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Intermediate Technical IVT

A4C

Also written as: A4C — Apical Four-Chamber

Apical four-chamber echocardiographic view displaying both atria and ventricles in a single imaging plane.

Full Definition

The apical four-chamber view is obtained from the cardiac apex and shows all four cardiac chambers simultaneously. This view is crucial for assessing biventricular function, measuring chamber dimensions, and evaluating atrioventricular valve function. The A4C view provides optimal visualization of the interventricular and interatrial septa and is commonly used for measuring ejection fraction using biplane Simpson's method. It also serves as the primary view for assessing tricuspid regurgitation velocity and estimating pulmonary artery pressures.

Usage

Usage note: Standard abbreviation in echocardiography; avoid confusion with A2C (apical two-chamber).

In Context

  • "The A4C view revealed moderate tricuspid regurgitation with estimated RVSP of 45 mmHg." — Echocardiography report
  • "Biplane ejection fraction was calculated using A4C and A2C views." — Cardiac function assessment

Also known as

apical four-chamber view four-chamber view

Contrasted with

PLAX PSAX

Don't confuse with

A2C A3C

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