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Echocardiogram: Transesophageal (TEE)

Hither are guidelines for preparing for a transesophageal echocardiogram (TEE) examination. An ultrasound transducer (which produces loftier frequency sound waves) provides pictures of the eye's valves and chambers, allowing for evaluation of the heart's pumping action.

Overview

Transesophageal Echogardiogram

What is a transesophageal echocardiogram (TEE)?

An echocardiogram (echo) uses ultrasound to create pictures of your middle'due south movement.

A transesophageal repeat (TEE) test is a type of echo that uses a long, thin, tube (endoscope) to guide the ultrasound transducer downwards the esophagus ("food pipe" that goes from the oral cavity to the stomach).

This lets the doctor see pictures of the heart without the ribs or lungs getting in the way. A TEE is done when your doc needs a closer look at your heart or does not get the information needed from a regular echo.

You may demand a combination of a TEE, Doppler ultrasound and colour Doppler to get information about how blood flows across your eye'southward valves.

Why is this examination performed?

The test is used to:

Bank check how well your center'due south valves and chambers are working
Await for problems, such every bit valve disease, myocardial disease, pericardial affliction, infective endocarditis, cardiac masses and congenital heart disease
See how well your centre valves are working after surgery
Check for abnormalities in the top left sleeping room of your heart (left atrium)

Examination Details

What should I exercise before the test?

If you need a TEE, delight tell your doc if you have any problems with your esophagus, such as a hiatal hernia, problems swallowing, slumber apnea, or IV drug use. It is important to tell your physician if you lot take medication to aid you slumber, save anxiety, and/or narcotic hurting medication.

Plan for someone to drive you dwelling. You will be sedated for the TEE and unable todrive the same solar day. Delight bring someone with you to drive you lot domicile and go with yous to any other appointments you take. You lot may drive over again the day later the test.

Can I eat or drink on the 24-hour interval of the exam?

DO Non swallow or drink anything for at least six hours before the test.

Should I accept my medications the day of the examination?

Accept all of your medications at the usual times, as prescribed by your doctor. If it is four hours before the exam, please take your medications with merely a pocket-size sip of water.

If you lot have diabetes and take medications to manage your claret glucose, please enquire your doctor for specific instructions about taking your medication before the exam.

Plan for someone to drive you lot home

Someone should come with you the twenty-four hours of the examination to bulldoze you dwelling. You lot should not drive until the day afterward the procedure. The sedation given during the test causes drowsiness, dizziness and impairs your judgment, making it dangerous for y'all to drive or operate machinery.

What should I wear on the 24-hour interval of the test?

You may wear anything yous similar. You will change into a hospital gown before the exam. Please practice not bring valuables. You volition be given a locker to store your belongings during the test.

What happens during the examination?

Before the examination, you will acquire about the procedure in detail, including possible complications and side effects. Delight ask us any questions you take. Yous will sign a consent form to show that you empathise the risks and benefits of the test and concord to accept it done.
You volition change into a hospital gown. Electrodes (small, apartment, viscid patches) volition be placed on your chest. They are used to mensurate the electric activeness of your centre (electrocardiograph [ECG]).
A blood force per unit area cuff will be placed on your arm to monitor your claret pressure.
A small-scale clip, attached to a pulse oximeter, will be placed on your finger to monitor the oxygen level of your claret.
You will gargle with a solution to numb your throat. The nurse volition spray a hurting-relieving medication at the dorsum of your pharynx.
Medications will be sent through your IV to aid y'all relax. You may feel drowsy.
You will lie on your left side on an exam tabular array.
Your mouth will be suctioned to remove excess moisture.
The doctor will insert a thin, lubricated endoscope into your mouth, downward your throat and into your esophagus. This office of the exam lasts a few seconds and may be uncomfortable. The endoscope does non affect your breathing. Yous may take to swallow to assist move the endoscope into identify.
In one case the endescope is in place, pictures of the centre are taken from various angles (you will not feel this part of the test).
Your center charge per unit, blood pressure level, and oxygen level in your claret volition be closely monitored during and right after the test.

How will I experience during the test?

The sedative may brand yous drowsy. We will proceed y'all as comfortable as possible. Please allow usa know if y'all experience uncomfortable at whatsoever time. Your throat may be sore or numb after the exam. These feelings will get away.

How long does the test take?

The test will accept about 90 minutes. After, yous may need more tests. Otherwise, your driver can take you abode.

Tin I eat after the test?

Wait at least one hour subsequently the examination (or until the numbness in your pharynx is gone) earlier eating or drinking. Start by drinking a cool liquid. If you lot don't accept any problems drinking cool liquids, you lot can eat and drink as you normally would.

Results and Follow-Up

How do I get the results of my test?

Your physician will become your test results and share them with you lot.

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Source: https://my.clevelandclinic.org/health/diagnostics/4992-echocardiogram-transesophageal-tee