Stress tests monitor a patient's heart rate, breathing, blood pressure, and tiredness levels as they exercise on a treadmill or bike to increasingly difficult intensities. This helps doctors diagnose conditions like coronary artery disease, chest pain, and shortness of breath, determine safe exercise levels, and predict heart attack risk. Extracorporeal circulation reroutes blood to an external heart-lung machine during open heart surgery, oxygenating and pumping the blood back into the body. Echocardiograms use ultrasound to produce images of the heart's internal structures like chambers and valves to evaluate pumping function and identify muscle issues from conditions like poor blood flow or prior heart attacks.