An electrocardiogram is a test that helps determine the heart's electrical system, whereas an echocardiogram helps determine the mechanical system of the heart. In an electrocardiogram, electrodes are attached to the patient's chest and other places and the results are shown on a machine that is attached. In an echocardiogram, ultrasound.. An echocardiogram, on the other hand, shows a detailed view of the heart's internal structure and how blood flows through it. The test: Measures the size and shape of your heart. Shows how well.

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An EKG is a good first test, and can show when there is an irregularity that would be associated with heart disease." However, an EKG is not very accurate in evaluating the pumping ability of the heart. For that, an echocardiogram is recommended. According to Dr. Perez, "An echocardiogram (echo) is an ultrasound of the heart.. An echocardiogram uses sound waves to create pictures of the heart. This common test can show blood flow through the heart and heart valves. Your health care provider can use the pictures from the test to find heart disease and other heart conditions. Other names for this test are: Heart ultrasound. Heart sonogram.