For an exercise stress echocardiogram (most commonly using an exercise bike) you will be asked to exercise and at intervals pictures of your heart will be taken.
If exercise is not possible then pharmacological stress may be used with administration of a drug (usually dobutamine +/- atropine) to stress and increased the heart rate. At intervals , pictures of your heart will be taken.
The test usually takes approximately 30 minutes including recovery time. If pharmacological stress is used, then you will be observed for an hour after the test to ensure all of the affects of the medication have worn off before you go home.