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Appendix B: Wall Motion and Coronary Perfusion

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    AMA Citation
    Wall Motion and Coronary Perfusion. In: Mathew JP, Nicoara A, Ayoub CM, Swaminathan M. Mathew J.P., Nicoara A, Ayoub C.M., Swaminathan M Eds. Joseph P. Mathew, et al.eds. Clinical Manual and Review of Transesophageal Echocardiography, 3e New York, NY: McGraw-Hill; . http://accessanesthesiology.mhmedical.com/content.aspx?bookid=2499&sectionid=201985689. Accessed July 18, 2019.
    MLA Citation
    . "Wall Motion and Coronary Perfusion." Clinical Manual and Review of Transesophageal Echocardiography, 3e Mathew JP, Nicoara A, Ayoub CM, Swaminathan M. Mathew J.P., Nicoara A, Ayoub C.M., Swaminathan M Eds. Joseph P. Mathew, et al. New York, NY: McGraw-Hill, , http://accessanesthesiology.mhmedical.com/content.aspx?bookid=2499&sectionid=201985689.

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SEVENTEEN-SEGMENT MODEL OF THE LEFT VENTRICLE

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CORONARY PERFUSION IN THE LONG-AXIS VIEWS

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CORONARY PERFUSION IN THE SHORT-AXIS VIEWS

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SCORING OF WALL MOTION ABNORMALITIES

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Grade Wall Thickening (%) Radial Shortening* (%)
1 = Normal >30 >30
2 = Mild hypokinesis 10–30 10–30
3 = Severe hypokinesis <10 <10
4 = Akinesis None None
5 = Dyskinesis Systolic thinning Systolic increase in radius

*Radial shortening is defined as the percentage shortening of an imaginary radius from the endocardial border to the center of the left ventricle.

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