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An echocardiogram or echo test is a common diagnostic test that is used to evaluate your heart’s structure and function. If you have been recommended to get an echocardiogram, you might be wondering what it is and how to get ready for the echo procedure.
Whether you are undergoing a routine checkup or need a heart diagnostic test for a specific issue, preparation can help ensure a comfortable and stress-free experience.
In this article, we’ll walk you through what an echocardiogram is, why it’s important, and how to prepare based on the type of echo test you will be having.
An echocardiogram is an advanced diagnostic technique that uses sound waves to create detailed moving images of your heart.
It is a safe procedure that helps assess your heart health as well as check for any potential problems like valve issues, fluid buildup, or heart disease.
The key tool in this process is a transducer, a handheld device resembling an ultrasound wand that transmits high-frequency sound waves. These sound waves bounce off your heart and return to the transducer, which sends the data to a computer. The computer then converts the information into visual images that show the size, shape, and function of your heart.
Echocardiograms can be part of your routine heart health monitoring checkup or may be used to diagnose and manage specific heart issues. It can be recommended to:
Preparing for an echocardiogram is usually straightforward, but the steps can vary depending on the type of test you are having. There are different types of echocardiograms, and each one may have its own preparation requirements.
The transthoracic echocardiogram (TTE) is the most common type of echocardiogram and a straightforward, non-invasive procedure. No special preparation like fasting or medication adjustment is needed to prepare for this test.
We advise you to wear loose, comfortable clothing to make it easier for the technician to access your chest area. You may be asked to remove clothing from the waist up or be given a gown to wear.
The TEE test is used when your doctor needs more detailed images of your heart and its valves and chambers. This type of echocardiogram requires more preparation than other echo tests since it involves the use of anesthesia.
A stress echocardiogram or echocardiographic stress testing can help assess how your heart functions under physical stress, either from exercise or medication.
Preparation for a stress echo test involves the following steps:
Depending on your specific needs, you may undergo one of three types of echocardiograms. Here is what you can expect during your echo test.
Transthoracic echocardiogram is very similar to having an abdominal ultrasound, with the main difference being the placement of the transducer on your chest instead of your abdomen.
The test is completely painless, though you may feel some pressure on your chest when the transducer is used to get clear images. Once the test is complete, you can immediately go home and resume your normal activities without any restrictions.
The TEE test is performed under sedation to ensure your comfort and minimize gagging. It can be performed as an outpatient procedure or during a hospital stay.
During this test, a flexible tube with a transducer on one end is passed down your throat into the esophagus. The transducer emits high-frequency sound waves to create detailed images of your heart. Since the esophagus is located very close to the heart, this test provides clearer images compared to a transthoracic echo.
Once the imaging is complete, the tube is carefully removed, and you stay under observation till the sedative wears off. The entire process typically lasts about 60 to 90 minutes, and you can go home once you are fully awake and stable.
The goal of the stress echocardiogram test is to measure how well blood flows to your heart when it is under stress. An echo stress test can help diagnose conditions like coronary artery disease or heart valve problems that may not show up when your heart is at rest.
During the test, you will first undergo a transthoracic echocardiogram while at rest to capture baseline images of your heart. Following this, you will either exercise on a treadmill or stationary bike, or you may receive medication (if you’re unable to exercise) to accelerate your heart rate.
Afterward, a second echocardiogram will be performed to see how your heart responds to the increased demand. The entire procedure typically lasts between 45 minutes to an hour, and you will be monitored closely throughout the test.
Stay prepared and stress-free with this quick guide:
The procedure is painless, quick, and doesn’t require any recovery time, so there’s no need to worry.
At Corrielus Cardiology, we are dedicated to delivering not just accurate diagnostic results but also a patient experience that prioritizes your comfort, understanding, and overall health.
Preparing for an echocardiogram does not have to be stressful. Understanding the type of echo test you will be undergoing and following the preparation guidelines will help ensure that the test goes smoothly and provides your doctor with the most accurate results.
At Corrielus Cardiology in Philadelphia, PA, we specialize in advanced heart diagnostic tests, including various types of echocardiograms.
If you have questions about the echo test or want to discuss your heart health, we’re just a call away. To schedule a cardiology consultation with Corrielus Cardiology, please call 215-874-3836 or book an appointment online.
Your doctor will let you know, but fasting is typically required only for certain types of echocardiograms, like the transesophageal echocardiogram (TEE). For a transthoracic echocardiogram or stress echocardiogram, you usually don’t need to fast.
Not at all! The probe may feel cool on your skin, but the test is completely painless. You might feel some pressure during the test, especially on your chest, but there’s no discomfort involved.
If you’re having a transthoracic echocardiogram or stress echocardiogram, you can drive yourself home and resume your normal activities. However, the transesophageal echocardiogram (TEE) is performed under sedation, so you’ll need to arrange for someone to drive you home.
An echocardiogram is excellent for diagnosing many heart issues, such as valve problems, heart disease, and congenital conditions. However, depending on your symptoms, your doctor might recommend additional tests for a more comprehensive diagnosis.
For a transthoracic echocardiogram, you can eat and drink normally. For a transesophageal echocardiogram (TEE), you’ll need to fast for several hours before the test. For a stress echocardiogram, avoid food and caffeine for a few hours beforehand.
