Investigations

Echocardiogram report explained: ejection fraction, valves and the terms you will see

An echocardiogram is an ultrasound of the heart. How it is done, how the report is organised (chambers, ejection fraction, valves, pressures), what common terms such as LVEF, regurgitation and stenosis mean, and how to keep echo reports to compare over time.

by Published 3 min read

Short answer: An echocardiogram (echo) is an ultrasound scan of the heart. It shows the size of the chambers, how strongly the heart pumps, how the valves open and close, and estimates pressures inside the heart. The report usually combines measurements with a written conclusion by the cardiologist or sonographer.

3D illustration: a glossy heart with an ECG wave passing in front of it, a small report card and a chest recorder with two electrodes, joined by light trails

At a glance

What it isAn ultrasound of the heart; no radiation
Ejection fractionThe share of blood pumped out with each beat; about 55 to 70% is usual
ChambersSize and wall thickness of the ventricles and atria
ValvesHow they open and close; regurgitation and stenosis graded mild to severe
PressuresEstimated, for example in the pulmonary artery
Keeping itReport and key measurements with the date, so the next echo can be compared

How it is done

Most echos are transthoracic: you lie on your side and a probe with gel moves over your chest for 20–40 minutes. A transoesophageal echo (TOE), with a probe passed down the throat under sedation, gives closer views; a stress echo looks at the heart during exercise or medication.

What the report contains

On the report Unit What it describes
LVEF (left ventricular ejection fraction) % the share of blood the left ventricle pumps out with each beat
Chamber sizes and wall thickness mm or mm/m² how large the chambers are and how thick the muscle is
Valve regurgitation (trace, mild, moderate, severe) grade backward leak through a valve
Valve stenosis grade or area (cm²) narrowing of a valve
Diastolic function grade / E/e′ how well the heart relaxes and fills
Estimated pulmonary pressure (PASP) mmHg estimated pressure in the lung circulation

Trace or mild regurgitation of a valve is common in healthy people; the grade and its change over time matter. Measurements depend on the image quality and on the operator, so a small difference between two echos may not be a real change.

Keeping the report in your record

In Anpheros Daily you photograph the report or upload the PDF, and it goes into Documents under the person it belongs to, linked to the appointment it came from, next to the referral and the doctor's letter. On the Plus and Max plans "Read with AI" gives a plain-language summary and explains the terms, with the sentence each explanation came from marked; it stays labelled as AI, separate from what the specialist wrote. In the record the report is stored as an HL7 FHIR document, so you can share it with any doctor for a period you choose. Our guide on sharing your record with a clinic explains how.

What this page does not do

It explains what the investigation is and how its report is usually organised. It does not interpret your report or images, diagnose or recommend treatment. Reading the recording or images is the specialist's job; deciding what the report means for you is your doctor's.

Sources

Frequently asked questions

What is ejection fraction?

The percentage of blood the left ventricle pumps out with each beat. The report gives the value and the cardiologist's comment on it.

Is mild valve regurgitation dangerous?

On its own the word does not answer that; trace or mild leaks are common. Your cardiologist interprets it with the rest of the report.

How long does an echocardiogram take?

A standard transthoracic echo usually takes 20–40 minutes.

Why keep previous echo reports?

Because doctors compare chamber sizes, ejection fraction and valve grades over time.

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This guide is for information and does not replace medical advice. For decisions about your health, talk to your doctor. In an emergency, call your local emergency number (112 in Europe).
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