The Echo Journal

The Echo Journal

Subcostal and Suprasternal: Underrated but Essential

TTE Imaging Series, Part 5

Alex C.'s avatar
Alex C.
Jul 29, 2025
∙ Paid

The Final Chapter in the TTE Imaging Series

Welcome to the fifth and final installment of our comprehensive transthoracic imaging series. By now, you’ve navigated parasternal, apical, and Doppler imaging from every angle. In this article, we explore the subcostal and suprasternal windows, two views that may not always be acquired in every study but are critically important when needed. Each offers unique diagnostic value and can become the cornerstone of a study when traditional windows are limited.

Just a reminder: the views and sequence described in this series lay out a recommended transthoracic echocardiographic protocol, but they are intended as a guideline, not a strict rule. Always follow your lab’s local protocols and institutional policies, and adapt your imaging to the clinical question and patient condition.

New here or catching up? Parts 1 through 4 of this series are just a click away. Learn every view, every angle, and every tip from our full TTE protocol walkthrough, plus instant access to 100+ echo lessons!

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Before we dive in, we want to say thank you for following this five-part journey through the ASE comprehensive TTE protocol. Your commitment to learning and mastering echo fundamentals is what makes this work so worthwhile.

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