What's it like having an Echocardiogram?

Posted by grrranny @grrranny, Oct 8, 2025

I have one coming up in 2 weeks on the recommendation of my neurologist following my stroke 4 months ago. Was told it takes an hour! Is it noisy and claustrophobically-enclosed like an MRI?
Will I be able to move at all?

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My experiences were wildly different. I've had several over the years, and now every year post bypass. Two years ago I had one that was so painful I teared up and I have a good tolerance for pain. The tech explained she had to press that hard to get a good visualization. However, a different tech a year later at the same place got good pictures without pain. It's awkward, the positioning and you're glad when it's over, but now I know it doesn't have to be painful, and I will speak up if it is.

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Profile picture for sjm46 @sjm46

Of all the tests that I have had, this is the easiest to tolerate. Please don't stress over it unless you really can't lay still for a few minues. It is a dark, quiet room, the technician does everything to make you comfortable. You will be asked to hold your breath several times--at least I was--but it is not unpleasant. You'll be fine! It is nothing like an MRI or even a CT scan. Good luck!

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@sjm46

I love MRIs.

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How accurate is this test? Will it show blockage?

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An Echocardiogram is none intrusive do not worry. I've had countless echocardiograms.

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Profile picture for riflemanz64 @riflemanz64

How accurate is this test? Will it show blockage?

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@riflemanz64 They are surprisingly accurate, but a lot depends on the skills of the technician and how that person applies the sensor. It also depends on the skills and experience of the expert who is paid to interpret the results. So, in truth, and in most cases, the person caring for you would want at least two different assessments, not both echo, but echo and a stress test for ischemia, sometimes with contrast dye and a CT scan. Or, they may ask for an angiogram. Or all three....happened to me. They kept finding that I have no ischemia, so the cardiologist and EP ordered more tests until they had to admit that I don't have blockages. Turned out it was just severe obstructive sleep apnea that stressed my heart all night long...for months and months.

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