Heart Structure & Function

Echocardiogram Stress Test

A stress echocardiogram uses heart ultrasound before and after exercise to assess how your heart responds to physical activity.

Overview

What is an echocardiogram stress test?

A stress echocardiogram, also known as a stress echo, uses ultrasound images to assess how your heart is working before and after exercise.

 

During the test, you will exercise on a treadmill or stationary bike while your heart rhythm and blood pressure are monitored.If you have a preference for a male or female cardiac sonographer or technician, please let us know when booking. We will do our best to accommodate your request.


What is the difference between a stress test and a stress echo test?

A stress echocardiogram may also be called a stress echo or exercise stress echocardiogram. It combines exercise with ultrasound imaging to assess how your heart works before and after physical activity.


Why do I need a stress echo test?

Your doctor may recommend a stress echocardiogram if you are experiencing symptoms such as:

Chest pain
Shortness of breath
Fatigue
During the test

What happens during a stress echo test?

1
A cardiac sonographer will attach small metal disks, called ECG electrodes to your chest. These electrodes attach to a machine that monitors your heart rhythm during this test. They will also take your blood pressure. No radiation or X-ray is used.
2
A cool gel will be placed on your skin and the sonographer will move a handheld wand across your chest to take the ultrasound images of your heart.
3
You will then walk on a treadmill or ride a stationary bike for around 10 minutes. The incline and speed will gradually increase to make it feel like you are walking or cycling uphill. Tell your doctor immediately if you feel unwell or have any chest pains.
4
Once you have stopped exercising, the technician will perform another ultrasound.
5
You may be asked to hold your breath briefly during the ultrasound.

How do I make an appointment with Advara HeartCare

If you have a referral from your GP, you can book a Stress Echocardiogram appointment with Advara HeartCare.

Advara HeartCare is Australia’s largest cardiology provider, with centres in or around most major metropolitan areas and select regional locations. Click below to find Stress Echocardiogram services near Sydney, Melbourne, Brisbane, Perth or Adelaide.

A stress echocardiogram combines exercise with ultrasound imaging of your heart.

What to expect
Exercise Stress Echocardiography

Before your appointment

How to prepare for a Stress Echocardiogram

There is a little preparation required for a Stress Echocardiogram. Here’s what you need to know before your appointment.
Eat & Drink 

You may be asked to avoid eating a heavy meal, caffeine, or smoking for a few hours before your test. Follow any instructions provided by your doctor or the clinic, including whether to take your usual medications.

What to Wear

Wear comfortable clothing and supportive walking or running shoes, as you’ll be exercising on a treadmill during the test.

What to Bring

Bring your referral letter, Medicare card, and a list of your current medications. If requested, bring any previous cardiac test results.

Appointment Duration

A Stress Echocardiogram appointment usually takes 45–60 minutes, including preparation, the ultrasound scans, exercise test, and recovery. You can usually return to your normal activities afterwards unless advised otherwise.

FAQs

Frequently Asked Questions

Visit our FAQ section for answers to more common questions about Advara HeartCare, the heart tests we provide and how to access our services.

How long does the test take?

The echocardiogram stress test usually takes around 30-45 minutes to complete, but it’s a good idea to allow up to one hour for the entire test, including preparation, imaging, testing and post-test observation.

 

Consult your referring doctor about whether you should stop taking or change any current medications before your appointment. If you are unable to exercise, please let your doctor know before the test so that a more appropriate test can be arranged.

 

You can eat a light meal before the test, but it is not advisable to eat a large amount as this may make you feel unwell during the exercise part of the test.

 

On the day of your echocardiogram stress test:

  • Bring a list of your current medications.
  • Wear a two-piece outfit and comfortable footwear that’s suitable for exercising.
  • Do not wear talc, body lotion or neck chains.
  • Do not consume caffeine, alcohol or nicotine for 2 hours before the test.
  • You will need to undress to the waist. You may request a gown for privacy.
  • You may be required to have part of the chest area shaved.
  • Electrodes will be placed onto the chest and an electrocardiogram (ECG) lead connected and worn on a belt around your waist.
  • Sometimes a gown is worn over the electrodes.
You will be supervised by an experienced doctor and cardiac technician. Your blood pressure and heart rate will be monitored continuously. The test will be stopped when the doctor feels it is appropriate.
You will be monitored for 5 minutes after completing the exercise. You’ll be provided with water and a towel. You will be asked to remain seated in reception for a further 10 minutes to ensure you are fully recovered before leaving. A full report will be sent to your doctor after a cardiologist has reviewed the results.
Once your observation time is complete and your doctors are happy for you to leave, you can resume normal activities and drive yourself home.

Complications and side effects are rare but can include:

  • Dizziness or fainting
  • Abnormal heart rhythm
  • Development of heart failure or heart pain

A full list of potential complications and side effects will be provided at your appointment.
This test is non-invasive and experienced medical staff are in attendance throughout your test to manage any complications. Please discuss any concerns with your doctor or the testing team before starting the test. 

To have a heart test at Advara HeartCare, you will need a referral from your doctor or specialist. Depending on the type of heart test you have been referred for, there may be minimal preparation, or no preparation required at all.

The ultrasound aims to provide accurate information about your heart. Results may indicate the need for further tests.
Costs vary. You may be able to claim all or part of the test costs under Medicare. Speak to your Advara HeartCare cardiologist or your GP to find out if you are eligible to claim and what fees may apply.
What We Offer

Cardiac

Services Available

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