Perfecting your PLAX:

Is your LV looking more diagonal than horizontal? You might be scanning too low on the chest!

Slide the probe up a rib space or two. This often helps achieve that classic horizontal mid parasternal long-axis view.

Note: In COPD/emphysema/ventilated patients, a low PLAX might be all you get.

Pitfall for a low PLAX - The RVOT appears larger in this view; confirm in other views. The LV walls look thicker and can look hyperdynamic #echotips #cardiotwitter #Scanuary