At our Hertfordshire practice, under the expert care of Dr Joban Sehmi, consultant cardiologist, we offer advanced stress echocardiography using the latest ultrasound technology and evidence-based protocols. This safe, non-invasive test provides detailed real-time images of your heart at rest and during physical stress, delivering precise diagnostic information with compassionate, patient-centred care.
What Is Stress Echocardiography?
Stress echocardiography is a highly effective diagnostic test that combines ultrasound imaging of the heart with controlled physical stress, usually achieved through treadmill or bicycle exercise, or pharmacologically with dobutamine or adenosine if exercise is not possible. Images of the heart are taken at rest and immediately at peak stress, allowing Dr Sehmi to assess how well your heart muscle and valves function when demand is increased. This reveals abnormalities that may not be visible at rest, providing critical information about blood flow, heart muscle viability, and overall cardiac performance.
Conditions Diagnosed and Assessed with Stress Echocardiography
Dr Joban Sehmi uses stress echocardiography to investigate and manage a wide range of cardiac conditions, including:
Coronary Artery Disease: Detection of exercise-induced wall motion abnormalities indicating reduced blood supply to the heart muscle.
Assessment of Chest Pain: Evaluation of angina symptoms to determine whether they are caused by coronary ischaemia.
Known Coronary Disease: Risk stratification and guidance on revascularisation (angioplasty or bypass surgery).
Valve Disease Assessment: Functional severity of valve stenosis or regurgitation under stress.
Dyspnoea on Exertion: Investigation of unexplained breathlessness and exercise capacity.
Post-Heart Attack Evaluation: Viability and ischaemia assessment after myocardial infarction.
Hypertrophic Cardiomyopathy: Detection of dynamic outflow tract obstruction and gradients.
Pre-Operative Risk Assessment: Cardiac evaluation before major non-cardiac surgery.
Athlete Screening: High-level exclusion of ischaemia or structural issues.
Prosthetic Valve Assessment: Evaluation of prosthetic valve function under stress.
Benefits of Stress Echocardiography
Dr Sehmi’s expertise in stress echocardiography offers clear clinical advantages:
- High Diagnostic Accuracy: Superior sensitivity and specificity compared to exercise ECG alone.
- No Radiation Exposure: Entirely ultrasound-based.
- Real-Time Imaging: Immediate visualisation during peak stress.
- Comprehensive Assessment: Simultaneous evaluation of ischaemia, valves, and pulmonary pressures.
- Exercise or Pharmacological Options: Tailored to patient mobility.
- Prognostic Information: Powerful predictor of future cardiac events.
- Valve Disease Precision: Accurate grading under physiological stress.
- Immediate Results: Interpreted by Dr Sehmi on the same visit.
- Safe and Well-Tolerated: Performed under continuous medical supervision.
- Cost-Effective: Often avoids the need for invasive angiography.
- Guideline-Recommended: First-line test according to NICE, ESC, and AHA guidelines.
Why Choose Dr Joban Sehmi for Stress Echocardiography
- Specialist Consultant Cardiologist: British-trained with sub-specialty expertise in cardiac imaging and coronary disease.
- State-of-the-Art Equipment: Latest high-resolution ultrasound systems.
- Comprehensive Cardiovascular Care: From consultation to treatment planning.
- Expert Image Interpretation: Accredited, high-volume operator with meticulous analysis.
- Patient-Centred Approach: Clear explanations and tailored stress protocols.
- Rapid Access: Same-week appointments and same-day results in most cases.
- Evidence-Based Practice: Aligned with British Society of Echocardiography and European standards.
- Hertfordshire and London Convenience: Consultant-delivered service locally with state of the art testing in central London.
- Integrated Care Pathway: Seamless liaison with GPs and specialists.
- Holistic Approach: Results interpreted within your full risk profile.
- Long-Term Partnership: Ongoing support for therapy and follow-up.
- Clear Communication: Plain-language discussion and prompt written reports.
Book Your Appointment with Dr Joban Sehmi
If you experience chest pain, breathlessness on exertion, or have known heart disease requiring further assessment, expert stress echocardiography is available close to home. Contact Dr Joban Sehmi’s Hertfordshire practice today to arrange your consultation and test, and benefit from consultant-level diagnostic precision with personalised, compassionate care.
Your journey to cardiac clarity starts here.