This echocardiography clip is showing an abnormal motion of Interventricular septum (IVS) in a patient with LBBB in Apical four chamber view (A4CH). In a majority of patients with left bundle-branch block (LBBB), there is abnormal leftward motion of the interventricular septum during the pre-ejection phase. This motion was considered to be passive, caused by early rise in right ventricular (RV) pressure.

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#cardiology #echo #echocardiography #medical

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