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Ecocardiography

Echocardiography is a fundamental examination in cardiology that allows the study of the structure and function of the heart in a non-invasive and painless way.

Thanks to the use of ultrasound, it provides real-time images of the beating heart, offering valuable information for the diagnosis and monitoring of many cardiac conditions.

 

What is an echocardiogram?

An echocardiogram is an exam that uses high-frequency sound waves (ultrasound) to visualize:

  • the heart chambers (atria and ventricles)

  • the heart valves

  • the movement of the heart

  • blood flow

Unlike other tests, it does not use radiation, making it safe and repeatable over time.

 

How is the exam performed?

Echocardiography is simple and usually does not require any special preparation.

During the exam:

  • the patient lies on an examination table, usually on the left side

  • the doctor applies a gel to the chest

  • a probe (transducer) is used to emit ultrasound waves

  • images of the heart are displayed in real time on a monitor
     

Duration: approximately 15–30 minutes

Pain: none (only mild pressure from the probe may be felt)

 

What information does it provide?

Echocardiography provides very detailed information about:

Heart function

  • pumping capacity (ventricular function)

  • ejection fraction

  • wall motion

Heart valves

  • opening and closing

  • possible stenosis or regurgitation

Presence of fluid

  • pericardial effusion (fluid around the heart)

Blood flow

Thanks to Doppler, it is possible to assess:

  • direction and velocity of blood flow

  • possible flow abnormalities
     

When is it prescribed?

A doctor may request an echocardiogram in the presence of:

  • chest pain

  • shortness of breath (dyspnea)

  • palpitations

  • suspected heart disease

  • follow-up of known conditions

It is also widely used for long-term monitoring.
 

Types of echocardiogram

There are different types, depending on clinical needs:

  • Transthoracic (the most common)

  • Transesophageal (more detailed, with a probe in the esophagus)

  • Stress echocardiogram (during physical exertion or with medication)
     

Is it a safe exam?

Yes. Echocardiography is:

  • non-invasive

  • radiation-free

  • well tolerated

  • suitable for repeated follow-up exams
     

In summary

Echocardiography is an essential tool for assessing heart health in a fast, safe, and accurate way.

It allows early detection of many cardiac conditions and their monitoring over time, helping to guide the most appropriate treatment.

© 2025 Dr. Alessandro Durante, cardiologo

Iscritto all'Ordine Provinciale dei Medici Chirurghi e degli Odontoiatri di Milano al n. 41321

Comunicazione inviata all'Ordine dei Medici in data 11/08/2014

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