🎥 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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PATIENT WITH LT BBB On echocardiography: You’ll often see: Septal flash — brief early systolic leftward motion of the septum. Apical rocking — side-to-side motion of the apex due to asynchronous contraction. Reduced global LV function despite sometimes normal myocardium. | Dr. Fakhri Ibrahim Echocardiography from the beginning to professionalism
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