TY - JOUR
T1 - Echocardiographic pattern of abnormal septal motion: Beyond myocardial ischemia
AU - Manganaro, Roberta
AU - Cusmà-Piccione, Maurizio
AU - Carerj, Scipione
AU - Licordari, Roberto
AU - Khandheria, Bijoy K
AU - Zito, Concetta
N1 - Manganaro R, Cusmà-Piccione M, Carerj S, Licordari R, Khandheria BK, Zito C. Echocardiographic Patterns of Abnormal Septal Motion: Beyond Myocardial Ischemia. J Am Soc Echocardiogr. 2023;36(11):1140-1153. doi:10.1016/j.echo.2023.08.003
PY - 2023/11/1
Y1 - 2023/11/1
N2 - Abnormal septal motion (ASM), which often is associated with myocardial ischemia, is also observed in other diseases. Owing to the position of the interventricular septum (IVS) in the heart, its movement relies not only on contractile properties but is also affected by the pressure gradient between the two ventricles and by the mode of electrical activation. Echocardiography allows the operator to focus on the motion of the IVS, analyzing its characteristics and thereby gaining information about the possible underlying pathophysiological mechanism. In this review, we focused on the main echocardiographic patterns of ASM that are not related to a failure of contractile properties of the septum (i.e., acute coronary syndrome and cardiomyopathies), showing their pathophysiological mechanisms and underlining their diagnostic usefulness in clinical practice.
AB - Abnormal septal motion (ASM), which often is associated with myocardial ischemia, is also observed in other diseases. Owing to the position of the interventricular septum (IVS) in the heart, its movement relies not only on contractile properties but is also affected by the pressure gradient between the two ventricles and by the mode of electrical activation. Echocardiography allows the operator to focus on the motion of the IVS, analyzing its characteristics and thereby gaining information about the possible underlying pathophysiological mechanism. In this review, we focused on the main echocardiographic patterns of ASM that are not related to a failure of contractile properties of the septum (i.e., acute coronary syndrome and cardiomyopathies), showing their pathophysiological mechanisms and underlining their diagnostic usefulness in clinical practice.
KW - abnormal septal motion
KW - transthoracic echocardiography
KW - myocardial ischemia
UR - https://institutionalrepository.aah.org/auroragme/309
U2 - 10.1016/j.echo.2023.08.003
DO - 10.1016/j.echo.2023.08.003
M3 - Article
C2 - 37574150
JO - Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography
JF - Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography
ER -