19 March 2019 What is an echocardiogram? An echocardiogram is a diagnostic exam that uses ultrasound to obtain moving images of the heart and surrounding blood vessels . The ultrasounds from the machine ( echograph ) are reflected differently by the heart’s structures and create images on a monitor . An echocardiogram is used to study morphological and functional alterations in the heart . There are different types of echocardiogram. One of them is the exercise echocardiogram . What is a exercise echocardiogram? A exercise echocardiogram helps provide information on the heart walls and valves during a physical exercise test. The information gathered in this exam is morphological and functional . It focuses on the chambers (atria and ventricles), valves and walls of the heart during a physical exercise test, i.e. while the heart is working harder . How does a exercise echocardiogram work? The stress test is performed on a treadmill . Measurements of blood pressure and an electrocardiogram are performed and the results are then compared to the information from the echocardiogram. Electrodes are placed on the chest to record the electrocardiograph signals. The echocardiogram is performed as follows: At rest; Standing before exercise; During exercise; Immediately after exercise. When is a exercise echocardiogram performed? It is always for the doctor to decide whether there is a need for a particular test, depending on the individual characteristics of each patient and their specific complaints or illness . As a rule, a exercise echocardiogram may be recommended to : Assess the heart’s response to exercise; Diagnose conditions that can only be seen in these circumstances, such as coronary disease. How long does a exercise echocardiogram take? The duration of a exercise echocardiogram can vary. It usually lasts between 30 and 45 minutes . What are the limitations of a exercise echocardiogram? A exercise echocardiogram can miss lesions and diagnoses , even when the examination is carried out correctly. Are there any side effects, risks or complications associated with a exercise echocardiogram? You may feel the following during the exam: Some heat; Palpitations; Mild headache; Dry mouth; Tiredness; Sensation in the chest. These exercise-related effects are temporary , though you should tell the physician or technician about them. At the hospitals and clinics of the Hospital da Luz network, you can find cardiologists who specialise in the diagnosis and treatment of heart disease. This article was written with the support of physicians and other clinical professionals from the Hospital da Luz network . The content published in the Health Guide is intended for the general public and is provided for informational and educational purposes only. It does not replace individual medical assessment, diagnosis, or personalized clinical advice from a qualified healthcare professional. The content is produced or reviewed by physicians and other healthcare professionals at Hospital da Luz and is based on the knowledge available at the time of publication or the most recent update, as indicated at the beginning of each item.