Inferior Rwma : Recently had a nuclear... - British Heart Fou...

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Inferior Rwma

graemeparsons profile image
6 Replies

Recently had a nuclear fusion scan and it mentioned the above" lnferior rwma" can anybody explain what this means. Thank you.

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graemeparsons
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Gnus profile image
Gnus

Inferior refers to the bottom surface of the heart muscle, and RWMA stands for "regional wall motion abnormality". This basically means that there's a region of the heart on the lower surface which isn't contracting as strongly as the rest of the heart muscle. This could be due to many different reasons depending on your medical history.

RWMA can range from hypokinesia, where the muscle still contracts but a bit less than normal, and akinesia where it doesn't contract at all (and dyskinesia where it contracts out of sync with the other segments). So, on its own it tells you some information but not the whole picture. Hope that is helpful and not too serious sounding.

graemeparsons profile image
graemeparsons in reply to Gnus

Thank you for your reply. I had two heart attacks back in 2014 which resulted in 7 stents but this rwma was never mentioned at that time.

Gnus profile image
Gnus in reply to graemeparsons

I think the person who can help explain it the best is probably your consultant, you can ask if the RWMA is a long term thing from the heart attack or if its a new finding.

graemeparsons profile image
graemeparsons in reply to Gnus

Thanks again.

fishonabike profile image
fishonabike in reply to graemeparsons

as explained, it could be that a small area of heart muscle is not contracting as well as it should and this could be due to scarring or damage caused by your heart attack - i am sure that your cardiologist would offer follow-up if they felt it necessary

I had this show up on a Cardiac CT scan - a subsequent echocardiogram with induced stress (chemical) showed nothing of concern - the echocardiogram was for them to check the efficiency of heart function and to see the heart in action as it pumped while being made to work a bit harder than when resting (as it was during the CT scan)

graemeparsons profile image
graemeparsons in reply to fishonabike

Thank you.