The transducer is placed in the mid axillary line with the transducer ridge pointing towards the patients left to obtain the four-chamber view. The left ventricular apex is aligned in the middle of the screen sector by sliding the transducer mediallp. The ultrasound beam is angled anteriorly to obtain five-chamber view or posteriorly to visualize the coronary sinus. From the four chamber view, the probe is rotated counter clockwise to acquire the two chamber view and further cbunter clockwise to the apical long axis view.