Stress Echocardiography

This test involves a transthoracic echocardiogram both before and after your heart is stressed either by having you exercise or by injecting a medication (dobutamine) that makes your heart beat harder and faster. A stress echocardiogram can help identify areas of poor blood flow in the heart, areas of heart muscle that are not contracting normally, previous injury to the heart muscle caused by impaired blood flow, or evidence of heart failure, especially in people with chest pain or a possible heart attack. In addition, an echocardiogram can detect a blood clot in the heart, evaluate the heart valves for abnormalities, and identify pericardial effusion. A stress echocardiogram can be used in combination with electrocardiogram (EKG) monitoring to help Dr. Shapiro gain additional information about your heart.

Preparing for the Test:

• Do not eat or drink for several hours before the test. This will help prevent nausea, which can occur while exercising with a full stomach.
• If you are having an exercise stress echo, wear flat, comfortable shoes (no bedroom slippers or sandals) and loose, lightweight shorts or sweatpants. Men are usually bare-chested during the test, while women often wear a bra, T-shirt, or hospital gown. Avoid wearing any restrictive clothing other than a bra.
• Before a transesophageal or stress echo test, you will be asked to sign a consent form. Talk to your health professional about any concerns you have regarding the need for the test, its risks, or how it will be done. Complete the medical test information form to help you understand the importance of the test.