Paradoxical septal motion: Difference between revisions
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==Risk Factors== | ==Risk Factors== | ||
Certain surgical procedures are independently associated with a higher risk of PSM: | Certain surgical procedures are independently associated with a higher risk of PSM:<ref>Reynolds HR, Tunick PA, Grossi EA et-al. Paradoxical septal motion after cardiac surgery: a review of 3,292 cases. Clin Cardiol. 2007;30.</ref> | ||
===Risk Factors Associated with an Increased Risk of PSM=== | ===Risk Factors Associated with an Increased Risk of PSM=== | ||
*[[Aortic valve surgery]] (p=0.02) | *[[Aortic valve surgery]] (p=0.02) | ||
Revision as of 00:40, 23 September 2012
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Synonyms and keywords: PSM
Overview
Paradoxical septal motion is defined as movement of the interventricular septum away from the left ventricular free wall during systole which is the opposite of its normal movement which is inward toward the left ventricle / or the left ventricular free wall during systole.
Causes
- Arrhythmogenic RV dysplasia
- Atrial septal defect
- Following heart surgery. There may be altered LV function and lack of restraint on the pericardium if it is opened.
- Pericardial effusion (large)
- Pulmonary hypertension
- Right ventricular hypertrophy
- Right ventricular volume overload
Risk Factors
Certain surgical procedures are independently associated with a higher risk of PSM:[1]
Risk Factors Associated with an Increased Risk of PSM
- Aortic valve surgery (p=0.02)
- Mitral valve surgery (p<0.001)
- Longer cardiopulmonary bypass time (p < 0.001)
Risk Factors Associated with an Decreased Risk of PSM
- Coronary artery bypass grafting (CABG) than non-CABG surgery (p = 0.003)
- Off-pump coronary artery bypass (OPCAB)
Diagnosis
Echocardiography
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References
- ↑ Reynolds HR, Tunick PA, Grossi EA et-al. Paradoxical septal motion after cardiac surgery: a review of 3,292 cases. Clin Cardiol. 2007;30.