Echocardiographic signs of LBBB M-mode: shows paradoxical septal motion — the septum moves inward early and then outward later in systole. 2D echo: demonstrates septal flash (brief early septal contraction), apical rocking (side-to-side movement of the apex), and delayed lateral wall contraction. Doppler: shows prolonged LV pre-ejection period and interventricular mechanical delay (aortic flow starts much later than pulmonary flow). Tissue Doppler (TDI): reveals septal-to-lateral delay in peak s
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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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