A stress echocardiogram is a highly specialized test that is used as a screening tool to help detect heart disease. It provides specific information about valvular heart disease, coronary anatomy, and cardiac function. The exam consists of three different tests: a resting echo, a stress test on a treadmill, and another echo immediately post exercise.

First, a resting echocardiogram is performed, during which the echo technician obtains several views of your heart. Then, electrocardiography (EKG) monitoring is performed while you’re on a treadmill. The speed and incline of the treadmill will increase until you reach your maximum heart rate, become fatigued, or have specific EKG changes. You will immediately be asked to move to the examination table, where you’ll lay on your left side and undergo another echocardiogram.

Allow up to 90 minutes for your stress echocardiogram appointment. To prepare for your appointment, wear walking shoes and loose, comfortable clothing. Avoid heavy meals for four hours prior to the test. You may have a light snack and take your monitoring medication with a sip of water.