ECG vs. Echocardiogram: Which Test Do You Need?

Last Updated on 02/26/2026 by Farid Helal

Heart health is vital for overall well-being. An electrocardiogram (ECG) and echocardiogram are common tests. They assess heart function. Understanding ECG vs. Echocardiogram is crucial. It helps you make informed decisions. It also helps you understand your health.

When it comes to checking your heart’s health, two tests are commonly requested: the ECG (electrocardiogram) and the echocardiogram. Although their names sound similar, they serve different purposes.

In this article, we will explore the key differences between ECG vs. Echocardiogram. We will also discuss when each test is needed. You may want to read more about: Heart Health: How to Prevent Heart Disease Before It Starts

Understanding Heart Health

The heart is a vital organ. It pumps blood throughout the body; its health is essential for life. Various tests assess heart function including ECG and echocardiogram.

What is an ECG?

It records the heart’s electrical activity. It shows:

• Heart rate (how fast your heart beats)
• Rhythm (regular or irregular)
• Signs of past or ongoing heart attacks
• Abnormalities in heart conduction

Quick facts about ECG:

• Duration: 5–10 minutes
• Cost in Manila: ₱400–₱2,500, it depends on the provider.
• Best for: Detecting irregular rhythms and acute heart problems

Learn more at this source: NHS – ECG Overview.

What is an Echocardiogram?

An echocardiogram (echo) uses ultrasound waves to create moving images of the heart. It shows:

• Heart structure (chambers and valves)
• Pumping strength (ejection fraction)
• Blood flow inside the heart
• Valve leaks or narrowing

Quick facts:

• Duration: 30–45 minutes
• Cost in Manila: ₱3,000–₱8,000
• Best for: Assessing structural and functional heart problems

Detailed guide at American Heart Association – Echocardiogram.

Key Differences: ECG vs Echocardiogram

When Do You Need an ECG?

Doctors recommend ECG if you have:

• Sudden chest pain or tightness
• Palpitations or irregular heartbeat
• Fainting or dizziness
• Hypertension or diabetes (as part of regular checkups)
• Pre-surgical evaluation

When Do You Need an Echocardiogram?

Doctors recommend echo if they suspect:

• Valve problems (leaky or narrow valves)
• Heart failure or weak pumping
• Congenital heart disease
• Enlargement of heart chambers
• High blood pressure affecting the heart muscle

Can You Need Both Tests?

Yes. In many cases, doctors order both tests because they complement each other:

• ECG shows the electrical activity of the heart.
• Echocardiogram shows the physical structure and functions.

For example, if your ECG shows irregularities, an echo may be needed. This test determines if the structure of the heart is affected.

👉 See more at Mayo Clinic – Echocardiogram.

Cost Comparison in the Philippines

• ECG: ₱300–₱2,500
• Echocardiogram: ₱3,000–₱8,000
• Package of both (in some cardiac centers): ₱4,000–₱10,000

Some insurance providers cover both tests if prescribed by a cardiologist.

Summary

Both ECG and echocardiogram are vital in checking heart health, but they answer different questions:

• ECG → Is the heartbeat normal and healthy?
• Echo → Is the heart structure and pumping normal?

If you experience chest pain, shortness of breath, or irregular heartbeat, your doctor orders one test. They can also order both tests to get the full picture. Early testing saves lives—don’t wait until symptoms worsen before consulting your doctor.

If you suspect that you may have symptoms, Helal Medical can help, offering quick, private, and convenient testing options. You may contact us here: Facebook page.

Read More About Heart Attack:

1. Heart Attack Prevention: Importance of a Lipid Profile Test
2. Heart attack, can be spotted by a rapid low cost by blood test?
3. Electrocardiogram (ECG): It’s Indications, and How to Read the Report
4. Risk for Heart Disease: Don’t Let High Cholesterol Put You at Risk