Stress Echocardiogram


As specialized providers, the Windsor Heart Institute offers stress echocardiography.

This combines a regular stress test with echocardiographic images of the heart at rest and peak exercise.

Stress echocardiography provides increased sensitivity and specificity (80-90%) when compared to other testing modalities. This overcomes issues related to false positive testing seen in regular treadmill testing and potentially avoids need for more testing.

During The Test:

A resting echocardiogram is performed prior to exercise on a treadmill and at peak exercise; this test is frequently done to assess for coronary artery disease.

Why Is This Test Performed?

  • • Noninvasive test to identify reduced blood flow to the heart muscle (ischemia)
  • • Chest pain that may be associated with coronary artery disease
  • • Determine the effectiveness of a patients’ bypass or angioplasty
  • • Cardiac rehabilitation – entry and exit exam; these are performed to help determine how much exercise you can safely tolerate during Cardiac Rehabilitation
  • • Effectiveness of medications: BP, antiarrhythmics
  • • Assess exercise/ functional capacity

How To Prepare:

  • • Bring in a current list of medications
  • • Do not wear any creams or lotions
  • • Do not wear a Nitro patch the day of the test
  • • No caffeine 3 hours prior to testing
  • • Bring water if desired
  • • Light meal prior to exercise stress test
  • • The following Beta Blockers need to be held 24-48 hours prior to testing:
    Acebutolol, Metoprolol, Atenolol, Bisoprolol, Carvedilol (Coreg), Lopressor, Pindolol, Nadolol, Propranolol, Verapamil, Cardizem (Diltiazem),
    You may be asked to continue these medications
  • • Be prepared to be in the office approximately 2 hours

*IF you cannot walk on a treadmill, please call the office and notify us so you appointment can be scheduled accordingly