Echocardiogram

Basic Facts:

  • An echocardiogram is a test that uses high-frequency sound waves to assess the structure and function of the heart, to measure pressures inside the heart, and to measure the direction and speed of blood flow. 
  • Transthoracic echocardiogram (often shortened to just "echo") is an ultrasound of the chest wall.
    • TEE, or transesophageal echocardiogram, is invasive, performed at a hospital under sedation.
    • Stress echo involves an echo before and immediately after a stress test.
  • No radiation is used. It is a painless, non-invasive way to screen or asses for heart disease.

The skin of the entire chest should be easily accessible and free of lotions or oils. Otherwise, no special preparations are needed, and a patient gown will be provided if needed. The patient can drive themself to and from the office for the appointment.  

  1. It is performed by an ultrasound technologist with specialized training in echocardiography. 

  2. A gel is applied to the chest to aid in movement of a hand-held device, called a probe or transducer. This gel also makes it easier for sound waves to travel back and forth. 

  1. The probe is pressed against the skin of the chest and moved around as high-frequency sound waves are sent and received back by the probe. 

  1. A computer uses those sound waves to create images on a computer screen, which can be saved as videos or snapshots.  

  1. The probe is moved around to collect the needed images and data. Patient may feel slight pressure from the probe pressing on the area being examined. The patient may hear a 'whooshing' sound, which is the amplified sound of the blood flowing through the heart. 

  1. Occasionally, the patient may be asked to remain silent or hold their breath so that the heart may be seen more clearly. 

  1. Gel is cleaned off and the patient can go home.  

  1. The entire appointment lasts about 45-60 minutes.  

  • There are no post-test restrictions for ultrasound exams. After the procedure, the patient can leave and go about their day.

  • Virginia Heart Care Team will contact the patient with specifics regarding results.