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Glossary entry

Spanish term or phrase:

ecocardiograma reglado

English translation:

comprehensive echocardiogram

Added to glossary by Joseph Tein
Nov 14, 2018 19:43
5 yrs ago
60 viewers *
Spanish term

ecocardiograma reglado

Spanish to English Medical Medical (general) cardiology
This is from a report on a patient with severe heart disease who was admitted to the hospital following a cardiac arrest:

"Dadas las lesiones que presenta, impresiona que el problema es isquémico. No es prudente realizar una ablación sin antes revascularizar. Se solicita un *ecocardiograma reglado* para definir la contractibilidad y la IM ... "

¿What type of echocardiogram is this ecocardiograma reglado?
Proposed translations (English)
3 +2 complete or comprehensive echo
2 +2 complete standardised echo
4 specialized echocardiogram (according to protocol)
4 echocardiogram performed by a trained specialist
4 -1 Serial echocardiogram/
References
What is an echocardiogram? -Types
see
Complete / complete and structured / structured echocardiogram

Discussion

Joseph Tein (asker) Nov 26, 2018:
THANK YOU each and every one of you for taking the time to help me with this term.
Chema Nieto Castañón Nov 16, 2018:
Con Charles y Jane.
Diría que complete es el adjetivo que parece utilizado de manera equivalente. Un par de ejemplos adicionales;

Complete versus Limited Ultrasound Exams:  Withinthe CPT codes for ultrasound procedures, there is often a distinction between complete and limited studies.  Ultrasound examinations are considered to be “complete” studies unless specified as “limited” studies in their code definitions. A complete study, as defined by the CPT, is one in which an attempt is made to visualize and diagnostically evaluate all of the major structures within the anatomic description.
https://spocus.org/Billing-Statement

However, all cases involved ultrasound examinations that were within the scope of EM and were ACEP emergency ultrasound core applications. All of the cases involved failure to perform a complete ultrasound study or failure to perform in a timely manner. 
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4307691/
Charles Davis Nov 16, 2018:
Or better "comprehensive"? They ask for an "ecocardiograma reglado" to assess contractility and mitral insufficiency/regurgitation. The former requirement, one may surmise, could well call for a stress test. Aida's comment on Jane's first answer, that a "standard" echo won't necessarily be sufficient, is perhaps a reason to avoid that word here. "Comprehensive" would cover whatever needs to be done. The ST doesn't say exactly what that is, and nor should the translation, in my view.
Charles Davis Nov 16, 2018:
Complete (or comprehensive) I'm with Jane here, and if she hadn't already posted "complete echo" while I was otherwise occupied I would have done so myself. "Ecocardiograma reglado" is a pretty common expression in Spanish, a standard professional expression, and I think the most appropriate translation is the functionally equivalent expression in English: the term by which English-speaking healthcare professionals refer to the same phenomenon. That, I believe, is simply "complete echo(cardiogram)". "Performed by a specialist", "according to protocol", and so on, are true but are not what you would in practice say when referring to it.

Here's an American Society of Echocardiography Coding Newsletter on how procedures should be referred to. The basic options are "complete" (also "comprehensive and complete") and "limited" (also "focused").
http://asecho.org/wordpress/wp-content/uploads/2018/04/2018-...

"Reglado" is simply the former.
Chema Nieto Castañón Nov 16, 2018:
Complete and structured echocardiogram (maybe) La ecografía reglada alude a la eco pormenorizada, completa, que sigue un patrón fijo de exploración, versus a una ecografía de barrido o urgente (que puede seguir un protocolo fijo -como la técnica de ecofast-, pero que dista de ser una ecografía pormenorizada o completa), o a una exploración básica, como la eco obstétrica de primer trimestre (para confirmación de embarazo) versus la primera eco "reglada" posterior. 
La ecocardiografía reglada alude asimismo a una exploración pormenorizada y completa. 
En inglés tal vez structured y/o complete; complete and structured echocardiogram.
Seguro que los nativos pueden ayudar aquí ;)
Stuart and Aida Nelson Nov 15, 2018:
reglar, reglado, reglada Reglar: 2. tr. Sujetar a reglas algo.

http://dle.rae.es/?id=VjDIP4t|VjDfUgd

Reglado - RAE: 3. Sujeto a precepto, ordenación o regla. Estar bajo las reglas de algo o alguien.

análisis reglado, examen reglado, proceso reglado, dictamen reglado, causa reglada, laparotomia reglada
Stuart and Aida Nelson Nov 15, 2018:
3D echocardiography -planes - planos This enables detailed anatomical assessment of cardiac pathology, particularly valvular defects,[5] and cardiomyopathies.[6] The ability to slice the virtual heart in infinite planes in an anatomically appropriate manner and to reconstruct three-dimensional images of anatomic structures make it unique for the understanding of the congenitally malformed heart.

https://en.wikipedia.org/wiki/Echocardiography
Stuart and Aida Nelson Nov 15, 2018:
@ Joseph - Charles Can you give us some more context, please? What follows after 'ecocardiograma reglado para definir la contractibilidad y la IM..? It always helps to have any further information.

Charles, according to protocol means here that the referring doctor gives the protocol, the instructions, for the echo to be carried out, i.e. he/she says exactly what the cardiologist has to look for. In addition, you say in your entry before last: 'This article says ecocardiograma reglado involves "numerosos planos" but clínica only four', would this not be a sufficient prove that the more 'planos' an echo has the more specialised and invasive it would be?
Charles Davis Nov 15, 2018:
According to protocol Come to think of it, although "ecocardiograma reglado" must of course be performed according to protocol, it doesn't seem plausible to me that it actually means according to protocol, because logically that would imply that ecocardiografía clínica básica, which is not "reglada", is not according to protocol, and surely that can't be true: there must be a protocol or protocols governing its use. As far as I can see, it's simply less extensive and done by different people in a different setting.
Charles Davis Nov 15, 2018:
One difference is that "clínica" (as I understand it) means carried out in the clinical setting, i.e. "bedside" echocardiography, whereas, as we've been saying, the "reglado" is performed by specialists. But another difference is the scope:

"Para la realización de un ecocardiograma reglado se realizan al menos 7 planos [some sources give higher figures], pero en ecocardiografía básica vamos a utilizar solamente cuatro planos"
http://ewolucion.com/msd/eco2/index.php?v=2&authenticationke...×tamp=01-Oct-2017%2004:58:29&duration=3

"Clínica" is quicker:

"El objetivo de la ecocardiografía clínica básica no es la realización de un ecocardiograma reglado sino agilizar el diagnóstico"
http://www.elsevier.es/index.php?p=revista&pRevista=pdf-simp...

This article says ecocardiograma reglado involves "numerosos planos" but clínica only four.
Stuart and Aida Nelson Nov 15, 2018:
@ Charles Crucifying is the dramatic :) version of Spanish native speakers, I could not think of something better but I did not think you are getting at me. I had only the feeling that you were/are not quite convinced and I would love to provide more arguments to convince you of my proposal (at least one part of it :) but I have little time now since I have pressing translations/emails, etc. and cannot research any further. However, I am sure, if I ask the doctor who proofreads our translations about reglado, she would agree with me, Cheers:)
Charles Davis Nov 15, 2018:
Here's an article contrasting "ecocardiografía clínica básica" with "ecocardiograma reglado". Whoever translated the abstract calls them "focused cardiac ultrasound" and "a complete echocardiogram" respectively. A translation is not evidence, but it does coincide with my earlier suggestion.
http://www.revclinesp.es/es-ecocardiografia-clinica-basica-m...
Charles Davis Nov 15, 2018:
@Aida I am not getting at you! And I'm not crucifying you for anything, least of all stress echocardiography, which I have not mentioned once and is not specifically relevant to the points I've been trying to make. All I've been doing here is responding to what you posted about my own initial (very tentative) comment about what I believe but cannot prove that it means, and to your responses to my responses.

But I don't really want to pursue this any further either. Have a lovely day yourself!
Stuart and Aida Nelson Nov 15, 2018:
@ Charles and all I don't think why specialised and performed by specialists would not include the idea of 'reglado'. To say that both standard and specialised echocardiograms (you said electrocardiograms again?) are performed by specialists (in this case would only be the cardiologist) is not quite accurate, see the link I posted under Maria's answer.

Yes, reglado includes the idea of according to protocol and as I said before, please forget about the type of echo, this is not the issue here (you are crucifying me for my suggestion of stress echo :)). I now rest my case in the hope that other helpful colleagues shed some more light on this.

Have a lovely day, Aida
Charles Davis Nov 15, 2018:
ECG Sorry; my mistake.
Charles Davis Nov 15, 2018:
@Aida "Specialised" and "performed by specialists" are not the same thing. Both standard and specialised echocardiograms are performed by specialists.

I do think "reglado" means according to protocol, or at least includes that idea. But that says nothing about what type of echocardiogram it is.
Stuart and Aida Nelson Nov 15, 2018:
@ Charles Maybe you are confused by my suggestion in brackets of stress echocardiography (please forget about that for the sake of the answer). This is not a guess, it is a proposal based on knowledge and research. In addition, before I started researching more about electrocardiograma reglado, I came to the conclusion that this is a specialised procedure and then found this answer in Proz , the link of which, I have included in my answer:

ecografía reglada - ultrasound according to protocol

https://www.proz.com/kudoz/spanish-to-english/medical-genera...

And this link explains also very well the specialised types of echocardiography:

In addition to this standard test, there are specialized echocardiograms:

https://www.wkhs.com/heart/services/diagnostic-tests/echocar...

You also talk of electrocardiography and ECG? We are talking here of electrocardiography which is different.
Charles Davis Nov 15, 2018:
@Aida Thanks. I have read about this quite extensively. But while information about the details of echocardiography is useful, it doesn't help us answer the question unless we can convincingly relate it to the Spanish term. I see no evidence, nor any good reason to believe, that "reglado" refers to any of those types of echocardiogram you have mentioned in particular. If the intention were to refer to one of them, terms are available (in Spanish), but they have not been used here. Nothing I have seen suggests that it refers to a transthoracic or a specialised echocardiogram rather than any other type, and I would want to see some evidence before endorsing those translations, which seem to me to be guesses.

From online references to "ecocardiograma reglado", which unfortunately don't seem to include an explicit definition, the two points that emerge are, first, that it is generally, if not invariably, performed by specialists, under the supervision of a cardiologist, and second, that it is extensive (and correspondingly expensive), as opposed to bedside echoocardiography performed by non-specialists for quick diagnostic purposes.
Stuart and Aida Nelson Nov 15, 2018:
II. Types of echocardiographies (grams) An English doctor would simply make a referral to a consultant, and in this particular case, say something along these lines: echocardiogram to determine the contractility....The consultant then knows what kind of electrocardiography is appropriate, he/she will then carry out the echocardiography and in most of the cases ask the patient to come back to discuss the results and send the results to the referring doctor. Added to the aforementioned, there is also the issue of how things are carried out. To my understanding it seems that in Spain/South America, the cardiologist is the one who actually carries out the electrocardiography with the assistance of specialised professionals.
However, at the end of the day, we are dealing here with a translation and have to find the best way to describe what the source text says.

I hope I have convinced you of my reasoning, Cheers, Aida
Stuart and Aida Nelson Nov 15, 2018:
I. @ Charles - types of echocardiographies (grams) I suggest you read a bit more about the types of echocardiograms and why they are prescribed.
If you look at the reference I posted, there are 5 main types of echocardiographies. An echocardiography is the procedure that is carried out to obtain an echocardiogram. The reference at the bottom of the page here says Transthoracic echocardiography. This is the most common type of echocardiography. It’s painless and noninvasive . The other types are invasive which means that they have to be carried out by specialised professionals. In England many of these specialised procedures are carried out by nurse consultants or specialised medical practitioners but a cardiologist is always available supervising the procedure and he/she is the one who deals with the results, etc.
The issue we have, not only here but in some may other aspects, is the way of expressing things. Stuart and I have been translating medical texts for many years now and I personally have never seen a German or even an Italian report (although they express things very much like the Spanish) talking about an echocardiogram tailored-to measure, which would be my humble interpretation in this context.
Charles Davis Nov 15, 2018:
I believe, though I cannot prove, that this simply means a full standard echocardiogram. I don't believe it refers to a particular type of echocardiogram.
Cecilia Gowar Nov 14, 2018:
@ Maria Patricia I never mentioned those terms.
María Patricia Arce Nov 14, 2018:
@ Judith, @Cecilia, @María and @joseph The Spanish term for "focused echocardiography" is “ecocardiografía focalizada”

Ref.

¿Tiene alguna función el ecocardiograma durante la RCP?
La ecocardiografía focalizada empleada durante una breve pausa para el control del ritmo puede permitir identificar causas reversibles de paro cardíaco: taponamiento pericárdico, embolia pulmonar e hipovolemia.

http://temasdeenfermeria.com.ar/2012/12/rcp-importancia-de-l...

Focused Echocardiographic Evaluation in Life Support (FEEL) Algorithm
Errores y Limitaciones de la Ecocardiografía Focalizada

http://www.anestesiologialascondes.cl/ecocardiografia/progra...
María Patricia Arce Nov 14, 2018:
Yes, they want to assess the evolution of myocardial function in order to decide whether
the patient is a candidate for ablation. Reglado is not a special type of echocardiogram.
Cecilia Gowar Nov 14, 2018:
I agree with Judith, although I do not know the term in English. I supposed you could say "interpreted by a senior cardiologist".
Judith Armele Nov 14, 2018:
@joseph I understand that an "ecocardiograma reglado" is the one done and interpreted by a cardiologist other than the echocardiography that can be done by any trained person that is not a cardiologist.

Proposed translations

+2
21 hrs
Selected

complete or comprehensive echo

I have found a couple of sources, some differentiate in Spanish between focused echo and comprehensive echo, then some of the references from those articles used the terms in English. Maybe this will be of help!

https://www.onlinejase.com/article/S0894-7317(13)00259-9/ful...

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Note added at 21 hrs (2018-11-15 16:57:19 GMT)
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What I understand is that "reglado" is the opposite of a focused echo, so I think these terms would be appropriate in English.
Reference:

http://www.revespcardiol.org/es/documento-consenso-semi-semfyc-sen/avance-resumen/S0300893218302872/#bib0425

http://www.revespcardiol.org/es/tecnicas-imagen-insuficiencia-cardiaca-aguda/articulo/90432499/

Peer comment(s):
agree Charles Davis : Yes. Actually "comprehensive" might be the best option here: they ask for an "ecocardiograma reglado" to assess contractility and mitral insufficiency/regurgitation, so the echo will be tailored to that purpose, but no need to specify what is to be done.
9 hrs
agree Chema Nieto Castañón
21 hrs
Something went wrong...
4 KudoZ points awarded for this answer. Comment: "Hi Jane, thank you so much for helping me with this and the time you put into it. (And it appears that "complete" would also work here.) "
-1
1 hr

Serial echocardiogram/

Meaning
To perform an echocardiogram on a scheduled time basis to assess myocardial contractility and...

ref:
Ruiz-Bailén et al. reported on serial echocardiography in 29 CA survivors without cardiac etiology or prior cardiac disease [15]. At 24 hours, an LVEF <55% was identified in 69% of patients, with a mean LVEF of 28% in these patients with PAMD and a mean LVEF of 42% overall. LVEF at 24 hours was higher in survivors than in nonsurvivors (38% versus 22%), but there were no significant predictors of reduced LVEF at 24 hours. Echocardiographic LVEF increased each week with normalization over the first month in survivors; nonsurvivors who underwent serial echocardiography did not have an improvement in LVEF. Apical segments displayed more severe wall motion abnormalities (WMA) with sparing of basal segments, a finding also seen in stress cardiomyopathy [27].
https://www.hindawi.com/journals/bmri/2015/314796/
Note from asker:
Thank you for your suggestion. Can you show that "un ecocardiograma reglado" really, clearly translates to "serial echocardiography"? Notice that the authors wrote "un" ecocardiograma.
Peer comment(s):
disagree Samuel Sebastian Holden Bramah : IMO that would be Ecocardiogramas seriados (like when you have "hemocultivo seriado", for example)
350 days
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+2
16 hrs

complete standardised echo

I am sure I have just translated this term recently, but I can´t find the document, if I can chekc what I wrote I´ll post it here too. This might be an option, but I have done very little searching so far, so I´m going to post a low confidence level. Might be to do with getting standardised views and measuring specific thicknesses/flows etc...

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Note added at 16 hrs (2018-11-15 12:32:38 GMT)
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The reference is in animals, but I think it could apply to humans too!
Reference:

http://https://twycrosszoo.org/wp-content/uploads/2018/05/C2-Standardised-echo-protocol.pdf

Peer comment(s):
neutral Stuart and Aida Nelson : The ST says: 'ecocardiograma reglado para definir la contractibilidad', can you determine the contractility of the heart/vessel involved with a complete standardised echo? In addition, how do you explain that 'reglado' is 'complete standardised and type?
3 hrs
agree Charles Davis : Either this or your other answer would be what's required, in my opinion. I would use "complete echo(cardiogram)", or "comprehensive" (see other answer). That is what the procedure referred to is normally called in English, I believe.
14 hrs
agree Chema Nieto Castañón : Complete echo / echocardiogram parece lectura ajustada donde la contractilidad miocárdica supone un elemento básico a evaluar.
1 day 2 hrs
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4 hrs

specialized echocardiogram (according to protocol)


I agree with the discussion that an ecocardiograma reglado means an echocardiogram carried out by or under the instructions of a specialist. The difficulty here is that there are many times of echocardiograms. I think in this case a stress echocardiography is what is meant because it is the one recommended in the first place to determine contractility.

A specialized echocardiogram (stress echocardiogram) is requested in order to determine the contractility and...

In addition to this standard test, there are specialized echocardiograms:

https://www.wkhs.com/heart/services/diagnostic-tests/echocar...

This is a specialised type of computed tomography (CT) scan that may be used to help diagnose coronary artery disease. It is a non-invasive test for people who may be experiencing unusual cardiac symptoms.

https://healthywa.wa.gov.au/Articles/A_E/Common-medical-test...

Stress echocardiography
Digital imaging is very important for stress echo—mostly for side-by-side comparison of regional function at rest and stress, as well as the ability to review the progression of contraction on a frame-by-frame basis (which facilitates assessment of the timing of contraction).

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1767520/

Tissue Doppler systolic velocity change during dobutamine stress echocardiography predicts contractile reserve and exercise tolerance in patients with heart failure

https://academic.oup.com/ehjcimaging/article/14/2/102/294780...

Stress echocardiography / contractility - contractile functions

https://www.escardio.org/static_file/Escardio/Subspecialty/E...

cuyos objetivos son analizar la capacidad del no cardiólogo para determinar la presencia de disfunción del ventrículo derecho mediante ecografía clínica, comparada con el ecocardiograma reglado realizado por el cardiólogoen pacientes con tromboembolismo pulmonar no masivo
https://www.saludemia.com/-/noticia-la-ecocardiografia-util-...

Qué es una ecocardioscopia?
Un estudio tras el cual, ante todo paciente con hallazgos anormales o dudosos o en el caso de que el estudio no sea concluyente, el paciente pueda ser remitido a un estudio ecocardiográfico reglado hecho por un ecocardiografista experto.
https://secardiologia.es/multimedia/blog/7817-que-es-y-que-n...

¿Por qué se solicita un ecocardiograma de estrés farmacológico?
El objetivo de esta prueba es ver si existen alteraciones en la contracción de las paredes del corazón, que en la mayoría de los casos son secundarias a enfermedad de las arterias coronarias

https://fundaciondelcorazon.com/informacion-para-pacientes/m...

ecografía “reglada” ultrasound according to protocol

https://www.proz.com/kudoz/spanish-to-english/medical-genera...


--------------------------------------------------
Note added at 5 hrs (2018-11-15 00:55:19 GMT)
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uppps

An echocardiogram

--------------------------------------------------
Note added at 20 hrs (2018-11-15 16:38:36 GMT)
--------------------------------------------------

Echocardiography

An echocardiogram, often referred to as a cardiac echo or simply an echo, is a sonogram of the heart. (It is not abbreviated as ECG, because that is an abbreviation for an electrocardiogram.) Echocardiography uses standard two-dimensional, three-dimensional, and Doppler ultrasound to create images of the heart.

Echocardiography has become routinely used in the diagnosis, management, and follow-up of patients with any suspected or known heart diseases. It is one of the most widely used diagnostic tests in cardiology. It can provide a wealth of helpful information, including the size and shape of the heart (internal chamber size quantification), pumping capacity, and the location and extent of any tissue damage. An echocardiogram can also give physicians other estimates of heart function, such as a calculation of the cardiac output, ejection fraction, and diastolic function (how well the heart relaxes).

Echocardiography can help detect cardiomyopathies, such as hypertrophic cardiomyopathy, dilated cardiomyopathy, and many others. The use of stress echocardiography may also help determine whether any chest pain or associated symptoms are related to heart disease. The biggest advantage to echocardiography is that it is not invasive (does not involve breaking the skin or entering body cavities) and has no known risks or side effects.

Not only can an echocardiogram create ultrasound images of heart structures, but it can also produce accurate assessment of the blood flowing through the heart by Doppler echocardiography, using pulsed- or continuous-wave Doppler ultrasound. This allows assessment of both normal and abnormal blood flow through the heart. Color Doppler, as well as spectral Doppler, is used to visualize any abnormal communications between the left and right sides of the heart, any leaking of blood through the valves (valvular regurgitation), and estimate how well the valves open (or do not open in the case of valvular stenosis). The Doppler technique can also be used for tissue motion and velocity measurement, by tissue Doppler echocardiography.

https://en.wikipedia.org/wiki/Echocardiography

--------------------------------------------------
Note added at 20 hrs (2018-11-15 16:39:34 GMT)
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sorry wanted to post this in the reference!
Something went wrong...
22 hrs

echocardiogram performed by a trained specialist

Echocardiogram - NHS
https://www.nhs.uk/conditions/echocardiogram/
An echocardiogram may be requested by a heart specialist (cardiologist) or any doctor who thinks you might have a problem with your heart, including your GP. The test will usually be carried out at a hospital or clinic by a cardiologist or a trained specialist called a cardiac physiologist.
Peer comment(s):
neutral Stuart and Aida Nelson : I am glad that you also think it has something to do with specialisation. On the other hand a doctor would not need to specify this, don't you think?
5 hrs
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Reference comments

3 hrs
Reference:

What is an echocardiogram? -Types

Echocardiography is a test that uses sound waves to produce live images of your heart. The image is an echocardiogram. This test allows your doctor to monitor how your heart and its valves are functioning.

Your doctor may order an echocardiogram for several reasons. For example, they may have discovered an abnormality from other testing or while listening to your heartbeat through a stethoscope.

TYPES

There are several different types of echocardiograms.

Transthoracic echocardiography

This is the most common type of echocardiography. It’s painless and noninvasive.

A device called a transducer will be placed on your chest over your heart. The transducer sends ultrasound waves through your chest toward your heart. A computer interprets the sound waves as they bounce back to the transducer. This produces the live images that are shown on a monitor.

Transesophageal echocardiography

If a transthoracic echocardiogram doesn’t produce definitive images, your doctor may recommend a transesophageal echocardiogram. In this procedure, the doctor guides a much smaller transducer down your throat through a thin, flexible tube in your mouth. They will numb your throat to make this procedure easier.

This tube is guided through your esophagus, the tube that connects your throat to your stomach. With the transducer behind your heart, your doctor can get a better view of any problems.

Stress echocardiogram

A stress echocardiogram uses traditional transthoracic echocardiography. However, the procedure is done after you’ve exercised or taken medication to make your heart beat faster. This allows your doctor to test how your heart performs under stress.

Three-dimensional echocardiography

A three-dimensional (3-D) echocardiogram uses either transesophageal or transthoracic echocardiography to create a 3-D image of your heart. This involves multiple images from different angles. It’s used prior to heart valve surgery. It’s also used to diagnose heart problems in children.

Fetal echocardiography

Fetal echocardiography is used on expectant mothers sometime during weeks 18 to 22 of pregnancy. The transducer is placed over the woman’s belly to check for heart problems in the fetus. The test is considered safe for an unborn child because it doesn’t use radiation, unlike an X-ray.

https://www.healthline.com/health/echocardiogram#risks

During the procedure

An echocardiogram can be done in the doctor's office or a hospital.

For a standard transthoracic echocardiogram:

You'll undress from the waist up and lie on an examination table or bed.
The technician will attach sticky patches (electrodes) to your body to help detect and conduct your heart's electrical currents.
The technician will also apply a gel to the transducer that improves the conduction of sound waves.
The technician will move the transducer back and forth over your chest to record images of sound-wave echoes from your heart. You may hear a pulsing "whoosh," which is the ultrasound recording the blood flowing through your heart.
You may be asked to breathe in a certain way or to roll onto your left side.

https://www.mayoclinic.org/tests-procedures/echocardiogram/a...

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Note added at 20 hrs (2018-11-15 16:41:09 GMT)
--------------------------------------------------

Echocardiography

An echocardiogram, often referred to as a cardiac echo or simply an echo, is a sonogram of the heart. (It is not abbreviated as ECG, because that is an abbreviation for an electrocardiogram.) Echocardiography uses standard two-dimensional, three-dimensional, and Doppler ultrasound to create images of the heart.

Echocardiography has become routinely used in the diagnosis, management, and follow-up of patients with any suspected or known heart diseases. It is one of the most widely used diagnostic tests in cardiology. It can provide a wealth of helpful information, including the size and shape of the heart (internal chamber size quantification), pumping capacity, and the location and extent of any tissue damage. An echocardiogram can also give physicians other estimates of heart function, such as a calculation of the cardiac output, ejection fraction, and diastolic function (how well the heart relaxes).

Echocardiography can help detect cardiomyopathies, such as hypertrophic cardiomyopathy, dilated cardiomyopathy, and many others. The use of stress echocardiography may also help determine whether any chest pain or associated symptoms are related to heart disease. The biggest advantage to echocardiography is that it is not invasive (does not involve breaking the skin or entering body cavities) and has no known risks or side effects.

Not only can an echocardiogram create ultrasound images of heart structures, but it can also produce accurate assessment of the blood flowing through the heart by Doppler echocardiography, using pulsed- or continuous-wave Doppler ultrasound. This allows assessment of both normal and abnormal blood flow through the heart. Color Doppler, as well as spectral Doppler, is used to visualize any abnormal communications between the left and right sides of the heart, any leaking of blood through the valves (valvular regurgitation), and estimate how well the valves open (or do not open in the case of valvular stenosis). The Doppler technique can also be used for tissue motion and velocity measurement, by tissue Doppler echocardiography.

https://en.wikipedia.org/wiki/Echocardiography
Something went wrong...
21 hrs
Reference:

see

I haven't read the discussion

I believe this means the echocardiogram/phy has to be performed by someone with a formal training

The Use of Small Personal Ultrasound Devices by Internists Without ...
https://www.researchgate.net/.../10757109_The_Use_of_Small_P...
1 Aug 2018 - Hand-held ultrasound devices will probably be used for bedside cardiac diagnoses by internists without formal training in echocardiography.
[PDF]Focused Cardiac Ultrasound: Recommendations from the American ...
www.precisdanesthesiecardiaque.ch/Pdf/AnnECardiol/FoCUS ASE...
by KT Spencer - ‎2013 - ‎Cited by 274 - ‎Related articles
does not obviate the need for training to acquire and interpret cardiac images. Physicians ..... used by physicians without formal echocardiographic training, FCU.


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Note added at 21 hrs (2018-11-15 17:42:48 GMT)
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Research and Training 2013 - Page 18 - Google Books Result
https://books.google.co.uk/books?id=Z-MVAgAAQBAJ
Centro de Cirugía de Mínima Invasión Jesús Usón - 2013 - ‎Medical
Nivel 2: Formación Experimental. ... COURSES FORMAL TRAINING COURSES FORMACIÓN REGLADA LAPAROSCOPYLAPAROSCOPY LAPAROSCOPIA.
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1 day 4 hrs
Reference:

Complete / complete and structured / structured echocardiogram

La ecografía reglada alude a la eco pormenorizada, completa, que sigue un patrón fijo de exploración, versus a una ecografía de barrido o urgente (que puede seguir un protocolo fijo -como la técnica de ecofast-, pero que dista de ser una ecografía pormenorizada o completa), o a una exploración básica, como la eco obstétrica de primer trimestre (para confirmación de embarazo) versus la primera eco "reglada" posterior.
En el caso de la ecocardio no hay diferencias en realidad; ecocardiografía reglada alude a la idea ya mencionada de exploración pormenorizada y completa.
En inglés me resuenan como equivalentes structured y/o complete, pero lo dejo a los nativos -pues no estoy seguro.
Just a few examples;

Structured echocardiography
https://books.google.es/books?id=S2J5DwAAQBAJ&pg=PA329&lpg=P...

Notwithstanding these facts, with the aid of an accurate clinical examination, a complete and structured echocardiogram by an appropriately trained individual should unveil the relevant pathology irrespective of the anticipated findings with a minimal risk of error.
https://onlinelibrary.wiley.com/doi/full/10.1046/j.1440-1754...

Emergency Echocardiography (or Focused Ultrasound Examination) does not replace a complete Echocardiogram. 
https://fpnotebook.com/mobile/CV/Rad/TrnsthrcEchcrdgrm.htm
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