Paradoxical septal motion

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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 toward the 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

Diagnosis

Echocardiography

References