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This fluid then circulates up to the right side of your heart and shows up on the echocardiogram image. You may be asked to cough, which briefly increases the pressure in the heart's right side.
Normally, your lungs will simply filter out the bubbles. But if you have a tiny opening between your heart's upper chambers the right and left atria , some bubbles will move through that hole and appear on the left side of the heart.
This opening is called a patent foramen ovale PFO. About one in four people have this finding, which occurs when the hole—which is present in everyone before birth as a normal part of development—fails to close fully.
Most people with a PFO remain healthy without any problems. But some evidence suggests that PFOs might be responsible for certain rare strokes when no other cause can be found.
Normally, the network of blood vessels in your lungs trap any tiny blood clots before blood recirculates through the heart and body. But if a clot bypasses the lungs by taking a shortcut through a PFO, it can travel to the arteries that supply the entire body.
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From start to finish, a bubble echocardiogram usually takes around half an hour. The patient is usually asked to remove his or her top so that a clearer image can be generated, and the procedure starts with the application of conductive gel to the area of interest.
This gel helps the ultrasound machine generate a clearer picture. Some discomfort is associated with the injection of saline, but beyond that, a bubble echocardiogram should not cause pain or complications for the patient.
Having an imaging study of your heart is not something to be immediately concerned about, as results can be quite varied, and you have a number of options when it comes to responding to test results.
It is important to stay relaxed and calm during such procedures, even if you are worried, to ensure that tension does not not interfere with test results.
Your doctor may take a day or two to review the results of the bubble echocardiogram before discussing them with you.