- Echocardiographic Assessment: Apical 4 Chamber
- Assess for right atrial and right ventricular dilation
- Assess for tricuspid regurgitation (color Doppler)
- Assess for elevated right ventricular systolic pressures
- RVp = 4 (TR jet peak velocity)2 + right atrial pressure
- Transducer placed on apical PMI (4th or 5th intercostal space)
- Midclavicular line at the apical PMI (point of maximal intensity)
- Notch at 3 o'clock