If you’re having surgery, you may wonder if you need an echocardiogram first. Some people have this test to make sure it is safe for them to have surgery.

An echocardiogram uses sound waves (ultrasound) to make a moving picture of the heart. It shows if your heart has a problem pumping blood. And it can help determine if you are at risk for a heart attack or heart failure.

The test is a safe and non-invasive way to see how well your heart is working. If your doctor thinks you might have heart disease, the test can be a good idea. But often the test is not needed.

When should you have an echocardiogram before surgery?

You may need an echocardiogram before surgery if:

• You have a serious heart condition, such as uncontrolled heart failure, irregular heartbeats (arrhythmias), or significant valve disease.
• You have symptoms of heart disease, such as chest pain or shortness of breath.
• You get tired or out of breath more easily than you did in the past.
• In these cases, your doctor can use the echocardiogram to check your risks. The test can show if your doctor should change or postpone your surgery.

How should you prepare for surgery?

Your doctor or the hospital’s pre-surgery team will examine you and review your medical history.

• If they order any tests, ask why.
• Ask your doctor to check your test records for the past four to six months. Usually you don’t need to repeat a recent test if your condition hasn’t changed.
• Bring a list of the names and doses for all your medicines, vitamins and supplements.
• Report any new symptoms that could be warning signs of heart disease—even if they happen after your exam.

Conditions: pre-operative, pre-op assessment, low-risk surgery

Diagnostic Tests: echocardiograms, echo, TTE