17K views · 232 reactions |  Apical Rocking 變✨ 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 | Facebook
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2.8K views · 18 reactions | Septal flash  Associated with left branch lock  Mechanism: - Early contraction of the SIV towards the VI by asynchronous activation. - Initial "Flash" to the left, followed by a rebound to the right during the ejection. Associated sign: "rocking apical" | Cardiophilia | Facebook
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