Parasternal Short Axis: Tilting and Rotating

TTE Imaging Series, Part 2

In this second installment of our five-part guide to TTE imaging protocol, we focus on the parasternal short-axis (PSAX) view. This series of cross-sectional slices offers key insights into valve anatomy and regional wall motion. Mastering the PSAX view takes more than just rotating the probe. It requires strategic tilting, a strong understanding of cardiac anatomy, and careful attention to image optimization.

As always, this protocol is based on ASE guidelines and serves as a suggested framework. Keep in mind that imaging protocols can vary between echo labs, so it’s important to review your clinic’s specific standards to ensure consistency with local practice. If any abnormalities are identified, additional imaging or focused evaluation may be necessary.

Haven’t seen Part 1 yet? Catch up with our free, full-length lesson on the PLAX view here—and make sure your foundation is solid before moving on. Part 3 of this series will be released on July 1, so stay tuned.