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Transthoracic Echocardiography

What is it?

Echocardiography is a diagnostic test that uses high frequency ultrasound waves to produce a picture of the heart. In transthoracic echocardiography, a transducer that emits sound waves is placed on the chest in the area of the heart. “Transthoracic” means “through the chest.” Also called simply echocardiography.

Who needs this procedure?

Transthoracic echocardiography is used to diagnose abnormalities of the heart, such as thickening of the heart walls, coronary artery disease, fluid build up, valve malfunctions, and a condition called regurgitation, in which blood flows backward through the partially closed heart valves. It shows the size of the heart, how well it is pumping, blood flow patterns, and whether there is any damage to the heart tissue. Transthoracic echocardiography is used to diagnose or rule out heart disease in people with chest pain.

How do I prepare for this procedure?

There are no special preparations for transthoracic echocardiography. It is noninvasive, which means it is not necessary to penetrate the body through an incision or injection. You will need to remove any jewelry and clothing from the waist up for this test.

How is this procedure performed?

Transthoracic echocardiography is performed as you lie on your back on an examination table, with your chest area exposed. The radiologist or technician will spread a gel on your skin. The gel makes it easy for the transducer, which emits the ultrasound waves, to slide against your skin. The transducer sends ultrasound waves into the heart, which bounce back, or “echo,” off certain structures of the heart. Special echocardiography equipment translates these sound waves into a moving picture of the heart. The procedure is painless, and takes approximately 15 to 30 minutes. If your doctor is particularly interested in the direction and speed of blood flow through your heart’s chambers and blood vessels, he or she may order a Doppler echocardiogram. This procedure uses a different type of transducer, but is also painless and noninvasive. If your doctor wants to see how your heart responds to exercise, he or she may order an exercise echocardiogram, in which heart function is measured during exertion.

What can I expect after the procedure?

You should experience no side effects from transthoracic echocardiography.


This information has been designed as a comprehensive and quick reference guide written by our health care reviewers.  The health information written by our authors is intended to be a supplement to the care provided by your physician.  It is not intended nor implied to be a substitute for professional medical advice. 

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This page was last updated on October 31, 2006
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