Apical 4 chamber view

Apical 4 Chamber View makes it possible simultaneously examine the left and right ventricles and Atria, atrial and interventricular septum, mitral and tricuspid valves. Apical 4 Chamber View is one of the best positions for studying local and global contractility of the left ventricle. Only from this position researcher can speak with confidence about the dilatation of the right parts of the heart.

Click image to enlarge

PRACTICE IN THE SIMULATOR

How to obtain this view

1. Switch Echocardiography Simulator to B-Mode. Initially Simulator is set to B-Mode.
2. Using Slider and Buttons <<Skeleton>> Choose appropriate transparency level.
3. Choose position " Apical 4 Chamber " from the List <<Positions>> or

Find Apical 4 Chamber View with 3D Transducer

To obtain this position Echocardiography Transducer is positioned in the area of the Apex Beat (See Operations On Transducer) or slightly down and left of it. Transducer Marker is directed to the left (to the right of the researcher). The Central ultrasound beam is directed to the base of the heart (Towards the patient head).

VIDEO TUTORIAL

See the probe position in action

ANATOMY

Structures visualized in this view

• LA-Left Atrium.
• LV-Left Ventricle.
• AL-Anterior Leaflet of the Mitral Valve.
• PL-Posterior Leaflet of the Mitral Valve.
• IVS-Interventricular Septum.
• IAS-Interatrial Septum.
• RA-Right Atrium.
• RV-Right Ventricle.
• TV-Tricuspid Valve.
• APEX-Apex of the Heart.

Note: It should be noted that in the apical four-chamber position, the atrial septum in the area of the middle part is not visualized, and this pattern can be mistaken for a defect of the atrial septum.