Transducer marker pointing towards the patient’s right shoulder
Note the overall activity of the heart and any gross abnormality
Note any pericardial effusion especially below the posterior wall
Examine the cardiac segments motion and structure
1. Posterior basal and middle
2. Apical inferior and anterior
3. Septal 4. RV Wall
Myocardial segments may be dysfunctional during acute myocardial infarction