Echocardiography or an “echo” is a non-invasive imaging test that uses ultrasound waves to create real-time pictures of the heart. It allows doctors to assess the heart’s structure, function, and blood flow. The purpose of this procedure is to get an overall view of everything going on in the heart, including the size and shape of the heart, blood flow and any congenital heart defects. An echocardiogram can show the cause of a heart murmur or arrhythmia, tissue damage to the heart, backflow of blood through improperly closing valves (regurgitation) and much more.