Transesophageal Echocardiogram

A Transesophageal Echocardiogram (TEE) is a specialized cardiac imaging test that provides detailed images of the heart and its surrounding structures. It involves inserting a thin, flexible tube with an ultrasound transducer at the tip into the esophagus (the muscular tube connecting the throat to the stomach). This allows for close-up and clear images of the heart, which may not be as easily obtained with external echocardiograms. The procedure is performed under sedation or anesthesia for comfort. TEE is used to assess various heart conditions, including valve disorders, blood clots, infections, and structural abnormalities. It is a valuable tool in diagnosing and managing cardiac issues.

How is it done?

During a Transesophageal Echocardiogram (TEE), the following steps are typically followed:

Preparation:

You may be asked to fast for a certain period of time before the procedure to ensure your stomach is empty.

IV Line:

An intravenous (IV) line will be started to administer any necessary medications and fluids.

Anesthesia/Sedation:

You may be given a sedative and a local anesthetic to help you relax and reduce any potential discomfort during the procedure.

Positioning:

You'll be positioned on your left side. A small mouth guard or bite block will be placed in your mouth to protect your teeth and the endoscope.

Insertion of Endoscope:

The TEE probe, which is a thin, flexible tube with an ultrasound transducer at the tip, will be gently inserted through your mouth and into your esophagus.

Imaging:

The TEE probe will be carefully maneuvered to obtain various views of the heart. The transducer emits sound waves that create images of the heart, which are displayed on a monitor for the healthcare provider to analyze.

Monitoring:

Your vital signs, including heart rate, blood pressure, and oxygen levels, will be continuously monitored throughout the procedure.

Completion and Recovery:

Once the necessary images have been obtained, the TEE probe will be gently removed. You'll be moved to a recovery area where you'll be monitored until the effects of any sedation wear off.

Post-Procedure Care:

You may be instructed to refrain from eating or drinking until the effects of the sedation wear off completely. Your healthcare provider will provide specific instructions based on your individual situation.

Remember, the procedure is performed in a controlled medical environment, and you'll be closely monitored throughout. It's important to follow any instructions provided by your healthcare team. If you have any concerns or questions about the procedure, be sure to discuss them with your healthcare provider.

What can I expect?

Thorough Medical History Review: The cardiologist will go over your medical history, including any existing heart conditions, family history of heart disease, medications, and symptoms you may be experiencing.
Physical Examination: The doctor will perform a comprehensive physical examination, which may include checking blood pressure, listening to your heart and lungs, and examining other relevant areas.
Discussion of Symptoms: If you're experiencing symptoms like chest pain, shortness of breath, palpitations, or fatigue, you'll discuss them in detail.
Diagnostic Tests: Based on your medical history and symptoms, the cardiologist may order specific tests such as an electrocardiogram (ECG), echocardiogram, stress test, or other specialized cardiac tests.
Interpretation of Test Results: The cardiologist will review the results of any tests and discuss their implications for your heart health.
Diagnosis: Based on the gathered information and test results, the cardiologist will make a diagnosis, which could range from confirming a previously known heart condition to identifying a new issue.
Treatment Plan: If necessary, the cardiologist will discuss treatment options. This could involve medications, lifestyle modifications, procedures, or surgeries.
Education and Recommendations: The cardiologist will provide you with information about your condition, explain any necessary lifestyle changes, and offer guidance on managing your heart health.
Follow-Up Plan: Depending on your diagnosis and treatment plan, you may be advised to schedule follow-up appointments for further evaluation and monitoring.
Addressing Questions and Concerns: You'll have the opportunity to ask any questions or express concerns you may have about your heart health.
Referrals: If specialized care is required, the cardiologist may refer you to other healthcare professionals, such as cardiac surgeons or electrophysiologists.
Medical Records: Your visit and the details discussed will be documented in your medical records.

Procedures