Alessandro Durante MD
Cardiologist
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:
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the heart chambers (atria and ventricles)
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the heart valves
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the movement of the heart
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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:
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the patient lies on an examination table, usually on the left side
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the doctor applies a gel to the chest
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a probe (transducer) is used to emit ultrasound waves
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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
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pumping capacity (ventricular function)
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ejection fraction
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wall motion
Heart valves
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opening and closing
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possible stenosis or regurgitation
Presence of fluid
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pericardial effusion (fluid around the heart)
Blood flow
Thanks to Doppler, it is possible to assess:
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direction and velocity of blood flow
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possible flow abnormalities
When is it prescribed?
A doctor may request an echocardiogram in the presence of:
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chest pain
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shortness of breath (dyspnea)
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palpitations
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suspected heart disease
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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:
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Transthoracic (the most common)
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Transesophageal (more detailed, with a probe in the esophagus)
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Stress echocardiogram (during physical exertion or with medication)
Is it a safe exam?
Yes. Echocardiography is:
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non-invasive
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radiation-free
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well tolerated
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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.