Understanding Your Echocardiogram

A Comprehensive Guide to Cardiac Ultrasound Testing

Cardiology

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Last updated: Mar 24, 2025

What is an Echocardiogram?

An echocardiogram (echo) is a non-invasive diagnostic test that uses ultrasound waves to create detailed images of your heart's structure and function.

Types of Echocardiograms

  • Transthoracic Echocardiogram (TTE) - The standard, non-invasive approach
  • Transesophageal Echocardiogram (TEE) - Provides detailed images via a probe in the esophagus
  • Stress Echocardiogram - Performed during exercise or medication-induced stress
  • 3D Echocardiogram - Creates three-dimensional images of the heart

What Does it Show?

An echocardiogram reveals:

  • Heart size and shape
  • Pumping strength
  • Valve function and structure
  • Blood flow patterns
  • Presence of blood clots
  • Abnormal holes between heart chambers

The Procedure

Before the Test

  • No special preparation for standard TTE
  • Fasting required for TEE
  • Wear comfortable clothing

During the Test

  1. Lie on examination table
  2. ECG electrodes placed on chest
  3. Gel applied to chest
  4. Transducer moved across chest
  5. Duration: 30-60 minutes

Results and Interpretation

Your doctor will evaluate:

  • Ejection Fraction - Measures pumping efficiency
  • Wall Motion - Shows heart muscle movement
  • Chamber Sizes - Indicates potential enlargement
  • Valve Function - Assesses opening and closing

Safety and Risks

  • Completely safe and radiation-free
  • No known risks for standard TTE
  • Minimal risks for specialized types

When It's Needed

  • Unexplained chest pain
  • Heart murmurs
  • Irregular heartbeats
  • Shortness of breath
  • Heart attack evaluation
  • Monitoring existing conditions

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