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To revise the anatomy lessons, this is the external jugular vein and this is the internal jugular vein. And that will be the approximate level of the tricuspid valve, the reference point for measuring right atrial pressure. The X prime descent is absent in tricuspid regurgitation in which, C and V waves fuse together.
A good knowledge of the anatomy of the heart is needed for interpretation of images from each view. Apical four chamber view shows all four cardiac chambers, mitral and tricuspid valves, and the septa. A right parasternal view may be used when the heart is enlarged, to assess the tricuspid regurgitation jet.
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Anatomy 
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