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Module 2: Normal 4-chamber view


The 4-chamber view:

  • Is the most important section of the heart and it is essential to evaluate this correctly
  • It is abnormal in about 60% of major cardiac malformations
  • It must be analyzed systematically in terms of heart: size, position, structure and function
  • Is ideally imaged when the fetal spine is down (apical view). Equally good assessment may be achieved with the lateral view or even the spine up apical view
  • The rules for analysis of the 4-chamber view are the same no matter which way the fetus is lying