A Guide to Understanding Echocardiogram Results (2024)

Having the knowledge and ability to understand echocardiogram results is an invaluable skill. Check out this guide to help you pick up the basics!

Do you or a family member have an echocardiogram scheduled in the near future?

Maybe you’re a medical professional that wants to brush up on some cardiology foundations.

Echocardiograms are extremely common procedures. In fact, a sonographer in a hospital settingperforms an average of 6 echo tests per day.

Read on for a quick echocardiogram guide to help you understand echocardiogram results.

What Is An Echocardiogram?

During an echocardiogram, a doctor will generate a real-time image of the heart. The test monitors ultrasound, high-frequency sound waves, which are projected through the chest and bounce back to create an image of your heart.

The test is useful for diagnosing and monitoring heart problems and creating treatment plans.

Types of Echocardiograms

There are three main types of echocardiogram tests that a doctor may perform.

A transthoracic echocardiogram is noninvasive. It uses a transducer moved across your chest to produce the heart image.

A transesophageal echo test is performed with a tube transducer in your throat. This helps to view the heart from a different angle.

Last, a stress echocardiogram occurs during exercise on a treadmill or bike. This is to monitor your heart’s response to physical activity.

Heart Conditions

Doctors recommend echocardiograms to diagnose heart conditions.

An echocardiogram reading can help a doctor evaluate if you have a heart murmur, valve problems, or atrial fibrillation. It can also detect fluid around the heart, clotting, or thickening of the heart tissue.

An echo test can also monitor congenital heart disease and pulmonary hypertension.

Echo Results and The Functions of The Heart

The resulting image of an echocardiogram can show a big picture image of heart health, function, and strength. For example, the test can show if the heart is enlarged or has thickened walls.

Walls thicker than 1.5cm are considered abnormal. They may indicate high blood pressure and weak or damaged valves.

An echocardiogram can also measure if your heart is pumping enough blood through your body.

Left ventricular ejection fraction measures the percentage is blood pushed from the heart per beat. Cardiac output is the volume of blood pumped per minute, with the adult average being 4.8 to 6.5 liters.

The heart’s walls won’t pump properly if the walls contract too little or too much. This may indicate a prior heart attack or heart disease.

Your echo results will also tell if the valves of your heart are opening and closing properly. If so, blood flow is normal.

The doctor will also use the overall image of the heart to look for structural defects. Defects include openings between chambers, passages between blood vessels, andfetal heart defects.

Understanding Echocardiogram Results

Having some background knowledge of the purpose of an echocardiogram, how the test works, and what to look for will help you better understand andinterpret echocardiogram results!

If you’re a patient, interpreting your echo results can give you peace of mind about the next steps towards treatment.

Want to learn more about telecardiology? Visitour blog!

A Guide to Understanding Echocardiogram Results (2024)

FAQs

How do you read an echocardiogram test results? ›

A normal EF is about 55-65 per cent. It's important to understand that “normal” is not 100 per cent. Measuring the EF helps your doctor to understand how well the heart is pumping. Generally an EF below 40 per cent is considered a sign that the heart is not pumping as well as it should.

What are good numbers for an echocardiogram? ›

In most cases, this is estimated by eye from all the available echo views. A normal ejection fraction is 50%–80%, but values as low as 5% are compatible with life (end-stage heart failure).

What are abnormal echocardiogram results? ›

10 Abnormalities That Can Be Discovered Using Echocardiography
  • Irregular or damaged heart valves.
  • Heart murmur.
  • Muscle damage from a heart attack.
  • Weakening in the heart's pumping power.
  • Pericarditis – a swelling or irritation of the pericardium, the membrane around the heart.
Jan 24, 2023

What 5 abnormalities can be found on the echocardiogram? ›

What 5 abnormalities can be found on an echocardiogram?
  • An enlarged heart or thick ventricles.
  • Weakened heart muscles.
  • Problems with heart valves.
  • Heart defects present since birth.
  • Blood clots or tumors.
Nov 27, 2023

What is normal ejection fraction for a 70 year old? ›

A normal ejection fraction range is between 52 and 72 percent for men and between 54 and 74 percent for women. An ejection fraction that's higher or lower may be a sign of heart failure or an underlying heart condition.

What is a dangerously low ejection fraction? ›

A low number can be serious. If your ejection fraction is 35% or below, you're at high risk of developing a dangerous arrhythmia or even heart failure.

What does 60% mean in an echo report? ›

b) What does 60% mean in an echo report? The 60% in a 2D echo test report is the ejection fraction (percentage of blood pumped out of the filled left ventricle with each contraction of the heart). A normal ejection fraction ranges between 50-70%. –

What is the lowest ejection fraction you can live with? ›

This is rated as:
  • 45%–70%, normal.
  • 35%–45%, mildly impaired.
  • 25%–35%, moderately impaired.
  • <25%, severely impaired.
  • <15%, end-stage/transplant candidates.
  • 5% is compatible with life, but not long life.

What is the normal range for echo? ›

Left ventricle
Left ventricle (Size)
MaleFemale
Normal rangeNormal range
LVIDd (cm) Left ventricular internal dimension at end-diastole4,2 - 5,83,8 - 5,2
LVIDd (cm/m2) Left ventricular internal dimension at end-diastole2,2 - 3,02,3 - 3,1
5 more rows

Does an echocardiogram show clogged arteries? ›

Atherosclerosis and coronary artery disease (CAD): While an echo cannot show blockages in arteries, narrowing and clogged arteries can affect the heart's pumping ability and wall motion. This is more evident during stress, making a stress echo a good diagnostic test.

Why do they check your stomach during an echocardiogram? ›

This is similar to how gastroscopy (a stomach examination) is done. Because the food pipe is located right behind the heart, this examination can deliver more exact images than an echocardiogram done from outside the body. TEE is especially good at examining the atria and the valves of the heart.

What is the next step after an abnormal echocardiogram? ›

In general, follow-up after an echo is focused on the treatment of your heart condition. For example: If the test was used to diagnose a congenital heart condition, the next steps may include surgical repair. If it detected heart failure, medication adjustments may be needed.

What does heart failure look like on an echocardiogram? ›

Heart failure due to systolic dysfunction is relatively easy to diagnose by echocardiography which demonstrates a dilated left ventricle with a reduced ejection fraction.

What heart problems can an echocardiogram show? ›

An echocardiogram can help detect: damage from a heart attack – where the supply of blood to the heart was suddenly blocked. heart failure – where the heart fails to pump enough blood around the body at the right pressure. congenital heart disease – birth defects that affect the normal workings of the heart.

What are 4 signs your heart is slowly failing you? ›

You may have trouble breathing, an irregular heartbeat, swollen legs, neck veins that stick out, and sounds from fluid built up in your lungs. Your doctor will check for these and other signs of heart failure. A test called an echocardiogram is often the best test to diagnose your heart failure.

What is a normal echocardiogram reading? ›

LV EF (%) Left ventricular ejection fraction (Biplane) 52 - 72.

What is a normal EF range? ›

According to the American Heart Association: A left ventricle (LV) ejection fraction of about 50% to 70% is categorized as normal. A mildly reduced LV ejection fraction is usually between 41% and 49%. A reduced LV ejection fraction is usually 40% or less.

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