesis is. You don't have ischemia. Was sarcoidosis ever mentioned? Evidence of an infarction? I'm thinking none of those is the case, so yours is Ye Olde Ideopathic.
Personally, unless an echocardiogram, Doppler of the carotids, or an angiogram shows serious stenosis in any of the major vessels, you're probably what could be called 'average' for someone your age with your genetics and lifestyle.

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@gloaming

I don't know much about it:
https://iliveok.com/health/hypokinesia-heart_129710i15949.html
This site suggests that treatment is often palliative....ensuring little or no further progression, reducing or eliminating symptoms to the extent possible...that kind of thing. IOW, the causes are thought to be several, and it's difficult in many patients to determine what their hypokinesis is. You don't have ischemia. Was sarcoidosis ever mentioned? Evidence of an infarction? I'm thinking none of those is the case, so yours is Ye Olde Ideopathic.
Personally, unless an echocardiogram, Doppler of the carotids, or an angiogram shows serious stenosis in any of the major vessels, you're probably what could be called 'average' for someone your age with your genetics and lifestyle.

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Thanks sharing the link and insights. I have appointment with cardiologist today to review results. Never had any cardiac issues other than mild chest pain which I put down to stress.

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Family history. Take a look at your family history. Are there cardiac issues on either side That might help you to understand why your levels are not where you want them to be, And talk to family members who might have more information for you. Genetics will follow us our whole life. Both sides of my family have heart issues and I was doing well at 73. No problem until one night. I woke up in excruciating pain.. I didn’t go to the ER until the next day and I I had two stents put it.. Check things out with your family.

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