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 primarily used to detect coronary artery disease, evaluate exercise capacity, and assess cardiac function under stress conditions.

The test involves capturing echocardiographic images before and immediately after exercise to detect changes in heart wall motion that may indicate reduced blood flow to certain areas of the heart. It is commonly performed in patients with chest pain, shortness of breath, or those with cardiovascular risk factors. Exercise stress echo provides valuable information to guide diagnosis, risk stratification, and management decisions in a wide range of clinical scenarios