{"id":23647,"date":"2026-05-31T05:59:28","date_gmt":"2026-05-31T00:29:28","guid":{"rendered":"https:\/\/johnsonfrancis.org\/general\/?p=23647"},"modified":"2026-05-31T05:59:30","modified_gmt":"2026-05-31T00:29:30","slug":"what-is-hypokinesia-in-an-echo-report","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/general\/what-is-hypokinesia-in-an-echo-report\/","title":{"rendered":"What is hypokinesia in an echo report?"},"content":{"rendered":"<iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/pLBlgYTGrF4?si=Id97gdCD6eYsGudw\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n\n<p class=\"wp-block-paragraph\">In an echocardiogram report, <strong>hypokinesia<\/strong> refers to a localized or global decrease in the inward movement and thickening of the heart muscle wall during systole. Simply put, a specific segment of the myocardium is contracting, but noticeably weaker than normal.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The Clinical Context<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">In the standard 16- or 17-segment model of the left ventricle used in echocardiography, wall motion is graded on a specific index to calculate the Wall Motion Score Index (WMSI):<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"\"><strong>1 = Normal:<\/strong> Normal inward motion and myocardial thickening (>30%).<\/li>\n\n\n\n<li class=\"\"><strong>2 = Hypokinesia:<\/strong> Reduced inward motion and thickening (&lt;30%).<\/li>\n\n\n\n<li class=\"\"><strong>3 = Akinesia:<\/strong> Absence of inward motion and thickening (no movement).<\/li>\n\n\n\n<li class=\"\"><strong>4 = Dyskinesia:<\/strong> Paradoxical outward movement during systole (often seen with ventricular aneurysms).<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Common Etiologies<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">When a segment is flagged as hypokinetic, the primary concern is usually a mismatch between myocardial oxygen supply and demand. The underlying mechanisms typically include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"\"><strong>Acute Ischemia:<\/strong> An active, immediate reduction in blood flow (e.g., during acute coronary syndrome). The regional wall motion abnormality (RWMA) will map directly to the affected coronary territory.<\/li>\n\n\n\n<li class=\"\"><strong>Myocardial Stunning:<\/strong> Temporary contractile dysfunction following a brief episode of severe ischemia. The muscle remains hypokinetic for a period even after normal blood flow has been fully restored.<\/li>\n\n\n\n<li class=\"\"><strong>Myocardial Hibernation:<\/strong> A chronic downregulation of contractile function due to prolonged, severe coronary artery disease. The tissue is viable but &#8220;sleeping&#8221; to conserve energy, and function is potentially reversible with revascularization.<\/li>\n\n\n\n<li class=\"\"><strong>Prior Infarction:<\/strong> Evolving scar tissue where some viable muscle fibers remain. (Dense, established transmural scars usually present as <em>akinesi<\/em>a).<\/li>\n\n\n\n<li class=\"\"><strong>Non-Ischemic Causes:<\/strong> Conditions like myocarditis, Takotsubo cardiomyopathy, or other cardiomyopathies can cause regional or global hypokinesia that often does not follow a specific epicardial coronary distribution.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>In an echocardiogram report, hypokinesia refers to a localized or global decrease in the inward movement and thickening of the heart muscle wall during systole. Simply put, a specific segment of the myocardium is contracting, but noticeably weaker than normal. The Clinical Context In the standard 16- or 17-segment model of the left ventricle used [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":23650,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[7],"tags":[],"class_list":["post-23647","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-general"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>What is hypokinesia in an echo report? - All About Heart And Blood Vessels<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/general\/what-is-hypokinesia-in-an-echo-report\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What is hypokinesia in an echo report? - All About Heart And Blood Vessels\" \/>\n<meta property=\"og:description\" content=\"In an echocardiogram report, hypokinesia refers to a localized or global decrease in the inward movement and thickening of the heart muscle wall during systole. Simply put, a specific segment of the myocardium is contracting, but noticeably weaker than normal. 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