This test combines the stress test and the echocardiogram. Pictures are taken before and after a stress test. The motion of the heart wall is evaluated. This gives an indication of the patient's risk for a heart attack. The exam comes in two parts, resting and exercise. EKG pads will be placed on your chest to monitor your heart rhythm. Then, like the echocardiogram, the sonographer obtains ultrasound images of your heart at rest. You will then walk on a treadmill to increase your heart rate and level of exertion. Once a certain level has been reached the sonographer will take another set of ultrasound pictures for interpretation. If you are not able to walk on a treadmill, you can be given a drug called Dobutamine. This take the place of the treadmill and is intended to have a similar effect on the heart. A physician or mid-level provider is present for the exam while the patient is on the treadmill. The Stress Echocardiogram or Dobutamine Stress Echocardiogram usually lasts for 1 hour.