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Very few risks are associated with a bubble echocardiogram, and the procedure is virtually painless. A patient's doctor or cardiologist will usually discuss the procedure and its possible outcomes with a patient before the bubble echocardiogram is performed.
In a traditional echocardiogram, the patient's heart is ultrasounded to create a picture of the heart, allowing medical professionals to assess the condition of the heart without the need for invasive surgery.
The test is typically performed by an ultrasound technician, who may record the procedure or print out specific images which may be of interest to a physician.
In a bubble echocardiogram, the echocardiogram is performed, and then a bubble of saline is injected into a vein in the arm. As the saline moves through the heart, the ultrasound technician follows it.
The saline makes certain heart functions more visible, highlighting problems in the left ventricle , the major pumping area of the heart, along with issues with the valves.
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. If a clot lodges in a blood vessel to the brain, it can cause a stroke.
A doctor may suspect a PFO if you're relatively young and had a stroke but don't have other obvious risk factors, such as high blood pressure or atrial fibrillation.
But for the most part, carefully done studies show that there is no clear benefit to closing PFOs routinely, as it is very difficult to determine if a stroke is truly caused by a PFO.