Apical Wall Motion Abnormality

 

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This individual had a prior LAD infarct. Note that the apex is thinned and akinetic.  This individual also has an ICD, seen best in the RV.

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This two chamber view shows normal wall motion of the basal anterior and inferior wall but the anteroapex is clearly abnormal.

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This apical long axis shown how the distal anteroseptum and apex are thinned and akinetic due to prior infarct. The basal septum contracts as does the inferolateral wall shown here in a different color scheme.

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The parasternal windows shown here do not show any obvious abnormality because the distal anteroseptum and apex are not always well seen in these views. This is why it is important to consider all views when remarking on wall motion abnormalities.