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Paradoxical Septal Motion

Updated
Paradoxical Septal Motion

Deep Dive

Going into detail on what this term means and how it relates to health guidelines. This article may be incomplete.

Paradoxical Septal Motion refers to an abnormal movement pattern of the septum, which is the wall that separates the left and right sides of the heart. The septum typically moves in a coordinated manner during the cardiac cycle, contracting when the left ventricle contracts and relaxing during diastole. In conditions such as left bundle branch block (LBBB) or right ventricular pacing, the septum may move paradoxically, meaning it moves in the opposite direction of the ventricular free wall during contraction.

This abnormal movement can disrupt the normal pumping function of the heart, leading to inefficient blood circulation. When paradoxical septal motion occurs, it can indicate an underlying conduction abnormality affecting the heart's electrical system. This can be detected through imaging modalities like echocardiography, where the abnormal septal motion can be visualized in real-time.

Identifying paradoxical septal motion is crucial as it may impact the overall cardiac performance and contribute to symptoms like dyspnea, reduced exercise tolerance, and even heart failure. Managing the underlying cause of paradoxical septal motion, such as addressing the conduction abnormality or optimizing pacing strategies, is essential in improving cardiac function and alleviating associated symptoms. Close monitoring and follow-up assessments are important to evaluate the effectiveness of interventions and ensure optimal heart function over time.


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