Echocardiogram (heart ultrasound)

Category: Heart Tests & Procedures · All heart tests & procedures

Echocardiogram (heart ultrasound) — Heart Tests & Procedures

What it is

An echocardiogram is an ultrasound scan of the heart. It shows the heart chambers, valves and pumping action in motion, using sound waves only — no radiation.

Why it is done

It is used to investigate heart murmurs, breathlessness, heart failure, valve disease and the effects of high blood pressure on the heart, and to measure how strongly the heart pumps.

How to prepare

No preparation is needed. You will undress from the waist up and wear a gown. Electrodes are placed so the images can be timed to your heartbeat.

What happens during the procedure

You lie on a couch, usually on your left side, while gel and a probe are moved over the chest. The operator may ask you to hold your breath briefly or change position. Certain views check blood flow with Doppler, which adds colour pictures and sounds. It takes about 30 to 45 minutes and is painless apart from firm probe pressure.

Afterwards — recovery & results

You can go home straight away. The images are measured and reported by specialists, and the result goes to your doctor, usually within days.

Risks & considerations

There are no known risks from the ultrasound. Sometimes images are limited — for example by lung or rib shadowing — and a scan through the food pipe (transoesophageal echo) may be suggested if much more detail is needed.

Watch: Echocardiogram (heart ultrasound) videos

Real procedure videos from the MedicalVideos.com library. Some clinical footage is graphic — that is the nature of a medical video library.

Frequently asked questions

What does 'ejection fraction' mean?

It is the percentage of blood the main pumping chamber pushes out with each beat — a measure of pumping strength. Your doctor will explain your number in context.

Why did the probe press so hard?

Firm pressure gives clearer pictures by bringing the probe close to the heart and reducing interference from ribs and lung tissue.

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Please note: This page is educational information about a medical procedure or test. It does not replace the instructions of your own care team, who know your situation and whose preparation, fasting and medication advice you should follow if it differs from anything here. If you have symptoms that worry you, or an appointment you do not understand, contact your clinical team.