I am not entirely sure what to make of your question, but I gather you are referring to the inferior wall of the heart muscle. The heart muscle is shaped like a cone tipped over on its side, with the inferior wall making up the bottom, the anterior wall making up the top, and the lateral wall and the septum making up the two sides. Your question refers to the distal inferior wall, which refers to the bottom part of the heart that is closest to the tip of the cone.
By referring to problems involving the distal inferior wall, I would assume that you have had some form of testing which showed a problem with this part of the heart muscle. If the distal inferior wall is not functioning properly, this means either: 1) a previous heart attack has damaged this part of the heart; or 2) there is a serious narrowing in the artery that supplies the blood to this part of the heart.
Either way, this is the type of situation that requires a sit-down discussion with your doctor.
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