58K views · 406 reactions |  Teaching Post | 變 Echo/Education Did you notice?  The apical & basal septal segments are akinetic, while the mid-septum appears hypokinetic.  Explanation: The mid-septum is relatively spared due to collateral blood supply from the moderator band. #Cardiology #Echo #MedEd | Ahmed Mohsen | Facebook
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Anteroapical thrombus in patient with anteroapical akinesia post anteroapical MI Why an akinetic area predisposes to thrombus formation 1. Blood stasis (the main reason) An akinetic region does not contract, so it fails to eject blood properly. Blood becomes stagnant in that pocket, especially in the apex → slow-flow / spontaneous echo contrast appears on echo. Slow flow is the perfect environment for clot formation. 2. Endocardial injury after infarction Akinetic segments usually represent an a
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