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54 Possible Causes for Right Ventricular Hypokinesis

  • Right Ventricular Dilatation

    Ten of 11 patients with right ventricular hypokinesis had a pulmonary embolism.[] [1] RV dilatation 1:1 (normal ratio right: left ventricle is 0.6:1) Right ventricular systolic dysfunction McConnell’s sign – mid RV wall hypokinesis with apical sparing Moderate[] […] dysfunction (right ventricular hypokinesis, paradoxical septal motion, or McConnell's sign).[]

  • Pulmonary Embolism

    It may show signs of right ventricular strain or right ventricular hypokinesis. Cardiac troponins - can be indicative of right heart strain.[] ventricular hypokinesis on echocardiography [ 2 ].[] There was a significant decrease in the proportion of patients with right ventricular dilation or hypokinesis.[]

  • Cardiomyopathy

    ARVC (2) MRI can show segmental hypokinesis, dilatation, fatty infiltration in the right ventricular myocardium, small aneurysms and late enhancement of the myocardium [5,27[] Left: axial black-blood image of a patient with fibro-fatty ARVC Right: late enhancement image shows enhancement of the anterior wall of the right ventricle (arrow).[]

  • Hemochromatosis

    ventricular walls on plain chest CT indicating myocardial iron deposition.[] Echocardiography on admission revealed diffuse left ventricular hypokinesis (ejection fraction 35%) without left ventricular dilatation (left ventricular end-diastolic dimension[] […] showed marked elevation of serum ferritin levels (3,210 ng/ml), cardiomegaly on chest X-p, conduction disturbance on electrocardiography, and high intensity of the left and right[]

  • Cor Pulmonale

    In massive PE there is an acute rise in right ventricular afterload which causes failure of the right ventricle, known as acute cor pulmonale.[] The failure of the right ventricle causes abnormal contraction (hypokinesis) and the pressure overload causes the RV to acutely distend.[]

  • Right-Sided Heart Failure

    CMR demonstration of extensive right ventricular fibrosis with associated dilatation and hypokinesis was a key finding for prognosis and management of the patient.[] We present the case of a patient with severe but stable pulmonary sarcoidosis and new onset right sided heart failure despite only mild elevations of pulmonary artery pressure[]

  • Demyelinating Disease

    Trans Thoracic Echocardiogram: Severe diffuse left ventricular hypokinesis with severely reduced contractility (EF-30%) and LVH, Nuclear stress test: Diffuse hypo kinesis[] Renal Ultrasound: Atrophic right kidney 4.8 cm and a small left kidney 8.2 cm.[]

  • Uhl Anomaly

    […] enlargement and hypokinesis of the right ventricle, tricuspid valve insufficiency, and mild pulmonary valve insufficiency).[] We followed throughout pregnancy and delivery a 26-year-old woman suffering from a severe form of Uhl anomaly (congenital arrhythmogenic right ventricular dysplasia with severe[]

  • Acute Massive Pulmonary Embolism

    A bedside echocardiogram (Video 1) showed right ventricular dysfunction with free wall hypokinesis sparing the apex (McConnell’s sign) and normal left ventricular ejection[] A chest x-ray revealed unilateral pulmonary oligemia over the right lung field ( Figure 3 ) and ABG showed a significantly elevated alveolar-arterial gradient.[]

  • Hypersensitivity Myocarditis

    A repeat right ventricular biopsy 2 months after the first admission showed no evidence of myocarditis.[] One month into therapy, an echocardiogram demonstrated improved left ventricular function with only mild global hypokinesis.[]

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