TTE views

Question 1

Answer 1

Parasternal long axis view - 3rd-5th interspace, just to the left of the sternum, probe indicator toward the right shoulder. RV, LV, LA, LVOT with aortic and mitral valves. Turn on doppler to evaluate for aortic regurgitation.

Question 2

Answer 2

Parasternal short axis view - start with PLAX, rotate probe 90 degrees until probe indicator is pointed at the left shoulder, and fan down and medially. Left and right ventricles, can see anterolateral and posteromedial papillary muscles.

Question 3

Answer 3

Subcostal long axis view - start 1-2 cm below the xiphoid, shift probe slightly to the right. LV, LA, RV, RA. Can ask patient to take a breath to improve image. Good for exams during cardiac arrest.

Question 4

Answer 4

Subcostal IVC - start at the SLAX and then put the RA in the middle of the image, and rotate the probe 40-60 degrees clockwise. Can help to evaluate volume status.

Question 5

Answer 5

Apical 4 chamber view - put probe in inframammary crease put probe indicator on the left and angle medially. Possibly best view for evaluating mitral valve function especially with doppler.