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Stress Echocardiogram

Assessing Heart Function During Exercise

A stress echocardiogram combines ultrasound imaging of the heart with exercise testing to evaluate how the heart performs under physical stress. It is one of the most commonly used investigations for assessing symptoms such as chest discomfort, shortness of breath, reduced exercise capacity, and suspected coronary artery disease.

At HeartWise Cardiology, stress echocardiography is performed and interpreted by an experienced cardiologist using modern imaging equipment, providing a detailed assessment of heart function during exercise.

What Is a Stress Echocardiogram?

A stress echocardiogram involves three phases — comparing heart function before and after exercise allows us to identify abnormalities that may not be apparent at rest.

1

Resting Echocardiogram

Images of the heart are obtained while you are resting.

2

Exercise Test

You will walk on a treadmill using a standard exercise protocol with progressively increasing intensity. Your heart rate, blood pressure, and ECG are continuously monitored.

3

Immediate Post-Exercise Imaging

Following exercise, ultrasound images are obtained immediately to assess how the heart responds to stress.

Why Might I Need a Stress Echo?

Your doctor may recommend a stress echocardiogram if you have:

  • Chest discomfort or chest pain
  • Shortness of breath on exertion
  • Reduced exercise tolerance
  • Suspected coronary artery disease
  • Abnormal ECG findings
  • Known coronary artery disease
  • Previous coronary stents or bypass surgery
  • Heart valve disease requiring exercise assessment
  • Concerns regarding exercise-induced symptoms
  • Cardiac evaluation for driving licence clearance
  • Assessment following a cardiac event before returning to safety-sensitive occupations

What Conditions Can a Stress Echo Detect?

Coronary Artery Disease

Stress echocardiography can identify evidence of reduced blood flow to the heart muscle during exercise, which may indicate significant narrowing of one or more coronary arteries.

Exercise-Induced Symptoms

The test can help investigate exertional chest pain, exertional breathlessness, and exercise intolerance.

Heart Valve Disease

Stress echocardiography may be useful in assessing the severity and functional impact of certain valvular conditions during exercise.

Pulmonary Pressure Response

Exercise imaging may provide additional information regarding pulmonary pressures and exercise haemodynamics in selected patients.

How Should I Prepare?

Proper preparation helps ensure accurate results and a smooth experience on the day of your test. Please follow the guidance below carefully. If you have any questions before your appointment, contact our reception team on (08) 6102 1655.

Before Your Appointment

  • A referral from your GP or specialist is required — please bring it with you on the day.
  • Allow approximately 45–60 minutes for the full appointment, including preparation, the test itself, and a short recovery period.
  • If you need to cancel or reschedule, please give us at least 24 hours' notice so the time can be offered to another patient.

Food & Drink

  • Do not eat for at least 3 hours before the test — a light snack 2–3 hours prior is acceptable if needed.
  • Avoid heavy or large meals on the day of your appointment.
  • Avoid caffeine (coffee, tea, energy drinks, cola) for at least 4 hours before the test, as it can affect your heart rate.
  • Drink water as normal — staying hydrated is encouraged.
  • Avoid alcohol for 24 hours before the test.

Clothing & Personal Items

  • Wear comfortable, loose-fitting clothing that allows easy movement — a two-piece outfit is ideal as you will need to undress from the waist up.
  • Wear comfortable walking or running shoes with good grip. Thongs, sandals, or slip-on shoes are not suitable.
  • Women should wear a supportive bra that can be easily removed or loosened, as electrodes need to be placed on the chest.
  • Avoid applying lotions, oils, or powders to your chest on the day of the test, as these can interfere with electrode adhesion.
  • Bring a list of all your current medications, including doses and frequency.
  • Bring your Medicare card and any relevant concession or private health fund cards.
  • Bring your referral letter if it has not already been sent to us.

Medications

  • Take your regular medications unless your doctor has specifically advised you to stop or withhold any before the test.
  • Some medications (such as beta-blockers) may need to be withheld for 24–48 hours before the test, as they can blunt the heart rate response to exercise. Your referring doctor or our team will advise you if this applies.
  • If you use an inhaler for asthma or COPD, bring it with you.
  • If you have diabetes, ask your doctor how to manage your blood sugar and diabetes medications around the fasting period.
  • If you are unsure about any medication, please check with your referring doctor or call us before your appointment.

On the Day

  • Arrive 10–15 minutes before your scheduled appointment time to allow for check-in and preparation.
  • You will be asked to undress from the waist up and put on a gown that opens at the front.
  • Small sticky electrodes will be placed on your chest to monitor your heart rhythm throughout the test.
  • Your blood pressure, heart rate, and ECG will be monitored continuously before, during, and after exercise.
  • The resting echocardiogram is performed first, followed by the treadmill exercise, and then immediate post-exercise imaging.
  • Tell the staff immediately if you experience chest pain, dizziness, severe breathlessness, or any discomfort during the test — the test can be stopped at any time.

After the Test

  • You will be monitored for a short time after exercise until your heart rate and blood pressure return to baseline.
  • You can eat, drink, and resume normal activities unless advised otherwise.
  • In most cases, you can drive yourself home after the test.
  • A specialist cardiologist will review your results and a report will be sent to your referring doctor, usually within 7 working days.

Important: If you are unable to exercise on a treadmill due to mobility issues, arthritis, or other limitations, please let us know when booking — a pharmacological stress test (using medication to simulate exercise) may be arranged as an alternative.

Specific instructions will be provided when your appointment is booked.

Is Stress Echocardiography Safe?

Stress echocardiography is a well-established and commonly performed cardiac investigation. The test is conducted under specialist supervision with continuous monitoring throughout the procedure.

As with any exercise-based cardiac test, there is a small risk of complications, which will be discussed before testing.

Advantages of Stress Echocardiography

  • Does not involve ionising radiation
  • Provides real-time assessment of heart muscle function
  • Assesses exercise capacity
  • Evaluates blood pressure response to exercise
  • Evaluates heart rhythm during exertion
  • Can assess exercise-related symptoms directly

Why Choose HeartWise Cardiology?

  • Cardiologist-supervised testing
  • Specialist interpretation
  • Advanced echocardiography expertise
  • Comprehensive cardiac assessment
  • Convenient Perth locations
  • Rapid reporting to your referring doctor

Frequently Asked Questions

Is a stress echo the same as an ECG stress test?
No. A stress echocardiogram combines exercise testing with ultrasound imaging of the heart, providing significantly more information than an ECG stress test alone.
Will I need to run?
Most patients walk on the treadmill with gradually increasing speed and incline. Running is usually not required.
How long does the test take?
Allow approximately 45–60 minutes for the appointment.
Can I drive afterwards?
In most cases, yes. Your cardiologist will advise if any specific restrictions apply.
Do I need a referral?
Yes. A referral from your GP or specialist is generally required.

Book a Stress Echocardiogram in Perth

If you have symptoms such as chest pain, breathlessness, reduced exercise capacity, or concerns regarding coronary artery disease, a stress echocardiogram may provide valuable information regarding your heart health.

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Phone: (08) 6102 1655
Fax: (08) 6118 5522
info@heartwisecardiology.com.au
HealthLink ID: hwisecrd
Medical Disclaimer: Information on this website is general in nature and does not replace individual medical assessment. HeartWise Cardiology does not provide emergency care through this website. If you have chest pain, severe breathlessness, collapse, stroke symptoms or any urgent concern, call 000 or attend the nearest Emergency Department.

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