An echocardiogram (echo) is a graphic outline of the heart's movement. During an echo test, ultrasound (high-frequency sound waves) from a hand-held wand placed on your chest provides pictures of the heart's valves and chambers and helps the sonographer evaluate the pumping action of the heart. Echo is often combined with Doppler ultrasound and color Doppler to evaluate blood flow across the heart's valves.
Why is an echocardiogram performed?
The test is used to:
- Assess the overall function of your heart
- Determine the presence of many types of heart disease, such as valve disease, myocardial disease, pericardial disease, infective endocarditis, cardiac masses and congenital heart disease
- Follow the progress of valve disease over time
- Evaluate the effectiveness of your medical or surgical treatments
Can I eat or drink on the day of the test?
Yes. Eat and drink as you normally would the day of the test.
Should I take my medications the day of the test?
Take all of your medications at the usual times, as prescribed by your doctor.
What should I wear on the day of the test?
You may wear anything you like. You will change into a hospital gown before the test. Please do not bring valuables. You will be given a locker to store your belongings during the test.
What happens during the test?
- Before the test, the healthcare provider will explain the procedure in detail, including possible complications and side effects. You will have the opportunity to ask questions.
- Your test will take place in the Echo Lab located at J1-5. The testing area is supervised by a physician.
- You will be given a hospital gown to wear. You’ll be asked to remove your clothing from the waist up.
- A cardiac sonographer will place three electrodes (small, flat, sticky patches) on your chest. The electrodes are attached to an electrocardiograph (EKG) monitor that charts your heart’s electrical activity during the test.
- The sonographer will ask you to lie on your left side on an exam table. The sonographer will place a wand (called a sound-wave transducer) on several areas of your chest. The wand will have a small amount of gel on the end, which will not harm your skin. This gel helps produce clearer pictures.
- Sounds are part of the Doppler signal. You may or may not hear the sounds during the test.
- You may be asked to change positions several times during the exam so the sonographer can take pictures of different areas of the heart. You may also be asked to hold your breath at times.
How will I feel during the test?
You should feel no major discomfort during the test. You may feel a coolness on your skin from the gel on the transducer, and a slight pressure of the transducer on your chest.
How long does the test take?
The appointment will take about 40 minutes. After the test, you may get dressed and go home or go to your other scheduled appointments.
How do I get the results of my test?
After a cardiologist has reviewed your test, the results will be entered into your electronic medical record. Your physician will have access to the results and will discuss them with you.
This information is about testing and procedures and may include instructions specific to Cleveland Clinic. Please consult your physician for information pertaining to your testing.