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We explore the subtle changes that occur on M\u2010mode imaging of the septum, other associated echocardiographic features, the impact of inspiratory effort on septal motion and relevant clinical findings. Finally, we discuss the impact of abnormal septal motion on cardiac form and function, proposing there is a clinically significant impact on biventricular filling and ejection.<\/jats:p>","DOI":"10.1002\/ajum.12086","type":"journal-article","created":{"date-parts":[[2018,2,28]],"date-time":"2018-02-28T10:02:47Z","timestamp":1519812167000},"page":"79-86","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Paradoxical septal motion: A diagnostic approach and clinical relevance"],"prefix":"10.1002","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0006-6056","authenticated-orcid":false,"given":"David J.","family":"Clancy","sequence":"first","affiliation":[{"name":"Intensive Care Unit Nepean Hospital Kingswood Sydney 2747 New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Mclean","sequence":"additional","affiliation":[{"name":"Intensive Care Unit 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