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Patient Guide · Cardiac Ultrasound

Your Echocardiogram:
What to Expect

A complete guide to preparing for your echocardiogram — everything from what to wear to what happens during the scan, and what your results will tell you.

ARDMS Certified Sonographer
ASE Member — Echo Standards
IAC Accredited — Echo & Vascular
Board-Certified Cardiologist Review

Step by Step:
What to Expect

Many patients have never had this type of scan before. Here is exactly what will happen — no surprises.

Completely painless and non-invasive. Ultrasound uses sound waves — no radiation, no needles, no discomfort. Most patients find the experience relaxing.

01

You arrive and check in

Check in and complete any intake paperwork. You will be shown to a private, quiet exam room.

02

You change and get comfortable

You will be asked to undress from the waist up and lie on a comfortable exam table on your left side.

03

Electrodes are placed on your chest

Small adhesive electrodes are placed to monitor your heart rhythm during the scan. This is painless.

04

Gel is applied and imaging begins

A small amount of warm gel is applied to your chest. The sonographer gently moves a handheld probe across different areas of your chest to capture images from multiple angles.

05

The scan is completed

The entire imaging process takes approximately 45 minutes. The sonographer focuses on capturing high-quality images. You will hear sounds — this is the Doppler measuring blood flow.

06

You receive your results

A board-certified cardiologist reviews your images and prepares your report. You receive it within 24–48 hours via secure email.

Key Terms in
Your Results

Your cardiologist report is written in plain language, but here are the specific measurements and terms you may encounter — and exactly what they mean.

Ejection Fraction (EF)

The percentage of blood pumped out with each heartbeat. Normal range: 55–70%. Values below 40% indicate significant heart failure concern.

Diastolic Function

How well your heart relaxes and fills with blood between beats. Graded normal, mildly abnormal, moderately abnormal, or severely abnormal.

Valve Findings

Each valve is assessed for stenosis (narrowing) and regurgitation (leaking), graded mild, moderate, or severe.

Wall Motion

Each segment of the heart muscle is assessed for normal contraction. Abnormal motion can indicate prior heart attack or reduced blood supply.

Chamber Dimensions

Size measurements of all four chambers compared to normal reference ranges for your sex and body size.

Pericardial Effusion

Whether fluid is present around the heart. Small amounts may be normal; moderate or large requires follow-up.

What Happens
After Your Results

Your report will clearly state whether follow-up is needed and how urgently. Here is what each outcome typically means.

Normal findings

No significant abnormalities. Share your report with your primary care physician. Consider repeat screening in 1–3 years based on your risk profile.

Mild findings

Minor findings that warrant monitoring. Your report will specify follow-up timing and any lifestyle recommendations.

Moderate findings

Clinically significant findings requiring physician review. Your report will indicate appropriate urgency.

Significant findings

Findings requiring prompt evaluation. We will contact you directly in addition to delivering your report.

How to Prepare for Your Echocardiogram

An echocardiogram requires minimal preparation. Here is what to know before your appointment.

Learn More About Echocardiograms

Explore our clinical service page, related articles, and booking options for your echocardiogram.

Echocardiogram Service Page Blog: Echo vs. EKG Blog: Symptoms That Need an Echo Book Your Echocardiogram Download Free Patient Guide

Frequently Asked Questions

How do I prepare for an echocardiogram?

No fasting is required for a standard transthoracic echocardiogram. Wear a comfortable two-piece outfit — you will need to remove clothing above the waist. Continue all medications as prescribed. The scan takes approximately 45 minutes and is completely painless.

How long does it take to get echocardiogram results?

A board-certified cardiologist reviews your echo images and delivers a written clinical report within 24–48 hours via secure email. The report covers ejection fraction, valve function, chamber dimensions, wall motion, and diastolic function.

Will my insurance cover an echocardiogram?

BlackPoint Diagnostics is a direct-pay service at $397 per scan, all-inclusive. No insurance pre-authorization or referral is required. HSA and FSA payments are accepted.

Can I drive after an echocardiogram?

Yes. A transthoracic echocardiogram is completely non-invasive — no sedation, no needles, no contrast dye. You can drive, return to work, and resume all normal activities immediately after the scan.

What happens if my echocardiogram results are abnormal?

Your cardiologist report will clearly describe any abnormal findings and recommend appropriate follow-up. Common findings may include reduced ejection fraction, valve abnormalities, or diastolic dysfunction. For significant findings, our team contacts you directly in addition to delivering your report.

References

  1. Mitchell C, Rahko PS, Blauwet LA, et al. "Guidelines for Performing a Comprehensive Transthoracic Echocardiographic Examination in Adults: Recommendations from the American Society of Echocardiography." Journal of the American Society of Echocardiography, 2019. PMID: 30282592
  2. Lang RM, Badano LP, Mor-Avi V, et al. "Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults: An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging." Journal of the American Society of Echocardiography, 2015. PMID: 25559473
  3. Nagueh SF, Smiseth OA, Appleton CP, et al. "Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography: An Update from the ASE and the EACVI." Journal of the American Society of Echocardiography, 2016. PMID: 27037982

Book Your Echocardiogram
Today

No referral needed. $397 all-inclusive. Results from a board-certified cardiologist within 24–48 hours.