Today's #FiTSurvivalGuide for basic #EchoFirst views
Parasternal Long Axis:
Left lateral decubitus
3rd L intercostal space. Move⬆️or⬇️ to find window
👀descending aorta, coronary sinus, pericardium, LV, both leaflets of MV, LA, aortic valve & root, RV
![](https://pbs.twimg.com/media/Dha_PaUW4AAPSp2.png)
![](https://pbs.twimg.com/media/Dha_RGZW4AA9Bk9.jpg)
Parasternal short
👀annulus, 3 cusps of aortic valve (open in systole, close in diastole), coronary ostia (LM at 4 & RCA at 11), LA, IAS, RA, TV, RVOT, pulmonary valve, proximal pulmonary artery (slight superior angulation for R & L branches)
#FiTSurvivalGuide
![](https://pbs.twimg.com/media/DhbAF1ZWsAAt1hF.jpg)
![](https://pbs.twimg.com/media/DhbAHUaWsAAgID8.jpg)
Obtain apical views via slight angulation and tilt of probe at same location.
Apical 5 Chamber:
5th "Chamber" is Aortic valve/LVOT
#FiTSurvivalGuide
![](https://pbs.twimg.com/media/DhbBhnlXkAA3Cfz.jpg)
![](https://pbs.twimg.com/media/DhbBjIlWsAAPQL6.jpg)
![](https://pbs.twimg.com/media/DhbBkOsW0AA75cx.jpg)
A3C or Apical Long Axis:
From A4C, rotate clockwise 60 degrees.
👀 MV and AV in same plane.
✔️Utility in detecting AV and subvalvular obstruction; HCM.
✔️May cause more endocardial dropout and poorer wall motion visualization.
#FiTSurvivalGuide
![](https://pbs.twimg.com/media/DhbCpamW0AA-nLG.jpg)
Subcostal IVC; via modification of short-axis plane
👀 IVC dimensions; sniff
✔️Hepatic vein flow; pulsed Doppler, especially with respiratory variation.
#FiTSurvivalGuide
![](https://pbs.twimg.com/media/DhbDBHAWsAE5f4K.jpg)
![](https://pbs.twimg.com/media/DhbDCsBX4AApB6H.jpg)
threadreaderapp.com/thread/1015216…
There is more #FITSurvivalGuide this month, especially with more #EchoFirst