Know what to expect before your test.
Plain-language answers about the most common cardiovascular tests we perform, from echocardiograms to stress testing, so you can arrive prepared and at ease.
Echocardiogram
An echocardiogram is an ultrasound of the heart. It lets your cardiologist see the heart's chambers, valves, and pumping action in real time.
What should I expect during an echocardiogram?
You will lie on an exam table while a sonographer places a small amount of gel on your chest and moves a handheld probe over the area. The test is painless and uses sound waves, not radiation. Most echocardiograms take about 30 to 60 minutes, and you can return to your normal activities right afterward.
How do I prepare for an echocardiogram?
A standard echocardiogram usually requires no special preparation. You can eat, drink, and take your medications as normal unless our team tells you otherwise. Wear comfortable clothing that allows easy access to your chest.
When will I get my echocardiogram results?
The images are reviewed by your cardiologist, who will discuss the findings with you at a follow-up visit or by phone. If anything requires urgent attention, our team will contact you promptly.
Cardiac Stress Testing
A stress test shows how your heart responds to exertion. It helps your cardiologist evaluate blood flow, rhythm, and symptoms such as chest pain or shortness of breath.
How do I prepare for a cardiac stress test?
Wear comfortable walking shoes and loose clothing. Avoid caffeine for the period our team specifies before your test, since caffeine can affect the results. Ask us before the test whether to take your usual medications that morning, and bring a list of everything you take.
What happens during a treadmill stress test?
Small electrodes are placed on your chest to monitor your heart's rhythm and blood pressure while you walk on a treadmill. The speed and incline increase gradually. The test stops when you reach a target heart rate, when symptoms appear, or when you ask to stop. Tell the team right away if you feel chest pain, dizziness, or unusual shortness of breath.
What is a nuclear stress test and how is it different?
A nuclear stress test adds a small amount of a safe radioactive tracer given through an IV, along with imaging pictures of your heart taken before and after stress. This shows how blood flows to the heart muscle. The visit is longer than a standard stress test, often a few hours, and our team will give you specific instructions about eating, drinking, and caffeine beforehand.
What if I cannot walk on a treadmill?
If exercise is not safe or possible for you, medication can be used to simulate the effect of exercise on the heart. Your cardiologist will choose the approach that fits your situation.
Holter and Event Monitors
A Holter monitor is a small, wearable device that records your heart's rhythm continuously, usually for 24 to 48 hours, while you go about your normal day.
What should I expect while wearing a Holter monitor?
Electrodes are placed on your chest and connected to a small recorder you wear on a belt or strap. You go about your usual activities while it records. You will typically be asked to keep a short diary of symptoms and activities so your cardiologist can match them to the recording.
Can I shower or exercise with a Holter monitor?
A standard Holter monitor cannot get wet, so plan to shower before it is placed. Normal daily activity is encouraged so the recording reflects your real routine, but avoid anything that would soak or dislodge the electrodes. Our team will review the specifics when the monitor is fitted.
Vascular Ultrasound
Vascular ultrasound uses sound waves to look at blood flow in the arteries and veins of the neck, legs, and arms. These studies are painless and require no radiation.
What should I expect during a carotid ultrasound?
You will lie comfortably while a sonographer moves a probe along the sides of your neck. The test checks the arteries that carry blood to your brain and usually takes about 30 minutes. There is no special preparation, and you can resume normal activities immediately.
What is an ankle brachial index test?
An ankle brachial index, or ABI, compares the blood pressure in your ankle with the blood pressure in your arm. It is a quick, painless way to check for peripheral artery disease. You simply lie still while blood pressure cuffs are placed on your arms and ankles.
How do I prepare for a leg arterial or venous ultrasound?
These studies generally need no special preparation. Wear loose, comfortable clothing that can be rolled up or removed easily from the waist down. The sonographer will move a probe along your leg to evaluate blood flow.
General Questions About Testing
A few answers that apply to most diagnostic visits at our clinic.
Will my test be done in the office?
Most diagnostic testing, including echocardiograms, stress testing, Holter monitors, and vascular ultrasound, is performed right in our offices. Procedures such as cardiac catheterization are performed in a hospital setting, and our team coordinates everything for you.
Do these tests hurt?
The tests on this page are non-invasive and painless. Stress testing involves exercise or medication that may make you feel your heart working harder, which is the point of the test, and you are monitored closely the entire time.
Where can I find preparation instructions for my specific test?
The guidance on this page is general. When you schedule, our team will give you instructions specific to your test and your medications. If you are ever unsure, call us at 512-551-3490 before your visit and we will walk you through it.
Your instructions come first.
The answers on this page are general guidance. When you schedule a test, our team will give you instructions specific to your procedure, your medications, and your health history. If anything is unclear, call us before your visit and we will walk you through it.
