Echocardiography
Echocardiography (also known as an echo or echocardiogram) is a type of ultrasound diagnostic tool that uses high-pitched sound waves to produce an image of the heart. Sound waves are sent through a transducer that is placed on the patient’s chest. Sound waves reflect off certain areas of the heart and are then converted into pictures. This test is used to check the heart's ability to pump blood effectively throughout the body and measure how much blood is actually pumped in each contraction. It can also be used to evaluate the valve function, find evidence of heart failure, and confirm that the heart is of normal size. There are three main types of echocardiograms:
Transesophageal (TEE)
This is a specialized test that emits sound waves through the esophagus instead of the chest or abdomen. This gives the physicians better pictures of the heart because the transducer is closer to the heart. Local and intravenous anesthetics are used with TEE to minimize any discomfort to the back of the throat.
Stress Echocardiogram Test
Patients exercise on a treadmill, or are given a drug to place stress on the heart. An echocardiogram is performed before and after the heart is overloaded in order to see if the patient has a significantly reduced blood flow to the heart.
Carotid Ultrasound
This is a test that looks at plaque build-up in the arteries of the neck supplying blood to the brain to give physicians information about risk of stroke, and to predict higher likelihood of plaque in other artery branches including the heart, kidneys and legs. Carotid ultrasound compares pressures in the arms and legs and can help identify peripheral vascular disease and increased risk of cardiovascular events, including heart attack and stroke.