Prime Cardiology

Led By Dr Vahid Moosavi (MD, FRACP)

Exercise Stress Echocardiogram

An exercise stress echocardiogram combines ultrasound imaging of the heart with a treadmill or bicycle exercise test to assess how the heart responds to physical exertion. It is used primarily to detect coronary artery disease, evaluate exercise capacity, and assess cardiac function under stress.

The test captures echocardiographic images before and immediately after exercise to detect changes in heart wall motion that may indicate reduced blood flow to areas of the heart. It is commonly performed in patients with chest pain, shortness of breath, or cardiovascular risk factors, and provides valuable information to guide diagnosis, risk stratification and management.

What an exercise stress echo can detect

  • Coronary artery disease and areas of reduced blood supply
  • Inducible ischaemia that appears only when the heart works harder
  • Your exercise capacity and how symptoms relate to exertion
  • The heart's functional response to stress, which supports risk assessment

Is this test right for you

This test suits patients who can walk on a treadmill and who have chest pain, breathlessness on exertion, or cardiovascular risk factors that need assessment. If you are unable to exercise, an alternative such as a dobutamine stress echo may be considered. Our team will confirm which test is most suitable.

What to expect

We record an echo at rest, then you exercise on a treadmill or bicycle that gradually increases in intensity while we monitor you closely. A second set of images is captured immediately after peak exercise. Wear comfortable clothing and shoes suitable for walking, and follow any preparation instructions we provide when you book.

For referring doctors

Exercise stress echocardiography is useful for the assessment of suspected coronary artery disease, functional capacity and symptom correlation in patients able to exercise. It provides both ischaemia and functional information. The study is physician supervised and reported with clinical correlation.

Prime Cardiology · St Kilda Rd, Melbourne

Book an appointment or refer a patient

Specialist cardiac assessment and advanced imaging, in person or by Telehealth. Patients can call our rooms, and GPs can refer in minutes.

Frequently Asked Questions

Do I need to prepare for a stress echo?
Wear comfortable clothing and walking shoes. We will confirm any specific instructions, including about medications, when you book.
Is the test safe?
It is performed under close supervision by trained staff and a cardiologist, with monitoring throughout.
What if I cannot walk on a treadmill?
An alternative pharmacological stress test can be considered so that patients who cannot exercise are not excluded.
How long will I be at the clinic?
Allow around 45 to 60 minutes for the full appointment, including the rest and post exercise images.
Will I be able to drive home?
Most people can, but please follow the specific advice given to you on the day.