Parasternal Long Axis (PLAX) View of the Heart

The following image was obtained while performing a limited cardiac POCUS examination. Thisis known as the parasternal long axis (PLAX) view of the heart. What phase of the cardiac cycleis it (based on the image)? What is the most likely diagnosis? A. Systole B. Diastole C. Cannot be determined based on this view Test your […]

The following image was obtained while performing a limited cardiac POCUS examination. This
is known as the parasternal long axis (PLAX) view of the heart. What phase of the cardiac cycle
is it (based on the image)?

What is the most likely diagnosis?

A. Systole
B. Diastole
C. Cannot be determined based on this view

Test your knowledge of POCUS Lung with this knowledge check


Explanation:
The transthoracic PLAX view of the heart shows the left atrium (LA), left ventricle (LV), right ventricular outflow tract (RVOT), anterior and posterior mitral valve (MV) leaflets, ascending aorta (AO) and the aortic valve (AV). Observe that the aortic valve is closed. The mitral valve is open. The blood should be rushing from the left atrium into the left ventricle (see red arrow). This is ventricular diastole.

 

Figure 1. Observe direction of blood flow (red arrow) during diastole from the left atrium into the left ventricle.

References

https://www.pocus101.com/cardiac-ultrasound-echocardiography-made-easy-step-by-step-guide/

Assessment of diastolic function by echocardiography

 

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