Apical 2 and 3: Acquisition, Angles, and Accuracy

TTE Imaging Series, Part 4

Whether you're refining your image alignment or confirming your ejection fraction, Apical 2 and 3 Chamber views are indispensable for left heart assessment. These views capture critical anatomy in orthogonal planes, allowing for comprehensive evaluation of both structure and function. From biplane volume calculations to valve assessment and strain analysis, these views provide a detailed window into the performance of the heart.

Keep in mind that protocols may vary depending on lab workflows or clinical focus. This guide provides a standardized foundation using ASE guidelines to build from.

This article is Part 4 in our five-part series on transthoracic imaging. It walks you through a mock protocol for acquiring Apical 2 and Apical 3 Chamber views, with practical guidance on image optimization and guideline-based measurements.

If you missed Parts 1, 2, or 3 you can catch up anytime! Those, along with our full library of 100+ lessons, are available below.

Part 5 drops July 29 and will walk you through the subcostal views and aortic arch. Thanks again for being part of this journey as we continue working to make echo education more practical, more visual, and more accessible for everyone.