An echocardiogram uses ultrasound to view the heart muscle and valves to assess heart function and detect any problems identified by a cardiologist, such as issues with heart valves or early congenital heart defects. An electrocardiogram (ECG or EKG) records the electrical activity of the heart through electrode patches to check for early signs of heart disease by measuring intervals to determine if parts of the heart are overworked. A Holter monitor is a portable device that produces an electrocardiogram over 24 to 48 hours to establish if the heart rate is abnormal or if medication is working properly.