how is a echocardiogram done

how is a echocardiogram done ? Echocardiogram is the examination of the internal structure and functions of the heart (ultrasound) via the sound waves. It is made by using a tool (transducer) that allows the transmission of sound waves. The walls and lids of the heart are examined in different positions by applying the transducer to different areas of the chest wall.


There are 4 basic types of echocardiogram methods.


Superficial (Tranthoracic) echocardiogram (TTE)

With esophagus (transesophageal) echocardiogram (töe)

Stress echocardiogram

Strain and strain Rate echocardiogram

How is superficial echocardiogram done?


When performing superficial echocardiogram; The patient is deposited on the left side and the transducer of the patient's breast cage is carried out by passing the different parts of the heart to examine. In this review, X-rays are not used. In fact, superficial echocardiogram is ultrasound technology. The review is usually completed in 15minutes. It is a painless procedure and has no side effects. The sections and movements of the heart valves, large vessels (aorta vein, pulmonary artery) are seen on the screen. The results are evaluated by the Doctor who did the test.


Why is the superficial echocardiogram done?

• To find the source of heart sounds (murmurs, etc.) heard through the stethoscope,

• To investigate the cause of heart growth, unexplained chest pains, shortness of breath or irregular heart attack,

• Measuring the shape and size of the heart gaps,

• Controlling the thickness and movements of the heart walls,

• Clear assessment of heart valve structures and movements,

• Evaluation of the functions of the artificial lid,

• Evaluating Heart functions,

• To detect diseases affecting the heart muscle (e.g. cardiomyopathy),

• Evaluation of the clots and tumors inside the heart,

• To check for congenital cardiac diseases or surgical interventions,

• To assess heart function after heart attack,

• Evaluation of the amount of liquid, the genus and the structure and thickness of the pericardiar membrane that surrounds the heart in case of fluid collection around the heart,

• In order to assess the structure and diameters of the arteries (aorta vein, pulmonary artery) that arise from the heart.

What is Transesophageal echocardiogram?

In some cases where the widely used superficial echocardiogram method is insufficient, an echocardiogram may be required by means of a esophagus. It's a similar examination of Gastroskopis. The Transecesophageal echocardiogram because it was made by the esophagus.


Why is the Transecesophageal echocardiogram performed?

  • • For a more detailed examination of the diseases related to heart infection called clots, mass or endocarditis in the heart detected by the superficial echocardiogram,
  • • For detailed examination of the functions of artificial caps,
  • • When suspected of aortic vein enlargement and tearing,
  • • To examine the holes on the membranes between the heart chambers,
  • • Determination of the seriousness of heart valve deficiencies,
  • • Evaluation of the success of the operation during and after the operation of the heart valve repair or the closure of the heart holes,
  • • For reasons such as lung disease, obesity or breast structure, the surface echocardiogram is applied to the Tere method in case of insufficient quality.


How is the patient prepared before the Tran-esophageal echocardiogram?

Transesophageal Echocardiogram is performed after 4-12 hours of fasting. Allergies, asthma, high eye pressure, difficulty swallowing, nasal obstruction, new throat infection, patients with complaints such as food pipe and stomach problems are required to report to the doctor to investigate these conditions.

How is transesophageal echocardiogram done?

Transesophageal Echocardiogram is a semi-interventional examination. Just before the procedure, vascular tract is opened in order to ensure that intravenous medication is applied in the necessary cases. In order to suppress the nausea reflex and ensure the adaptation of the patient, the mouth and soft-dip zone is locally sedated with the help of an anesthetic spray.


Intravenous sedative medication is performed for the treatment and patient comfort. In cases where the patient is unable to adapt during the examination, the repetition of the procedure is carried out with the help of the anesthesia doctor, with additional sedative medications.

The cardiologist who will do the procedure tells you how to swallow the tube. The mouth is placed on a mouthpiece to prevent the patient from biting the tube. The gel-lubricated Transamoesophageal Echocardiogram probe is slowly pushed through the esophagus. When swallowing the probe, it is normal to have a meal and nausea. This situation is temporary. In the meantime, breathe from the nose is given.


The necessary heart images are recorded by the doctor and taken pictures. At the end of the procedure, your doctor will notify you of the findings. The average review time is 15-20 minutes. However, with the preparation time, this period is 30-60 minutes.

What are the considerations after Transesophageal echocardiogram?

After the trigger, something should be eaten for about 2 hours until the drowsiness in the throat passes. While the medications used to soothe during the examination can be dormant for a while, the tool and machine should not be used until it is fully recovered. After the examination, there may be a loss of pity and feeling in the throat for 1 or 2 days. This is a temporary condition and does not require treatment.

What is stress echocardiogram?

Stress Echocardiogram (SE) is an echocardiogram application with medications that accelerate exercise methods or heart attack. Exercise Echocardiogram is performed in the form of the exercise protocol in the treadmill, just before and after the application of the workout, or by using the bike exercise test to record echocardiogram images at every stage of the exercise. In cases where the exercise test cannot be performed (leg vascular disease, muscle bone structure limitation) by using increased doses of drugs to increase heart rhythm and contraction, such as dobutamine, adenosine, dipirinyroiole, by means of vessel Medicated stress echocardiogram is performed.

In which cases is the stress echocardiogram performed?

Permanent pacemaker, left ventrical block in the ECG, left abdominal thickening and due to the presence of some specific findings in the ECG (preecsitation) is applied when the evaluation of heart disease with other methods is difficult. To determine the risk of myocardial bleeding disorder and severity after acute heart attacks and interventional procedures to coronary arteries,

Surgical intervention in patients with surgery other than cardiac surgery is applied for the purpose of evaluating cardiac risk before the operation.

The aim is to observe the heart's contraction capacity, investigate the findings of coronary insufficiency, and help the surgical decision in some valve diseases.


What should be done before the stress echocardiogram?

An average of 4-6 hours of fasting is required for stress echocardiogram. In addition, a 6-hour period of non-smoking and caffeine-containing food (tea, coffee, chocolate, coke, etc.) or medication (some painkillers may contain caffeine) should not be taken.

Some medications that the patient is using 24 hours prior to this test should be cut off. The Doctor Who wants the test will decide. The medications that are permitted to be taken are not confined to swallowing with a small amount of water 3-4 hours before testing.

In all tests that are desired to be starved, diabetics should not take sugar-regulating medicines until they are allowed to eat. Immediately after the SE test is finished, the meal can be eaten.

How is stress echocardiogram done?

Test preparation consists of attaching the electrodes to the chest and opening the vein path. The Test time is approximately 1 hour. This examination is done by registering certain points on the chest. The rest of the heart is saved images.


Depending on the preferred stress management, exercise test or medicated application is performed. Exercise images are taken. Then the recovery period images are recorded. Heart rhythm, blood pressure monitored, EKG records are taken.


The rapid and strong heartbeat of the heart during the Test is perceived as palpitations. This situation is normal. During the medicated Test (application of Dobutamine) the sensation of warmth and flushing on the cheeks is normal in symptoms such as tingling in the scalp. When it comes to pain and restlessness in the chest, arm and jaw during the procedure, the doctor should be notified immediately in case of dizziness, eye darkening and shortness of breath.


The patient is kept under observation in the rest room for half an hour after the procedure. The interpretation of the test is performed in the images taken at different phases, comparing the strength of the heart's contraction.


The findings obtained in the examination of stress echocardiogram are told to the patient by the doctor and given to him within an hour in a written report.


Is there a risk of stress echocardiogram application?

Stress Echocardiogram is a reliable method. Drug-induced side effects may rarely be observed during the echocardiogram of the medicated stress. These are headaches, sweating, palpitations, chest pains, shortness of breath and nausea.


Rarely, sudden fall in blood pressure and elevation, constant non-sudden rhythm distortion from the heart of the ear and the carotid, chest pain may occur during the process of heart-vascular origin.


Strain rate and vector velocity imaging what is echocardiogram?

Strain, strain ratio and vector velocity imaging echocardiogram is the most delicate, new and modern method for measuring the heart's contraction and relaxation functions in a variety of planes, using the tissue Doppler ultrasound method. This method is especially applied to assess the strength and contraction functions of the heart muscle. By selecting various regions of the heart muscle, the size and movements of the stress and rest of these regions are measured in different planes.


Pain and no side effects. No preparation is required before processing. No contrast material is used. The process takes an average of 15-30 minutes.


The results are evaluated and transmitted to the patient by the physician who tested it. After the procedure, the patient can immediately stand up and continue his daily life.


Strain rate and vector velocity imaging echocardiogram in what cases?

In a patient with heart failure, the contraction strength of the heart muscle is calculated in the most accurate way. In this way, the cause of heart failure is determined much earlier than the level that a normal eye can distinguish, and the optimal treatment option is determined.


It provides a very precise measurement in determining the size of the damaged heart muscle mass in a patient with a heart attack and detecting the damage. It is one of the most important methods used in the evaluation of cardiac muscle functions prior to the cardiac operation to be applied to the patient. It allows the determination of the inflammation of the heart membrane and the separation of the varieties in the most reliable way possible.


The right and left half of the heart is a non-spouse method for the immediate detection and treatment of simultaneous study disorders and the effectiveness of this treatment.


Note: This page has been translated. Could be a word error. Please consult your specialist

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