Old AWMI, severe LV dysfunction, S/P ICD. Admitted with decompensated HF. Ascites, ICD below Rt clavicle(L was occluded). Zoom the pen movement and see character of apex beat. Other than AS, HOCM, Severe hypertension, Sustained apex can be seen in severe LV dysfunction also. | Cardiophilia
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Case 43: Significant Spontaneous Echo Contrast In Left Ventricle ( DCM/Severe LV Dysfunction / LVEF : 15% in M- Mode / LVEF : 10% In Simpson's Method. Echo Report Dilated Cardiomyopathy Global Hypokinesia of LV, Severe LV Dysfunction, Dilated LA & LV, Severe Spontaneous Echo Contrast in LV, Mild MR, Minimal PE / EF : 15% in M-Mode/ EF 10% In Simpson's Method. | Interesting cases in Echocardiography
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Differential Diagnosis of LV Mass 1--Thrombus (most common) Cause: Usually after myocardial infarction (especially anterior/apical), in LV aneurysm, or in severe LV systolic dysfunction. Echocardiographic features: Located near apex or akinetic area. Often sessile or laminated (organized) or mobile and protruding (acute/fresh). Avascular (no flow on contrast echo). Echodensity similar or slightly less than myocardium. Key clue: Underlying regional wall motion abnormality. --- 2--Cardiac Tumors a
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