Echocardiogram (Echo)

The purpose of this study is to determine the heart size, to evaluate how well the heart is functioning or pumping and to assess the structure and function of the valves within the heart.  A 2-D (two dimensional) echocardiogram is capable of displaying a cross-section of the beating heart, including the chambers, valves and the major blood vessels around the left and right ventricle of the heart.  A Doppler echocardiogram measures the speed and direction of the blood flow within the heart.  It screens the four valves for leaks and other abnormalities. 

What will happen during the test?

In general, please allow 1 hour for the test, however, occasionally, a test may take 1 1/2 hours, depending on the complexity of the findings by the technologist. You will be instructed to remove your shirt or blouse and given a gown or towel to keep you comfortable and maintain privacy. 

After lying on an examination table, the technologist will apply a colorless gel to your chest.  A transducer will be moved across your chest to obtain several views of your heart. You will be lying on your left side and may be moved to your back or your right side to obtain clearer views of your heart.

You may also be told to hold your breath at times during the study to help obtain higher quality images.  With Doppler echocardiograms, as the transducer moves over your heart, you will hear a  “whooshing” sound,  much like that of a washing machine.  This sound relates to the movement of blood within your heart chambers.

Images are constantly viewed on the monitor and recorded for a permanent record of the examination.  These are reviewed by a cardiologist prior to completion of the final report.

What is the preparation for the test?

Other than wearing loose-fitting clothing, there are no special restrictions or preparation prior to a 2-D Doppler echocardiogram.  Although the gel is water soluble and should not stain, it is messy and could get on your clothing, so please be aware and dress appropriately.

What should I bring with me for this test?

Bring your insurance card, referral for echo if required by your insurance company and previous echo report if from outside facility.

Once your appointment has been scheduled it is very important that you keep that appointment.  If you are unable to do so, please give the office at least 24 hours notice of your cancellation.  Our busy schedule requires tight scheduling restrictions, and it would be appreciated if you would notify our office if you will be late for your appointment.  Thank you for your cooperation.

Who will give me the test results?

After a review of the study, your medical history, and other imaging modalities and previous tests by an Upstate Cardiologist, a report will be sent to the ordering physician.  The ordering physician will then review the results and discuss them with you.

If your test was ordered by one of our Upstate Cardiologists, you will receive your results at your follow-up appointment.  If you do not have a follow-up appointment, you may call the office in 1 to 2 weeks for your results.  This allows your Cardiologist time to review the echo results and call you, or to instruct his nurse to contact you with results.