Q: What is an Echocardiogram?
A: An echocardiogram is a safe, non-invasive procedure used to diagnose cardiovascular disease. It uses high-frequency sound waves to literally see all four chambers of the heart, the heart valves, the great blood vessels entering and leaving the heart, as well as the sack around the heart. Echocardiography allows doctors to visualize the anatomy, structure, and function of the heart. It can quickly diagnose the presence and severity of heart valve problems, as well as determine abnormal flow within the heart which occurs with congenital heart disease that you may have been born with. This window to the heart enables the doctors to diagnose a number of cardiovascular diseases, so they can begin proper treatment.
Q: Why is an Echocardiogram Preformed?
A: Doctors use an echocardiogram to diagnose and evaluate conditions of the heart and surrounding veins and arteries. Echocardiography can be used to determine causes for chest pain, establish a baseline for reference in tracking chronic heart conditions, evaluate the effects of a heart attack, diagnose narrowed or leaking heart valves, as well as to determine the need for intervention or as a follow-up to evaluate the effectiveness of treatment. An echocardiogram also can determine if the heart or aorta has been damaged in an accident and can help evaluate a donor heart prior to a transplant. Young children or infants could have echocardiography performed if there is suspected congenital heart disease.
Q: What types of Echocardiograms are there?
A: The conventional echocardiogram usually performed is the transthoracic echo, which is performed by placing the probe on the outside of the chest wall with a gel-like substance to transmit sound waves into the body.
Q: What type of Information can Echocardiography Provide?
A: Echocardiography displays the size of the chambers of the heart, including the dimension or volume of the cavity and the thickness of the walls. The appearance of the walls may also help identify certain types of heart disease that predominantly involve the heart muscle.
Q: Do health plans cover Echocardiography?
A: Most health plans, HMO's, and Medicare cover echocardiography for established reasons.
Q. How does it Work?
A: It uses high-frequency sound waves to literally see all four chambers of the heart, the heart valves, blood vessels entering and leaving the heart and the sack around the heart.
Q: Who gets an Echocardiogram?
A: The procedure can be performed on all ages, from fetuses to senior citizens.
Q: How long does an Echocardiogram take?
A: An echo takes approximately 30 to 45 minutes.
Q: Will I be exposed to Radiation?
A: The sound waves are painless, and are not radioactive. This test is completely non-invasive in terms of needles and probes
Q: What happens if the Doctor finds a Problem?
A: The doctor will explain the findings of the echocardiogram to the referring physician. Then additional tests may be performed or treatment may be recommended. Treatment for heart problems includes medication, surgery and lifestyle modification.
Q: How is each Procedure Performed?
A: The transthoracic echocardiogram is a painless procedure that involves the patient lying quietly while a small probe, called the transducer, is gently placed on various positions of the chest, from which to obtain the images or pictures of the heart in real-time. Because the sound waves do not readily pass through air, a clear jelly-like substance is applied between the chest and the transducer to improve the contact of the transducer with the skin. Transesophageal echo involves the passage of a very small tube down the food pipe, or esophagus. Because the esophagus lies in close proximity (behind) the heart, outstanding images of the heart can be obtained. To minimize the amount of discomfort that a patient might have from swallowing the probe, patients are often given oral sprays of novocaine-like medicine, as well as intravenous medicine to relax them and minimize any discomfort.
Q: Where does the Procedure take Place?
A: An echocardiogram can be performed in any setting, i.e., wherever the patient is. While it is usually performed in a hospital or doctor's office, it can be performed bedside in the emergency room, an intensive care unit, or in an operating room. A cardiac sonographer, a health care professional specially trained and certified in ultrasound imaging of the heart, usually performs the procedure, and the results are reviewed and interpreted by a cardiologist. In some cases, such as with transesophageal echocardiography or when the echo is performed in the operating room, the cardiologist both performs the exam and interprets the results.
Q: What is the difference between and Echocardiogram and an EKG?
A: An echocardiogram shows an image of a beating heart on a television-like screen as the sonographer performs the test. An EKG, or electrocardiogram, measures the electrical currents in the heart. These are different diagnostic techniques used to obtain different information. The EKG tells about the electrical health of the heart while the echocardiogram tells the structural health of the heart and its valves.
Q: How long has Echocardiography been around?
A: Echocardiography began to be used in a clinical setting in the late 1960s. Echocardiography is still going through improvements and development of new technologies that make the procedure
Q: How can I tell if my Echocardiogram is being performed by Qualified Personnel?
The professionals involved in your echocardiogram should follow specific
guidelines to provide high quality service. Check with them to see if the
sonographer has passed a nationally recognized certification exam such as
the Registered Diagnostic Cardiac Sonographer (RDCS), the physician has
passed the ASCeXAM for special competency in cardiac ultrasound, and the
lab is accredited by the Intersocietal Commission of Accreditation of Echocardiographic