What is the difference between an echocardiogram and an ultrasound

An echocardiogram checks how your heart's chambers and valves are pumping blood through your heart. An echocardiogram uses electrodes to check your heart rhythm and ultrasound technology to see how blood moves through your heart. An echocardiogram can help your doctor diagnose heart conditions.

An echocardiogram uses sound waves to produce images of your heart. This common test allows your doctor to see your heart beating and pumping blood. Your doctor can use the images from an echocardiogram to identify heart disease.

Depending on what information your doctor needs, you may have one of several types of echocardiograms. Each type of echocardiogram involves few, if any, risks.

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Why it's done

Your doctor may suggest an echocardiogram to:

  • Check for problems with the valves or chambers of your heart
  • Check if heart problems are the cause of symptoms such as shortness of breath or chest pain
  • Detect congenital heart defects before birth (fetal echocardiogram)

The type of echocardiogram you have depends on the information your doctor needs.

Transthoracic echocardiogram

In this standard type of echocardiogram:

  • A technician (sonographer) spreads gel on a device (transducer).
  • The sonographer presses the transducer firmly against your skin, aiming an ultrasound beam through your chest to your heart.
  • The transducer records the sound wave echoes from your heart.
  • A computer converts the echoes into moving images on a monitor.

If your lungs or ribs block the view, you may need a small amount of an enhancing agent injected through an intravenous (IV) line. The enhancing agent, which is generally safe and well tolerated, will make your heart's structures show up more clearly on a monitor.

Transesophageal echocardiogram

If your doctor wants more-detailed images or it's difficult to get a clear picture of your heart with a standard echocardiogram, your doctor may recommend a transesophageal echocardiogram.

In this procedure:

  • Your throat will be numbed, and you'll be given medications to help you relax.
  • A flexible tube containing a transducer is guided down your throat and into the tube connecting your mouth to your stomach (esophagus).
  • The transducer records the sound wave echoes from your heart.
  • A computer converts the echoes into detailed moving images of your heart, which your doctor can view on a monitor.

Doppler echocardiogram

Sound waves change pitch when they bounce off blood cells moving through your heart and blood vessels. These changes (Doppler signals) can help your doctor measure the speed and direction of the blood flow in your heart.

Doppler techniques are generally used in transthoracic and transesophageal echocardiograms. Doppler techniques can also be used to check blood flow problems and blood pressure in the arteries of your heart — which traditional ultrasound might not detect.

The blood flow shown on the monitor is colorized to help your doctor pinpoint any problems.

Stress echocardiogram

Some heart problems — particularly those involving the arteries that supply blood to your heart muscle (coronary arteries) — occur only during physical activity. Your doctor might recommend a stress echocardiogram to check for coronary artery problems. However, an echocardiogram can't provide information about any blockages in the heart's arteries.

In a stress echocardiogram:

  • Ultrasound images of your heart are taken before and immediately after you walk on a treadmill or ride a stationary bike
  • If you're unable to exercise, you may get an injection of a medication to make your heart pump as hard as if you were exercising

More Information

  • Acute coronary syndrome
  • Adult Still's disease
  • Angina
  • Aortic aneurysm
  • Aortic valve regurgitation
  • Aortic valve stenosis
  • ARDS
  • Atrial fibrillation
  • Atrial flutter
  • Atrial septal defect (ASD)
  • Atrioventricular canal defect
  • Broken heart syndrome
  • Brucellosis
  • Bundle branch block
  • Cardiogenic shock
  • Cardiomyopathy
  • Coarctation of the aorta
  • Congenital heart defects in children
  • Congenital heart disease in adults
  • Conjoined twins
  • Coronary artery disease
  • Dilated cardiomyopathy
  • Dressler syndrome
  • Ebstein anomaly
  • Ehlers-Danlos syndrome
  • Eisenmenger syndrome
  • Enlarged heart
  • Heart arrhythmia
  • Heart attack
  • Heart disease
  • High blood pressure in children
  • Hypertrophic cardiomyopathy
  • Hypoplastic left heart syndrome
  • Interstitial lung disease
  • Kawasaki disease
  • Left ventricular hypertrophy
  • Low blood pressure (hypotension)
  • Lupus
  • Marfan syndrome
  • Mitral valve disease
  • Mitral valve prolapse
  • Mitral valve regurgitation
  • Mitral valve stenosis
  • Multisystem inflammatory syndrome in children (MIS-C)
  • Myocardial ischemia
  • Myocarditis
  • Noonan syndrome
  • Orthostatic hypotension (postural hypotension)
  • Patent ductus arteriosus (PDA)
  • Patent foramen ovale
  • Pectus excavatum
  • Pericardial effusion
  • Pericarditis
  • Premature birth
  • Pulmonary atresia
  • Pulmonary atresia with intact ventricular septum
  • Pulmonary atresia with ventricular septal defect
  • Pulmonary edema
  • Pulmonary fibrosis
  • Pulmonary hypertension
  • Pulmonary valve stenosis
  • Rheumatic fever
  • Stroke
  • Sudden cardiac arrest
  • Tetralogy of Fallot
  • Thoracic aortic aneurysm
  • Transient ischemic attack (TIA)
  • Transposition of the great arteries
  • Tricuspid atresia
  • Tricuspid valve regurgitation
  • Tuberous sclerosis
  • Vasovagal syncope
  • Ventricular fibrillation
  • Ventricular septal defect (VSD)
  • Ventricular tachycardia
Show more related information

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Is an echocardiogram the same as an ultrasound?

An echocardiogram, or "echo", is a scan used to look at the heart and nearby blood vessels. It's a type of ultrasound scan, which means a small probe is used to send out high-frequency sound waves that create echoes when they bounce off different parts of the body.

What does an echocardiogram not show?

Your doctor might recommend a stress echocardiogram to check for coronary artery problems. However, an echocardiogram can't provide information about any blockages in the heart's arteries.

What 5 abnormalities can be found on the echocardiogram?

The echocardiogram can help detect:.
Abnormal heart valves..
Congenital heart disease (abnormalities present at birth).
Damage to the heart muscle from a heart attack..
Heart murmurs..
Inflammation ( pericarditis ) or fluid in the sac around the heart (pericardial effusion).

What does an ultrasound of the heart tell you?

Heart Ultrasound can be very helpful to: Determine the presence of abnormalities in the structure of the heart. Measure the size and thickness of the heart and its chambers. Assess the motion of the chamber walls and the extent of damage to the heart muscle after a heart attack.