{"id":317,"date":"2015-10-09T18:11:48","date_gmt":"2015-10-09T18:11:48","guid":{"rendered":"https:\/\/sites.austincc.edu\/sonography-resources\/?page_id=317"},"modified":"2016-09-15T16:01:00","modified_gmt":"2016-09-15T16:01:00","slug":"apical-window","status":"publish","type":"page","link":"https:\/\/sites.austincc.edu\/sonography-resources\/2d\/apical-window\/","title":{"rendered":"Apical Window"},"content":{"rendered":"<div class=\"row\">\n<h2 class=\"col-sm-12\">Apical 4C View<\/h2>\n<p class=\"col-sm-12\">The transducer is placed at the 4-5th rib space and patient\u2019s mid axilla with the image marker toward the bed.  Ensure the sound beam transects the LV apex, all chambers are full and valves opening as widely as possible. Slight adjustments in angle and rotation maybe necessary to demonstrate all the structures for this view optimally.<\/p>\n<div class=\"col-sm-6\">\n<div class=\"embed-responsive embed-responsive-4by3\">\n<div class=\"embed-responsive-item\">\n        <iframe loading=\"lazy\" title=\"2D M-Mode - Apical Window - Apical 4C\" width=\"640\" height=\"480\" src=\"https:\/\/www.youtube.com\/embed\/NZmSsZCDev4?list=PLjyLaIz4YXq4_Af7mAzX7xaSEQCTXlLfx\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n      <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"col-sm-6\">\n    <a href=\"https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.01.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-368 size-large\" src=\"https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.01-1024x768.jpg\" alt=\"2.2.01\" width=\"640\" height=\"480\" srcset=\"https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.01-1024x768.jpg 1024w, https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.01-300x225.jpg 300w, https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.01.jpg 1444w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a>\n  <\/div>\n<\/div>\n<div class=\"row\">\n<h2 class=\"col-sm-12\">Apical 5C View<\/h2>\n<p class=\"col-sm-12\">From the Apical 4C view, the Apical 5C view is obtained by angling the sound beam anteriorly and rotating clockwise until the aortic valve and aorta is seen. Slight adjustments in angle and rotation maybe necessary to demonstrate all the structures for this view optimally.<\/p>\n<div class=\"col-sm-6\">\n<div class=\"embed-responsive embed-responsive-4by3\">\n<div class=\"embed-responsive-item\">\n        <iframe loading=\"lazy\" title=\"2D M-Mode - Apical Window - Apical 5C\" width=\"640\" height=\"480\" src=\"https:\/\/www.youtube.com\/embed\/XDVltWO7cBk?list=PLjyLaIz4YXq4_Af7mAzX7xaSEQCTXlLfx\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n      <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"col-sm-6\">\n    <a href=\"https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.02.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-large wp-image-369\" src=\"https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.02-1024x768.jpg\" alt=\"2.2.02\" width=\"640\" height=\"480\" srcset=\"https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.02-1024x768.jpg 1024w, https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.02-300x225.jpg 300w, https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.02.jpg 1444w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a>\n  <\/div>\n<\/div>\n<div class=\"row\">\n<h2 class=\"col-sm-12\">RV Focused View<\/h2>\n<p class=\"col-sm-12\">From the Apical 4C view, the RV focused view is obtained by angling the sound beam medially toward the patient\u2019s right shoulder. Slight adjustments in angle and rotation maybe necessary to demonstrate all the structures for this view optimally.<\/p>\n<div class=\"col-sm-6\">\n<div class=\"embed-responsive embed-responsive-4by3\">\n<div class=\"embed-responsive-item\">\n        <iframe loading=\"lazy\" title=\"2D M-Mode - Apical Window - RV Focused\" width=\"640\" height=\"480\" src=\"https:\/\/www.youtube.com\/embed\/L6rMuAn-HOY?list=PLjyLaIz4YXq4_Af7mAzX7xaSEQCTXlLfx\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n      <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"col-sm-6\">\n    <a href=\"https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.03.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-large wp-image-370\" src=\"https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.03-1024x768.jpg\" alt=\"2.2.03\" width=\"640\" height=\"480\" srcset=\"https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.03-1024x768.jpg 1024w, https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.03-300x225.jpg 300w, https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.03.jpg 1252w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a>\n  <\/div>\n<\/div>\n<div class=\"row\">\n<h2 class=\"col-sm-12\">RV Modified View<\/h2>\n<p class=\"col-sm-12\">From the Apical 4C view, the RV modified view is obtained by angling the sound beam laterally, toward the patient\u2019s left shoulder.  It is often necessary to move the sound beam medially as well.  Slight adjustments in angle and rotation maybe needed to demonstrate all the structures for this view optimally.<\/p>\n<div class=\"col-sm-6\">\n<div class=\"embed-responsive embed-responsive-4by3\">\n<div class=\"embed-responsive-item\">\n        <iframe loading=\"lazy\" title=\"2D M-Mode - Apical Window - RV Modified\" width=\"640\" height=\"480\" src=\"https:\/\/www.youtube.com\/embed\/J6B_HspJL6k?list=PLjyLaIz4YXq4_Af7mAzX7xaSEQCTXlLfx\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n      <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"col-sm-6\">\n    <a href=\"https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.04.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-large wp-image-371\" src=\"https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.04-1024x769.jpg\" alt=\"2.2.04\" width=\"640\" height=\"481\" srcset=\"https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.04-1024x769.jpg 1024w, https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.04-300x225.jpg 300w, https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.04.jpg 1120w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a>\n  <\/div>\n<\/div>\n<div class=\"row\">\n<h2 class=\"col-sm-12\">Ap 2C View<\/h2>\n<p class=\"col-sm-12\">From the Apical 4C view, the Apical 2C view is obtained by rotating the sound beam 45&deg; counterclockwise until the anterior and inferior walls are seen with careful attention to transecting the LV apex. Slight adjustments in angle and rotation maybe necessary to demonstrate all the structures for this view optimally.<\/p>\n<div class=\"col-sm-6\">\n<div class=\"embed-responsive embed-responsive-4by3\">\n<div class=\"embed-responsive-item\">\n        <iframe loading=\"lazy\" title=\"2D M-Mode - Apical Window - Apical 2C\" width=\"640\" height=\"480\" src=\"https:\/\/www.youtube.com\/embed\/ylJQFh3gWwQ?list=PLjyLaIz4YXq4_Af7mAzX7xaSEQCTXlLfx\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n      <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"col-sm-6\">\n    <a href=\"https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.05.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-large wp-image-372\" src=\"https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.05-1024x768.jpg\" alt=\"2.2.05\" width=\"640\" height=\"480\" srcset=\"https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.05-1024x768.jpg 1024w, https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.05-300x225.jpg 300w, https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.05.jpg 1389w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a>\n  <\/div>\n<\/div>\n<div class=\"row\">\n<h2 class=\"col-sm-12\">Ap 3C View<\/h2>\n<p class=\"col-sm-12\">From the Apical 2C view, the Apical 3C view is obtained by rotating the sound beam 45&deg; counterclockwise until the aortic valve and aorta are fully seen. Slight adjustments in angle and rotation maybe necessary to demonstrate all the structures for this view optimally.<\/p>\n<div class=\"col-sm-6\">\n<div class=\"embed-responsive embed-responsive-4by3\">\n<div class=\"embed-responsive-item\">\n        <iframe loading=\"lazy\" title=\"2D M-Mode - Apical Window - Apical 3C\" width=\"640\" height=\"480\" src=\"https:\/\/www.youtube.com\/embed\/DlcQdP8sOqk?list=PLjyLaIz4YXq4_Af7mAzX7xaSEQCTXlLfx\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n      <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"col-sm-6\">\n    <a href=\"https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.06.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-large wp-image-373\" src=\"https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.06-1024x769.jpg\" alt=\"2.2.06\" width=\"640\" height=\"481\" srcset=\"https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.06-1024x769.jpg 1024w, https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.06-300x225.jpg 300w, https:\/\/sites.austincc.edu\/sonography-resources\/wp-content\/uploads\/sites\/115\/2015\/11\/2.2.06.jpg 1431w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a>\n  <\/div>\n<\/div>\n<aside class=\"row well\">\n<h2 class=\"col-sm-12\">Learn More<\/h2>\n<div class=\"col-sm-6\">\n<figure class=\"wp-caption alignnone\">\n<div class=\"embed-responsive embed-responsive-4by3\">\n<div class=\"embed-responsive-item\">\n          <iframe loading=\"lazy\" title=\"2D M-mode - Apical Window - Learn More 1\" width=\"640\" height=\"480\" src=\"https:\/\/www.youtube.com\/embed\/P23an_ChvF0?list=PLjyLaIz4YXq4_Af7mAzX7xaSEQCTXlLfx\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n          <\/div>\n<\/p><\/div><figcaption class=\"wp-caption-text\">This image is under rotated making the right heart appear dilated.  Additionally, the beam is angled more toward the patient\u2019s left shoulder instead of toward the patient\u2019s head.<\/figcaption><\/figure>\n<\/p><\/div>\n<div class=\"col-sm-6\">\n<figure class=\"wp-caption alignnone\">\n<div class=\"embed-responsive embed-responsive-4by3\">\n<div class=\"embed-responsive-item\">\n          <iframe loading=\"lazy\" title=\"2D M-mode - Apical Window - Learn More 2\" width=\"640\" height=\"480\" src=\"https:\/\/www.youtube.com\/embed\/15ZG26o0Wfo?list=PLjyLaIz4YXq4_Af7mAzX7xaSEQCTXlLfx\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n          <\/div>\n<\/p><\/div><figcaption class=\"wp-caption-text\">This image does not transect the LV apex, it is foreshortened. Note the posterior motion of the apex.  To correct, move to a more inferior intercostal space. <\/figcaption><\/figure>\n<\/p><\/div>\n<\/aside>\n<aside class=\"row well\">\n<h2>Test Yourself<\/h2>\n<p>[QTL-Question id=4]<br \/>\n[QTL-Question id=5]<br \/>\n[QTL-Question id=6]<br \/>\n[QTL-Question id=7]<br \/>\n<\/aside>\n","protected":false},"excerpt":{"rendered":"<p>Apical 4C View The transducer is placed at the 4-5th rib space and patient\u2019s mid axilla with the image marker toward the bed. Ensure the sound beam transects the LV apex, all chambers are full and valves opening as widely as possible. Slight adjustments in angle and rotation maybe necessary to demonstrate all the structures [&hellip;]<\/p>\n","protected":false},"author":32,"featured_media":0,"parent":256,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-317","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/sites.austincc.edu\/sonography-resources\/wp-json\/wp\/v2\/pages\/317","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sites.austincc.edu\/sonography-resources\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sites.austincc.edu\/sonography-resources\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sites.austincc.edu\/sonography-resources\/wp-json\/wp\/v2\/users\/32"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.austincc.edu\/sonography-resources\/wp-json\/wp\/v2\/comments?post=317"}],"version-history":[{"count":0,"href":"https:\/\/sites.austincc.edu\/sonography-resources\/wp-json\/wp\/v2\/pages\/317\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/sites.austincc.edu\/sonography-resources\/wp-json\/wp\/v2\/pages\/256"}],"wp:attachment":[{"href":"https:\/\/sites.austincc.edu\/sonography-resources\/wp-json\/wp\/v2\/media?parent=317"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}