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Cardiac Ultrasound - Patient Information
Echocardiogram "ECHO"
What to Expect
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A brief examination in an uncomplicated case may be done within 15 to 20 minutes.
The additional use of Doppler may add an additional 10 to 20 minutes.
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However, it may take up to an hour when there are multiple problems or when there
are technical problems (patients with lung disease, obesity, restlessness, and significant
shortness of breath may be more difficult to image).
Preparing for the Procedure
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Generally, no prior preparation, such as fasting or sedation, is required.
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Notify your physician of all medications and herbal supplements that you are taking.
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Notify your physician if you have a pacemaker.
Testing Procedure
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You will be asked to remove clothing and will be given a gown to wear.
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You will lie on a table or bed, positioned on your left side.
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You will be connected to an ECG monitor that records the electrical activity of the
heart and monitors the heart during the procedure using small, adhesive electrodes.
The ECG tracings that record the electrical activity of the heart will be compared to the
images displayed on the echocardiogram monitor.
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The technologist will place warmed gel on your chest and then place the transducer
probe on the gel. You will feel a slight pressure as the technologist positions the
transducer to get the desired image of your heart.
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During the test, the technologist will move the transducer probe around and apply
varying amounts of pressure to obtain images of different locations and structures of your
heart. The amount of pressure behind the probe should not be uncomfortable. If it does
make you uncomfortable, however, let the technologist know.
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After the procedure has been completed, the technologist will wipe the gel from your
chest and remove the ECG electrode pads. You may then put on your clothes.
Carotid Doppler
What to Expect
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This test takes an average of 15 to 30
minutes for most people, though it can vary.
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Once the test is completed, you will be free
to resume normal activities with no restrictions.
Preparing for the Procedure
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This is a non-invasive procedure, and no
special preparations are necessary.
Testing Procedure
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Ultrasound technician will apply a jelly-like
substance to both sides of your neck, where
the carotid arteries are located. This helps
lubricate the skin and allow the ultrasound
sensor to move more freely.
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The sensor is moved back and forth over the
neck and generates sound waves that bounce
off the arteries.
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The echo that bounces back is measured, and
the changes in frequency can measure the flow
of blood. The flow will be different in areas
that are narrowed.
Venous Doppler
What to Expect
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Uses ultrasound to create a two-dimensional picture of your veins.
Preparing for the Procedure
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You should wear comfortable, loose-fitting clothing.
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You may need to remove jewelry.
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May be asked to wear a gown during the procedure.
During the Procedure
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You will be asked to lie on your back with your head elevated slightly.
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A gel will be spread on your arms or legs on the area to be examined.
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A hand-held instrument, called a transducer, is used in the test.
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The person who performs the test will move the transducer down the length of the arm or leg. They will be listening, looking, and putting slight pressure on the vein.
Arterial Doppler
What to Expect
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An arterial doppler is an ultrasound exam of the arteries located in your arms or legs. An Arterial Doppler evaluates the arterial blood flow of the body.
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High frequency sound waves are used to obtain images of structures inside the body.
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Ultrasound imaging can help the radiologist see and evaluate arterial blockages, such as plaque in arteries.
Preparing for the Procedure
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For the test, you will be asked to disrobe from the waist down, except for your undergarments.
Testing Procedure
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Your blood pressure will be taken in both arms.
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Then a small ultrasound transducer will be placed on the femoral artery in each leg, to record waveforms caused by the flow of blood through the artery.
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The transducer will also be placed over 3 arteries in each ankle to measure blood flow by ultrasound and waveforms.