ALBERTA SONO
  • Home
  • About
    • The Team
    • Social Media
    • Research >
      • COVID Shunt Study
      • Echo-AKI
      • Curriculum design & implementation
    • Events >
      • ABSono Rounds >
        • ABSono Rounds Recordings
      • Joint Rounds
      • CRUS West 2021
    • Training >
      • CCUS Rotation
      • Clinical CCUS Fellowship
      • eCLass Ultrasound
  • Sonology
    • Physics of ultrasound
    • Transducer manipulation
    • Image optimization
    • Machines >
      • X-Porte
      • EDGE
    • Quality >
      • Essentials QPath E
      • Submitting for QA
    • Critical Thinking
  • Echo
    • Standard echo views >
      • Echo in shock VR
    • LV Function Assessment >
      • Regional cardiac anatomy
    • Pitfalls in LV assessment
    • Pericardial space
    • RV function assessment
    • Inferior vena cava
    • Cardiac Output
    • Echo in VTE
    • The Echo Lab >
      • Standard acquisition
      • Key references
    • TEE >
      • Focused 4-view
      • Shunts and Bubble Studies
  • Lung US
    • Overview
    • Pneumothorax detection
    • Interstitial diseases
    • LUS in respiratory failure
    • Pleural Effusion Assessment
    • LUS in Covid-19
  • Whole-body Ultrasound
    • RUSH exam
  • Procedural US
    • VR in HALO
    • Central line (IJ)
    • Central line (Subclavian)
    • Central line (Femoral)
    • Thoracentesis
    • Paracentesis
    • U/S-guided PIV
    • Radial Arterial line
  • Trauma US
    • eFAST fundamentals
    • eFAST Core Knowledge
    • The Thorax
    • The Heart
    • The Abdomen
  • Neuro
    • Optic nerve sheath diameter
    • Transcranial Doppler
  • GIMUS
    • GIMUS Rounds
    • Rules of GIMUS
  • References and links
    • References
    • Helpful links

Regional anatomy

Cardiac "geography"

Parasternal long axis

The parasternal long axis cuts through the long axis of the LV with the septum in the near field and infero-lateral wall in the far field.
Picture

Parasternal short axis (base-level)

At the LV base, immediately inferior to the aortic valve, you can see the classic "fish mouth" view of the mitral valve. While the cardiac regions are anterior, inferior, lateral and septal, they are further subdivided as outlined here.
Picture

Parasternal short axis
​ (mid-level)

Picture

Parasternal short axis (apex)

Picture

Apical 4-chamber

Often one of the most challenging views to understand, the apical 4-chamber should be non-foreshortened and exclude the left ventricular outflow tract. In this perspective, the basal septum is shown (subdivided) and opposing wall is antero-lateral (subdivided again), along with the apical cap.
Picture

APical 5-chamber

With either slight fanning or probe rotation, the LVOT is displayed with the aortic valve. Because this view requires to fan or angle the probe cephalad, you now see the anterior portion of the septum (subdivided).
Picture

Apical 3-chamber

The apical 3-chamber has essentially the same configuration as the parasternal long axis. Because you can see the aortic valve, the septal portion must be anterior. The opposing wall is infero-lateral (As seen in PLAX).
Picture

APical 2-chamber

This view is 90 degrees from the apical 4-chamber and, if well positioned, should demonstrate the anterior and inferior walls (subdivided).
Picture
  • Home
  • About
    • The Team
    • Social Media
    • Research >
      • COVID Shunt Study
      • Echo-AKI
      • Curriculum design & implementation
    • Events >
      • ABSono Rounds >
        • ABSono Rounds Recordings
      • Joint Rounds
      • CRUS West 2021
    • Training >
      • CCUS Rotation
      • Clinical CCUS Fellowship
      • eCLass Ultrasound
  • Sonology
    • Physics of ultrasound
    • Transducer manipulation
    • Image optimization
    • Machines >
      • X-Porte
      • EDGE
    • Quality >
      • Essentials QPath E
      • Submitting for QA
    • Critical Thinking
  • Echo
    • Standard echo views >
      • Echo in shock VR
    • LV Function Assessment >
      • Regional cardiac anatomy
    • Pitfalls in LV assessment
    • Pericardial space
    • RV function assessment
    • Inferior vena cava
    • Cardiac Output
    • Echo in VTE
    • The Echo Lab >
      • Standard acquisition
      • Key references
    • TEE >
      • Focused 4-view
      • Shunts and Bubble Studies
  • Lung US
    • Overview
    • Pneumothorax detection
    • Interstitial diseases
    • LUS in respiratory failure
    • Pleural Effusion Assessment
    • LUS in Covid-19
  • Whole-body Ultrasound
    • RUSH exam
  • Procedural US
    • VR in HALO
    • Central line (IJ)
    • Central line (Subclavian)
    • Central line (Femoral)
    • Thoracentesis
    • Paracentesis
    • U/S-guided PIV
    • Radial Arterial line
  • Trauma US
    • eFAST fundamentals
    • eFAST Core Knowledge
    • The Thorax
    • The Heart
    • The Abdomen
  • Neuro
    • Optic nerve sheath diameter
    • Transcranial Doppler
  • GIMUS
    • GIMUS Rounds
    • Rules of GIMUS
  • References and links
    • References
    • Helpful links