Echo Apical
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  • Place your probe at the apex of the LV, located at the apical impulse. The probe is oriented toward the right shoulder, the notch at 2 or 3 o'clock. The four chambers of the heart (left ventricle, left atrium, right ventricle and right atrium) must be visualized, as well as the atrio-ventricular valves: mitral and tricuspid valves. The intersection between the four chambers should draw a cross with the vertical lign represented by the inter-ventricular and inter-atrial septa. The horizontal line is created by the alignement of the tricuspid and mitral valve. Remember to abduct the patient's left arm to widen the intercostal spaces and improve your echographic window.
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