A stress echocardiogram (or "stress echo") is a diagnostic test usually used to assess for coronary artery disease but can also be used in assessment of valvular heart disease. It is an ultrasound test performed both at rest and then with the heart under "stress". The stress is achieved either by exercising on a treadmill or by receiving a medication which stimulates the heart (dobutamine). Your doctor will decide which is the best option for you. The test takes around 1 hour. If treadmill exercise is being performed some comfortable shoes are helpful.