Stress Echocardiography Standards

All the standards for transthoracic echocardiography in addition to the following:

Staffing and training.

1) All centres must have a designated Head of Stress Echocardiography. The Lead for Stress echocardiography must hold BSE TTE accreditation.

2) Stress echocardiography studies require an experienced operator and an HCS or trained nurse.

3) The study reporter must be specially trained in stress echocardiography.

4) There must be a mechanism in place for feedback to assess clinical correlation.

5) Each operator/reporter must perform or directly supervise at least 100 studies per annum.

6) Continuing education must be provided for the interpreter.

7) At least one member of staff performing the study must possess at least Immediate Life Support (ILS) Training or be a specialist cardiologist.

8) A list of indications for stress echocardiograms must be agreed.

9) Appropriate protocols for studies must be established and the Head of Stress Echocardiography is responsible for ensuring that all operators adhere to them.

Organisation and equipment

There must be appropriate provision of 

  • Designated room (size >25 m2)
  • Stress echocardiography software
  • Contrast agents and contrast specific software
  • Infusion syringe for pharmacological stress or equipment for exercise stress e.g. bicycle
  • ECG monitor and recorder
  • Sphygmomanometer
  • Resuscitation apparatus and drugs readily available