It is sometimes just called an ‘ECHO’. Ultrasound is a very high-frequency sound that you cannot hear, but it can be emitted and detected by special machines. The scan can give accurate pictures of the heart muscle, the heart chambers, and the structures within the heart such as the valves. The electrocardiogram (ECG or EKG) on the other hand is a diagnostic tool that is routinely used to assess the electrical and muscular functions of the heart