Global hypokinesis is a disease that affects the heart. It is termed global because it affects all the parts of the heart including the ventricles, walls, arteries, tissues and the membranes. The condition weakens the heart and can cause severe or mild blockage of the coronary arteries. Regional cardiac weakness is different from the global hypokinesis as the former only affects some parts of the hearts when the remaining parts are normal.
Causes of global hypokinesis
The causes of global hypokinesis leading to heart failure are some of the cardiac abnormalities that alter the normal functioning of the heart. The abnormalities may weaken the heart muscles and all of its tissues. The following are some of the causes that may lead to global hypokinesis.
Overload of the heart
When the heart is overwhelmed due to some of the abnormalities such as the valve abnormalities, thyroid disorders, kidney disorders, heart defects and diabetes, it may lead to the global hypokinesis. This is due to the excessive pressure applied in the heart to perform all its functions. The above abnormalities increase the chances of developing the global hypokinesis.
This happens when the heart muscles lack enough blood rich in oxygen. It occurs when the coronary arteries are blocked hence the supply of healthy blood is inhabited. The blockage may lead to sudden stop of blood supply consequently causing damage to the heart leading to massive heart attack.
Coronary heart disease
Coronary disease is another leading cause of the global hypokinesis. The disease is as a result of the arteries not functioning properly therefore the blood supplied in the cardiac system may be low and deficient of oxygen. When the arteries are highly obstructed, the heart may lack vital nutrients needed for its performance hence leading to the global hypokinesis.
Symptoms of global hypokinesis
High water retention
The heart pumps the blood to all parts of the body. When there is abnormality in the heart, the blood supply is decreased in the kidney hence too much water is retained in the body. This may lead to conditions including weight gain, appetite loss, bloating and the body might swell. There may also be frequent urge to pass out urine at night.
Fast Heart beat
This is so common when infected with global hypokinesis. This is as a result of the heart trying to pump sufficient blood to all parts of the body hence leading to rapid and irregular heart beat.
General body weakness
The patient may feel dizzy since the brain does not receive enough blood. Also when the muscles do not receive enough blood, general weakness and laziness may happen to the person
This is caused as a result of the excess fluids in the lungs. The case worsens when the patient lies flat and while exercising, the patient may run short of breath, may experience wheezing or dry cough.
Treatment of global hypokinesis
The treatment categorizes the different stage of the disorder and treatment is categorized as per the stage. Those patients that are not highly affected and have a high potential of developing the disease are categorized in the first phase. Those with diabetes, heart ailments highly blood pressure and coronary artery diseases are under this bracket. Those who take alcohol and have a history of heart related ailments also fall in this category. For treatment the alcohol and smokers may be advised to quit that lifestyle. Those with hypertension may undergo therapy and regular exercise is advised. Medications such as beta blocker and ARB may be prescribed.
The second phase of treatment is for those patients that have a history of valve disorders, heart attack history and left ventricular abnormalities without any sign of heart arrest. Apart from combining the above treatment for phase one, drugs such as aldosterone inhibitor may be prescribed. Surgical operations may be performed to replace the damaged valves and the arteries.
The third phase of treatment is for those that experience general weakness, runs out of breath during work outs, have fatigue and dizziness. The treatment for this phase is combined with the phase 1 one treatment. Medication such as aldosterone inhibitors and hydralazine may be used for chronic cases. Regulating the weight, therapy of the cardiac by resynchronization, avoiding medication that worsens the global hypokinesis may be advised. Reducing salt intake in liquids also helps.
The fourth phase is for those patients that have tried to be treated by advanced therapy but still the disorder is recurring. The combination of the above types of treatment may be applied together with devices to assist ventricles, continuous administration of drugs and other therapies may be used. Heart transplant, other surgeries and close monitoring at the hospital may be embraced.
The treatment of global hypokinesis depends on the severity of the attack. Taking a balanced diet and living a healthy lifestyle may contribute in treating the disease. For extreme cases different medications may be prescribed and the patient closely monitored.