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🔬 Apical Rocking 🫀✨ A key apical movement in the mechanical dyssynchrony of the BRIHH. 💡 It occurs when the septum is shortened early, stretching the posterolateral wall and moving the apex of the VI towards the VD. Then, the late contraction reverses the movement. | Cardiophilia
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Apical 4-chamber view from a 2D echocardiogram shows a large pericardial effusion surrounding the heart. The heart has a swinging motion during the cardiac cycle, and there is compression of the right ventricle early in diastole, suggesting impending tamponade | Cardiovascular Education
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🎥 Classic Echo Finding: Apical Rocking 🔍 What you see here is a classic example of apical rocking, a striking echocardiographic sign. 🫀 When does it occur? It is typically observed in patients with left bundle branch block (LBBB). 📌 Why does it happen? Because of the abnormal sequence of ventricular activation in LBBB, the septum and lateral wall contract out of sync. This dyssynchrony leads to the characteristic “rocking” motion of the apex. 💡 Clinical Pearl: Apical rocking is not just a v
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