Dobutamine Stress Echocardiography (Echo)

Before your test

• Tell your healthcare provider what medicines you take, and ask if you should take them before the test. This includes prescription and over-the-counter medicines. It also includes vitamins, herbs, and other supplements. You may need to not take certain medicines, such as beta-blockers, before the test.

• Don’t smoke, drink alcohol, or have any caffeine for at least  12 hours before the test, or as directed by your healthcare provider.

• Follow any directions you're given for not eating or drinking before the test.  

• Wear a 2-piece outfit. You may need to undress from the waist up and put on a short hospital gown. Allow an extra hour for checking in and getting ready for the test.

During your test

• Small, sticky pads (electrodes) are placed on your chest to record the electrical activity of your heart.

• An IV (intravenous) line is placed in your arm.

• A painless device (probe or transducer ) coated with cool gel is moved firmly over your chest. This device creates ultrasonic, inaudible sound waves that make images of your heart on a screen.

• You'll get dobutamine slowly through the IV line, in small doses about every 3 minutes. It's normal to feel your heart pound for a few minutes while the medicine is being given.

• Echo images are taken before the medicine is given, while you're getting the medicine, and after your pulse returns to normal. Your healthcare provider may give you a second medicine to slow your heartbeat to a normal level.

• Your heart and blood pressure will be watched during and after the test.

After your test

When the test is over, you may return to your normal routine. Ask your healthcare provider about taking any medicine that you were told to skip before the test. Your provider will discuss your test results with you. The test results help your provider plan your treatment and any other tests you may need.

Report any symptoms

Be sure to tell your healthcare provider if you feel any of the following during the test:

• Chest, arm, or jaw discomfort

• A fast, strong, or irregular heartbeat (palpitations)

• Flushed feeling

• Shortness of breath

• Upset stomach (nausea)

• Headache

• Numbness

• Feeling lightheaded or like you might faint