Parasternal Long Axis Slide 1 of 7234567 Parasternal long axis Often most easily obtained Start high and move down lateral to sternum Continue Parasternal long axis Right ventricle (RV) anterior Aorta (Ao) – root in center Descending aorta posterior Left atrium (LA) posterior Left ventricle (LV) and apex Mitral valve well visualized Anterior/posterior leaflets Continue Parasternal long axis Right ventricle (RV) anterior Aorta (Ao) – root in center Descending aorta posterior Left atrium (LA) posterior Left ventricle (LV) and apex Mitral valve well visualized Anterior/posterior leaflets Continue Parasternal long axis Look posteriorly for effusion Continue Parasternal long axis Look posteriorly for effusion Continue Parasternal long axis Watch anterior leaflet of mitral valve to help estimate ejection fraction Normal LV EF Depressed LV EF Continue Parasternal long axis Watch anterior leaflet of mitral valve to help estimate ejection fraction Normal LV EF Depressed LV EF Continue Point of Care Echocardiography Table of Contents 1Case: Constipation 151 2FOCUS 152 3Getting Started 153 4Orientation Conventions 154 5Anatomy and Windows 155 6Parasternal Long Axis 156 7Parasternal Short Axis 157 8Subxiphoid Window 158 9Subxiphoid Long Axis 159 10Apical Four Chamber 160 11Suprasternal and Summary 161