Subcostal four chamber echo view
Probe position and acquisition guidance for this echocardiographic view.
Probe position
Immediately inferior to the xiphoid, aimed beneath the costal margin
Acquire the view
With the patient supine, flatten the probe below the xiphoid and aim toward the left shoulder using the liver as the window.
Optimize the image
Use held inspiration if helpful and keep both septa perpendicular to the beam.
Practice in EchoSuite
The interactive lab pairs the probe and mannequin with the corresponding clinical reference cine. Enter Practice to move the probe and follow the view’s acquisition coaching.
Source
This is the same acquisition wording used in EchoSuite’s Probe Lab. Mitchell C, Rahko PS, Blauwet LA, et al. Guidelines for Performing a Comprehensive Transthoracic Echocardiographic Examination in Adults. J Am Soc Echocardiogr. 2019;32(1):1–64.
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