When do I need an echocardiogram?

Time to read 3 min

An echocardiogram is an image of your heart to determine aberrations, infection, damage, and other potential cardiac issues. The test uses high frequency sound waves or ultrasound to create a visual representation of your heart.


Your cardiologist or general practitioner may recommend getting an echo test done if you are at a higher risk of developing cardiovascular issues or are experiencing the key signs. You should get an echo test done immediately as soon as you start to feel chest pain, headaches, and rapid heartbeat.

What does an Echocardiogram detect?

There are several medical reasons why an echo is used to help detect specific conditions and issues. These are as follows -

Potential heart failure

If you have an issue with optimal heart function, then an echocardiogram can detect it through a 2D scan.

Detecting heart disease

If you have a history of cardiac issues and are experiencing symptoms then you can get a 2D echo to detect heart disease.

Birth defect in heart

Signs of birth defects within the heart can be detected with the echocardiogram.

Heart attack damage

If you've gone through a heart attack then an echocardiogram can be used to review potential sites of damage to the valves.

Infection in the heart

The presence of endocarditis can be detected through the echocardiogram, within the lining of the heart.

Issues with heart walls

If the patient has cardiomyopathy, then the test to detect it would be the echocardiogram. Any issues with the heart walls can be analysed within the echo test.


Your doctor will be able to provide all the necessary insights on what to expect during the test, as well as what metrics are being tracked for the heart and the vessels. They may also inform you not to consume food or drinks for a few hours prior. 

When do I need an echocardiogram?

There are many instances wherein doctors would want to know the functioning of the heart from a visual perspective using the sound waves within an echo test. An ECG may also not be enough to understand the core reason behind your chest pain or palpitations.


That's why doctors recommend getting an echocardiogram done to rule out potential infections, damage, and other critical issues. You can also track your cardiac health over time, if you have been taking the right precautions and measures.


You may also want to get an echo test done as a part of your annual examination or health check-up. It can help in ruling out any birth defects, as well as find out whether you are at higher risk of developing cardiac disease.

Knowing the types of echocardiograms

There are three major types of echocardiograms, which vary in goals and function. A specialist may opt for all 3 types of echocardiograms when required.

Transthoracic echocardiogram

The TTE test is the main ultrasound based test for the heart, which helps in detecting anomalies and aberrations through the visual inspection and analysis of the heart.

Transesophageal echocardiogram

A transesophageal echocardiogram is a test wherein a probe is sent through the oesophagus and pictures are generated internally. The TEE test may be recommended for some patients to detect blood clots and infections.

Stress echocardiogram

In a stress echocardiogram you may be asked to walk on a treadmill or a bike for some time to determine the impact on the heart.

Understanding the core symptoms of heart issues

There are several symptoms of cardiac issues and complications that you shouldn't ignore. The risk factor rises significantly if you have a prior history of cardiac issues as well. Some of the major signs are as follows.

Chest pain

You shouldn't ignore chest pain over time, as it can be a significant indicator of cardiac issue. You should get an echo test done immediately.

Rapid heart beat

A higher than normal heart beat can be an important sign that you need an echo test done. You should consult with a cardiologist or get an ECG and echo test performed quickly.

Headaches and dizziness

You may also get headaches as well as chest pain, which may be a strong indicator of cardiac stress or internal issues with your cardiovascular system.


Complications with blood pressure

If you have issues with blood pressure, wherein it may suddenly rise or fall, then you should get a complete echo test done. A TMT test may also be beneficial for you as well.

Difficulty breathing

You may find it more difficult to breath after walking or jogging, and it is an important sign that you shouldn't ignore if you do have a history of cardiac issues.


* Medical Disclaimer - The following information is for educational purposes only. No information provided on this website, including text, graphic, and images, are intended as substitutes for professional medical advice. Please consult with your doctor about specific medical advice pertaining to your condition(s).


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