Echocardiography Imaging Windows - The Apical 5 Chamber View

If you want to obtain a good apical 5 chamber view then first of all you need to have a high quality 4 chamber view. The fifth chamber of 5 chamber view is Aorta. 

What you have to do is to tilt your probe upwards from the position of 4 chamber view. By doing this you will not see RA and the tricuspid valve but the aorta will be visible in the middle of the screen. There are patients in whom you have to move the probe one intercostal space higher and more lateral. This will give a better alignment of your ultrasound beam with LV outflow tract. 

The main aim of the five chamber view is to display aortic valve and LVOT. This view helps an echocardiographer to assess aortic stenosis or regurgitation. You can also grade the severity of aortic valve lesions with the help of Doppler Imaging. The structure of the aortic valve is better visualized in parasternal view.