Transesophageal Echocardiogram |  | 
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A transesophageal echocardiogram is sometimes called for when a standard echocardiogram is prohibited due to closely positioned ribs, obesity and emphysema which create technical difficulties by limiting the transmission of the ultrasound beams to and from the heart. In such cases, a transesophageal echocardiogram, where the echo transducer is placed in the esophagus is recommended. Since the esophagus sits behind the heart, the echo beam does not have to travel through the front of the chest and offers a much clearer image of the heart, particularly, the back structures, such as the left atrium, which may not be seen as well by a standard echo taken from the front of the heart.
Before your test
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Discuss any questions or concerns you have with your doctor
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Mention any over-the-counter or prescription medications, herbs or supplements you're taking
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Stop eating or drinking for at least 4 hours before the test
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Allow extra time for checking in
During your test
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Most echo tests take 10 to 30 minutes
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Small pads (electrodes) are placed on your chest to monitor your heartbeat
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Oxygen will be provided through a tube worn on your nose
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Medications may be delivered through an IV to help you relax during the procedure
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A topical medicine in the form of a gel or spray will be used to numb the back of your mouth
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A flexible tube with a modified endoscope will be placed in your mouth and you will then be asked to swallow which will draw the tube into your esophagus
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The images of your heart are stored on a computer or recorded on video. This is so your doctor can review them later
After your test
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You may feel a little sleepy until the sedative has worn off and you may find that you have a sore throat or trouble swallowing after the procedure
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Side effects usually go away after a day or so
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You will be watched to see that your heart rate and blood pressure are normal
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You can return to normal activity unless your healthcare provider tells you otherwise
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Be sure to keep follow-up appointments
Your test results Your doctor will discuss your test results with you during a future office visit. The test results help the doctor plan your treatment and any other tests that are needed. |
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