Subcostal 4 Chamber

Subcostal 4 Chamber

LEarning goals

  • Position the patient
  • Identify the surface landmarks for probe placement
  • Correctly position & orientate the probe on the patient
  • Obtain the Subcostal 4C view
  • Identify the cardiac structures and chambers

Patient Position

  • Supine
  • Knees flexed

Probe Position

  • Place the probe in the subxiphoid region, below the xiphisternum
  • Probe orientation marker should face the patients left flank
  • Angle the transducer to face the patient’s head

Obtaining the view

  1. All 4 cardiac chambers are seen.
  2. The mitral and tricuspid valves are seen
  3. The right heart is at the top of the display, closest to the transducer

Structures and chambers seen

SC4C View
Answers
Identify the Structures and Chambers
A - Right Atrium, B- Right Ventricle C- Left Atrium D- Left Ventricle