Echocardiogram

This was originally posted to my blog, Diabetes Odyssey.

Let’s say your doctor has ordered an echocardiogram for you. You’ve never had one of these and the not knowing what to expect is kind of making you nervous. Not to worry, I’ve had three of these and am here to give you a step-by-step rundown.

An echocardiogram is an ultrasound of your heart. It’s just like a pregnancy ultrasound, but of your heart instead of your (or your woman’s) uterus.

I personally have had three echo’s. One just before my heart surgery, one a few weeks after the surgery, and one today to establish the health of my heart for a new cardiologist I’ve started to see.

First you will be asked to disrobe from the waist up. Yes, the tech will see and touch your boobies during the test. You are given a gown (worn with the front open) and a towel to use for some semblance of modesty.

You will then lay on a padded table on your left side. The tech will put three sticky pads on your chest and rib areas and then attach sensor lines to them (like an EKG). Then the tech will put some gel on the end of their ultrasound wand and use it to press and rub on your chest (between your tah-tahs) to get a good look at your heart. Some people experience a little discomfort from the pressing and rubbing, but it really depends on individual sensitivity; it doesn’t bother me.

You will most likely be in a position to be able to watch the computer screen and see your heart pumping and hear it, too. It’s really fascinating.

Ba dum ba dum ba dum. Actually, it sounds more like a swishy squishy kind of pumping noise.

You can watch the pumping and even notice the valves opening and closing. Really cool stuff.

You will see the tech typing on their keyboard and using the mouse to highlight parts of your heart and take screen shots and record sections of your heartbeat, and taking measurements. Do not worry, this doesn’t mean they are pointing out problems. It simply means they are following the doctors instructions and making sure he gets the information he needs and asked for from this test.

The tech will also use the wand on your left side ribs (just under your left naughty pillow). Here they will do the same scenario as they did with your chest.

The third part they check requires you to lay on your back. The wand will be put to your abdomen just under your last rib, kind of to the right. This is to see the bottom of your heart.

Last they will place the wand on your throat just above your clavicle. This is to see the top of your heart.

You might be thinking this sounds suspiciously like the same thing they do for your stress test, and it is very similar. But for this test you do not need to get all hot and sweaty and winded. Also, the stuff they are doing and looking for is different.

All-in-all this test takes around 20 minutes, give or take.

No pain, no exercise, no worries.

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I had my one and only echocardiogram in 2011 and it took about an hour. But maybe they were being extra thorough for some reason, or maybe because I had it done while I was hospitalized, though I can’t imagine that would make a difference. I have another one in a few weeks and I just assumed it would also take an hour. It would be great if it’s only 20 minutes. :slight_smile:

The one I had just before my heart surgery took longer than the other two. I assume it was because they had extra stuff they were dealing with. But the two I’ve had done since the surgery only took about 20 minutes or so and I’m told that is the average time it usually takes. I hope yours has good results. :slightly_smiling:

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I had no idea what was coming. And as a survivor of rape with a wee bit of torture involved, as soon as I lay on the table and a male technician entered, I literally bolted. And suffered flashbacks for weeks. I did talk to my doc then and get one done with a female technician…

Your post is excellent, my friend. I did not even know the right questions to ask some years ago. So Ladies and Gents. Take Tamra’s post to heart if you have never had one, and tell your doc you expect consideration of whatever your particular sensitivities may be!..

Blessings and love!..

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Hi Tamra,

Thanks for posting this! It makes such a difference to know ahead of time what to expect in a medical test or procedure!

Best wishes,

marty1492

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Hi! Great post - I have t1d and a heart murmur and have been getting echo’s done since I was born, but I know a lot of people don’t know exactly what they entail. Such a great way to prepare those wondering, and this is a great tool for checking your heart is okay. :slight_smile: Also super interesting to watch how your heart works and moves! I also have hyperthyroidism and sometimes get those crazy fast rapid heart beats so an echo is a great way to just check everything is going fine.

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I have had one and they saw something that freaked them out that I was rushed into an angioplasty but it was actually a shadow. It was done due to severe tachycardia.

I had one in emergency when I was near coma stage with DKA. as I had already told them it was my 8th birthday (I was 45) when they asked me if I had any heart problems and I said yes, they probably should have stopped there - as it was I “woke” hours later in intensive care wondering why I had all those sticky tabs on me…so alot of folks got a peak at my PJ’s and boobies - what a walk on the wild side :slight_smile: