Question

In the apical 4 ch view of another patient, the distal ventricular septum and left ventricular apex are hypo-contractile. Which coronary artery is most likely to be diseased?

Answer 1

The most likely diseased coronary artery is the anterior interventricular artery (LAD).

Step-by-step explanation:

The distal ventricular septum and left ventricular apex are hypo-contractile in the apical 4 ch view. Based on the information provided, the most likely diseased coronary artery would be the anterior interventricular artery (LAD). The LAD is one of the major branches arising from the left coronary artery and supplies blood to the anterior portion of the interventricular septum. If it is diseased or blocked, it can result in hypokinesis or reduced contractility of the distal ventricular septum and left ventricular apex.

Answer 2

The left anterior descending artery (LAD) is most likely to be diseased when hypo-contractility of the distal ventricular septum and left ventricular apex is observed, as it supplies these areas with blood.

Step-by-step explanation:

If the distal ventricular septum and left ventricular apex are hypo-contractile, this suggests that the blood supply to these areas of the heart is compromised.

The coronary artery most likely to be diseased in causing hypocontractility in the distal ventricular septum and left ventricular apex is the left anterior descending artery (LAD). The LAD is a major branch of the left coronary artery that follows the anterior interventricular sulcus and supplies blood to the front of the left ventricle and the interventricular septum.

When the LAD is occluded, areas it supplies can become ischemic and hypo-contractile, which can be identified in an apical 4-chamber (4 ch) view during an echocardiogram.