Hey long runner,   To start, it will be helpful to clarify some of the terms used in the report on your EKG test.   The term "Hypokinetic" according the the Merrian Webster Dictionary website means, "associated with decreased motor activity"   and ischemia is a term  refers to a spot in your blood vessels that is restricted and prohibiting oxygen and other nutrients from entering tissue.   I'm not a doctor and can't interrpret the results of your EKG, but since your results fell fairly low on the range of possiblities I would think you don't have too much to worry about. If your results indicated something very serious, your doctor would have had you take the appropriate actions. But it's always best to open the lines of communication with your doctor and address these questions with him or her.