HomeAnswersCardiologyrwma (REGIONAL WALL MOTION ABNORMALITIES)

Kindly explain RWMA in echocardiography.

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Patient's Query

Hi doctor,

My father aged 66 is diagnosed with these three conditions as per echocardiography. RWMA seen as per text, mild LVsystolic dysfunction, LVEF- 50 % and a clot in heart. What does it mean and what treatment shoud be given?
Answered by Dr. Ahmed Mohamed Mahmoud Goha

Education:

MBBS

Professional Bio:

Dr.Ahmed Mohamed Mahmoud Goha is a Cardiologist with 28 years of clinical experience. He completed his Cardiology and Cardiac Imaging Consultant in September 2019 Egypt-Air Hospital, Cairo, Egypt. He has worked in the following places- Clinical Cardiac Imaging Fellow (July 2014 to June 2019); In the Nuclear Medicine Division of the Medical Imaging Department, Western University, London, Ontario, Canada; As a Tele-Cardiologist (June 2010 – Present) in Caribbean Heart Institute, Jamaica; As a Senior Cardiology Specialist or Consultant Director of Cardiac CT unit (2003- 2014) in Aero- Medical council and Egypt air hospital; As a Cardiology specialist or Consultant (2002 –2014) in Saint Rita hospital, Cairo, Egypt; As a Cardiology specialist (July 2000 – July 2002) in Cardiology department of Defense industry medical Centre (DIMC), Cairo, Egypt; As a Cardiology Resident or Registrar (March 1996 – June 2000) in Cardiology Department of Kobry Elkobba Military Hospital, Cairo, Egypt. In addition, he did a Rotating Internship (Feb 1995 – Feb 1996) in the Faculty Of Medicine at Ain Shams University Hospitals, Cairo, Egypt.

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Hi,

Welcome to icliniq.com.

I can understand your concern. The echo findings of RWMA suggests that your father has coronary artery disease which means occlusion or stenosis of coronary arteries that supplies the heart, EF 50 % means the function of the heart is borderline, and their is a clot in the heart, means blood thrombus formation in the heart with main concern of detachment of some of this clot and travels through the circulation and blocks blood vessels like in the brain leads to stroke.

The Probable causes

Coronary artery disease.

Investigations to be done

Do Myocardial perfusion imaging study to assess the severity and extent of coronary artery disease. Laboratory tests needed if not done: Do CBC (complete blood count), PT (prothrombin time), PC (protein C), INR (international normalized ratio), renal function test, liver function test, lipid profile, HbA1c (glycated hemoglobin).

Treatment plan

Keep on blood thinner and BP medication prescribed. If not taking medication for lipid, advised to start on a statin Rosuvastatin 20 mg OD.

Preventive measures

Take a healthy diet with low salt, low fat, increase fruits and vegetables. Do exercise for 30 minutes at least five days or a week. Avoid stress.

Regarding follow up

Please reconsult after doing the perfusion scan.
Medically reviewed by Dr. Divya Banu M
Published At June 30, 2020
Reviewed At June 26, 2023

Education:

MBBS

Professional Bio:

Dr.Ahmed Mohamed Mahmoud Goha is a Cardiologist with 28 years of clinical experience. He completed his Cardiology and Cardiac Imaging Consultant in September 2019 Egypt-Air Hospital, Cairo, Egypt. He has worked in the following places- Clinical Cardiac Imaging Fellow (July 2014 to June 2019); In the Nuclear Medicine Division of the Medical Imaging Department, Western University, London, Ontario, Canada; As a Tele-Cardiologist (June 2010 – Present) in Caribbean Heart Institute, Jamaica; As a Senior Cardiology Specialist or Consultant Director of Cardiac CT unit (2003- 2014) in Aero- Medical council and Egypt air hospital; As a Cardiology specialist or Consultant (2002 –2014) in Saint Rita hospital, Cairo, Egypt; As a Cardiology specialist (July 2000 – July 2002) in Cardiology department of Defense industry medical Centre (DIMC), Cairo, Egypt; As a Cardiology Resident or Registrar (March 1996 – June 2000) in Cardiology Department of Kobry Elkobba Military Hospital, Cairo, Egypt. In addition, he did a Rotating Internship (Feb 1995 – Feb 1996) in the Faculty Of Medicine at Ain Shams University Hospitals, Cairo, Egypt.

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Education:

BDS

Professional Bio:

Dr. Divya Banu M is a dedicated Dental Surgeon with valuable clinical experience. She specializes in the diagnosis, prevention, and treatment of various diseases and conditions affecting the oral cavity. With a gentle and patient-centered approach, she is committed to promoting oral health and enhancing smiles through quality dental care. Her areas of expertise include restorative dentistry, preventive dental care, and cosmetic dental procedures.

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Dr. Ahmed Mohamed Mahmoud Goha

Cardiology

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Education:

MBBS

Professional Bio:

Dr.Ahmed Mohamed Mahmoud Goha is a Cardiologist with 28 years of clinical experience. He completed his Cardiology and Cardiac Imaging Consultant in September 2019 Egypt-Air Hospital, Cairo, Egypt. He has worked in the following places- Clinical Cardiac Imaging Fellow (July 2014 to June 2019); In the Nuclear Medicine Division of the Medical Imaging Department, Western University, London, Ontario, Canada; As a Tele-Cardiologist (June 2010 – Present) in Caribbean Heart Institute, Jamaica; As a Senior Cardiology Specialist or Consultant Director of Cardiac CT unit (2003- 2014) in Aero- Medical council and Egypt air hospital; As a Cardiology specialist or Consultant (2002 –2014) in Saint Rita hospital, Cairo, Egypt; As a Cardiology specialist (July 2000 – July 2002) in Cardiology department of Defense industry medical Centre (DIMC), Cairo, Egypt; As a Cardiology Resident or Registrar (March 1996 – June 2000) in Cardiology Department of Kobry Elkobba Military Hospital, Cairo, Egypt. In addition, he did a Rotating Internship (Feb 1995 – Feb 1996) in the Faculty Of Medicine at Ain Shams University Hospitals, Cairo, Egypt.

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