Скачать или смотреть 🫀 2D Echo – Apical Multiplane View

🫀 2D Echo – Apical Multiplane View
The apical multiplane approach involves systematically rotating the imaging plane at the apical window to obtain multiple standard views from a single probe position. This technique enhances anatomical understanding and improves efficiency during echo exams.

🔄 Standard Multiplane Views from Apical Window:

Apical 4-Chamber (A4C) – 0°

LA, RA, LV, RV, mitral & tricuspid valves

Apical 5-Chamber (A5C) – ~10–20° anterior tilt

Adds the LVOT and aortic valve (fifth chamber)

Apical 2-Chamber (A2C) – ~60°

LA, LV, mitral valve (no RV)

Apical 3-Chamber (A3C) – ~120°

LV, LA, aortic valve, LVOT, mitral valve (like PLAX from apex)

📌 Clinical Advantages:

Complete left ventricular assessment (EF, WMA)

Optimal views for Simpson’s biplane calculation

Allows Doppler interrogation of aortic, mitral, and tricuspid valves

Improves detection of apical thrombus, wall motion abnormalities, and valvular pathology

🧭 Probe Technique Tip:
Keep the transducer at the apical impulse point, and rotate the probe (or use electronic rotation on 3D/4D machines) to transition between these views—always ensuring the apex is not foreshortened.

💡 Multiplane imaging = full functional insight
This is a core approach in both 2D and 4D echo, especially for comprehensive ventricular function, valve evaluation, and pre/post-surgical planning.

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