An echocardiogram is a test that uses sound waves to create pictures of the heart. The picture and information it produces is more detailed than a standard x-ray image. An echocardiogram does not expose you to radiation.
Alternative Names
Transthoracic echocardiogram (TTE); Echocardiogram - transthoracic; Doppler ultrasound of the heart; Surface echo
How the Test is Performed
TRANSTHORACIC ECHOCARDIOGRAM (TTE)
TTE is the type of echocardiogram that most people will have.
- A trained sonographer performs the test. A heart doctor (cardiologist) interprets the results.
- An instrument called a transducer is placed on various locations on your chest and upper abdomen and directed toward the heart. This device releases high-frequency sound waves.
- The transducer picks up the echoes of sound waves and transmits them as electrical impulses. The echocardiography machine converts these impulses into moving pictures of the heart. Still pictures are also taken.
- Pictures can be two-dimensional or three-dimensional. The type of picture will depend on the part of the heart being evaluated and the type of machine.
- A Doppler echocardiogram records the motion of blood through the heart.
An echocardiogram shows the heart while it is beating. It also shows the heart valves and other structures.
In some cases, your lungs, ribs, or body tissue may prevent the sound waves and echoes from providing a clear picture of heart function. If this is a problem, the sonographer may inject a small amount of liquid (contrast) through an IV to better see the inside of the heart.
Rarely, more invasive testing using special echocardiography probes may be needed.
TRANSESOPHAGEAL ECHOCARDIOGRAM (TEE)
The back of your throat is numbed and a scope is inserted down your throat.
On the end of the scope is a device that sends out sound waves. A heart doctor with special training will guide the scope down the esophagus. This method is used to get a clearer echocardiogram of your heart.
