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Heart palpitation, breathlessness, non descript chest pain. Echocardiogram showed septal hipokinesia, reduced ejection fraction. What does it mean?

Hi,I am 35 old femele,12-lead EKG confirms sinus tachycardia at a rate of just over 100 beats per minute,with normal PR interval,normal axis and incomplete right bundle branch block ,but no other abnormality of note. Echocardiogram undertaken by private doctor,which was said to show some septal hipokinesia and slightly reduced ejection fraction(EF 50%).My symptom: palpitations were of rather sudden onset,breathlessness associated with some slightly non-descript chest pain.What that mean?
Asked On : Wed, 29 Aug 2012
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General & Family Physician 's  Response
Hi, welcome to healthcare magic

Tachycardia is elevated heart rate, sinus tachcardia occurs when the sinoatrial node (the tissue in the heart that can generate impulses) sends out elevated rate of impulses. It can result from a number of conditions such as pain, fever, anxiety, dehydration, caffeine, heart failure, anemia, hyperthyroidism (excess thyroid hormone), nicotine, pheochromcytoma (which is a tumor that causes increase in certain hormones that can increase the heart rate), heart attack , pulmonary embolism (blockage of part of the lung), other lung disease.

Right bundle branch block: there are certain pathways in the heart that are suppose to conduct impulses. In right bundle branch block there is a blockage in the pathway in the right ventricle (a chamber in the right side of the heart) and impulse usually have to then come from the left side of the heart. Some persons have no symptoms as a result of it, others may have fainting or actually slow heart rate.
The treatment depends on the cause of the block. Possible causes are heart abnormality from birth, heart attack, pulmonary embolism, high blood pressure, viral or bacterial infection of the heart.

The ECHO showed hypokinesia which means decreased movement of the heart muscle and because of the decreased movement it does not seem to be ejecting enough blood to the rest of the body.

Your doctor will probady conduct futher investigations to determine the exact cause of these results.

I hope this information is helpful to you and wish you the best
Answered: Wed, 29 Aug 2012
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