Diagnostics · Cardiac Testing

Echocardiograms and stress testing.

Echocardiogram and stress testing services for cardiac assessment. Referred by your GP or by an Excelsia cardiologist, and arranged through SMSG or with a partner provider depending on the specific test.

At a glance
What this service covers.
Suitable for
Individuals 15 years or above referred for cardiac assessment
Referral
Required from a GP or specialist
Includes
ECHO/Stress ECHO, Exercise Stress Test, Holter Monitor
Duration
30 to 60 minutes depending on the test
Reception confirms the fee at booking
How it works at SMSG

Referral, testing, report.

Cardiac diagnostic tests provide the objective information cardiologists and GPs use to assess heart function, investigate symptoms, and monitor known conditions. The most common tests are echocardiograms (ultrasound of the heart) and stress tests (assessment of the heart under exertion).

At SMSG, these tests are typically arranged after a consultation with your GP or with the cardiologist at Excelsia. Most cardiac testing services including ECHOs and stress tests are performed onsite at the Earlwood location where it is accredited and supervised by the in-house cardiologist.

For general ECGs (electrocardiograms), see Treatment Room & Procedures. Standard ECGs are done on-site during a treatment room appointment.

What the tests cover

Function at rest, function under load.

An echocardiogram uses sound waves to image the heart. A stress test records how it behaves during exertion. A stress echo combines both. A Holter monitor tracks rhythm continuously over 24 to 48 hours.
An echocardiogram examination at Excelsia.
Echocardiogram: ultrasound assessment of heart chambers, valves and function.
Exercise stress test: ECG recording during treadmill or bike exertion.
Stress echocardiogram: ultrasound compared at rest and after exercise.
Holter monitor: continuous ECG recording over 24 to 48 hours.
Assessment of chest pain, palpitations and unexplained breathlessness.
Monitoring of known valve disease, heart failure and cardiomyopathy.
Pre-operative assessment for patients with cardiovascular risk.
When these tests are ordered

Reasons for testing.

Common reasons include chest pain or discomfort, palpitations or awareness of the heart beating irregularly, and shortness of breath, particularly with exertion. Assessment of a murmur heard during a physical examination, or pre-operative assessment in patients with cardiovascular risk, are other frequent indications.

Ongoing monitoring of known conditions (heart failure, valve disease, cardiomyopathy), family history requiring assessment, follow-up after a cardiac event, and evaluation of blood pressure that has affected heart structure are also common. Your GP or cardiologist will discuss which specific tests are appropriate for your situation.

For irregular rhythms or intermittent symptoms, a Holter monitor may be arranged.

Where it's offered

Cardiology sits at Earlwood.

Cardiac diagnostic testing is arranged through SMSG at Earlwood, where Excelsia cardiology consults. For patients at Bangor or Sans Souci, tests may be arranged locally or referred to Earlwood or a partner imaging provider.
Cardiology consulting rooms at Excelsia. Cardiac testing arranged through SMSG or a partner imaging provider.
Fees and billing

Confirmed at booking.

Cardiac diagnostic tests are typically privately billed with a Medicare rebate applying for eligible tests. A GP or specialist referral is required for the Medicare rebate to apply.

Fees vary by test type. Reception confirms specific fee arrangements and expected out-of-pocket cost when the test is arranged.

FAQ

Common questions.

Do I need a referral?

Yes. Cardiac diagnostic tests require a referral from a GP or specialist for the Medicare rebate to apply.

Is an echocardiogram painful?

No. An echocardiogram is a non-invasive ultrasound test. You feel the pressure of the probe on your chest and the gel used to improve image quality, but no pain.

How do I prepare for a stress test?

Wear comfortable clothing and walking shoes. Avoid caffeine for 24 hours before the test. Some medications may need to be paused; your doctor will let you know if this applies to you.

Can I drive home after an echocardiogram or stress test?

Yes, in most cases. If you're having a stress test with medication rather than exercise (rare in general practice), specific advice will be given.

How long do results take?

Reports are typically available within a few days. Discuss results with the ordering doctor.

What about an ECG?

Standard ECGs (single-time recording of heart electrical activity) are done in the treatment room, not through this pathway. See Treatment Room & Procedures.

Are stress tests risky?

Stress tests are generally safe. They're conducted with close monitoring and appropriate safety precautions. Your doctor will discuss any specific considerations for your situation.

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