Subcostal 4 chamber view

Position the patient supine, with relaxed abdomen and bent legs if possible. A good image is obtained if patient will stop breathing after inhaling.

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 " Subcostal 4 Chamber " from the List <<Positions>> or

Find Subcostal 4 Chamber View with 3D Transducer

Echocardiography Transducer is located 2-3 cm below the xiphoid. transducer marker is located to the left (to the right of the researcher). Central ultrasonic beam is directed up and left (See Operations on Transducer).

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.