Canonical: https://echosuite.app/guides/views/subcostal-four-chamber/

# Subcostal four chamber echo view

Probe position and acquisition guidance for this echocardiographic view.

Created by [Mohammed Kamareddine, MD](https://echosuite.app/about/) · [Sources & educational scope](https://echosuite.app/about/)

[Open this view in Probe Lab →](https://echosuite.app/#subcostal4c)

## 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.

[Practice Subcostal four chamber](https://echosuite.app/#subcostal4c) · [Browse measurement guides](https://echosuite.app/guides/)

## 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.

[Primary reference](https://pubmed.ncbi.nlm.nih.gov/30282592/)

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