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Home > Services and Specialties > Heart Center > Heart Procedures > Transesophageal Echocardiography 
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Transesophageal Echocardiography

What to Expect

What to Do the Night Before

  • Do not eat or drink for 4 hours before the procedure to make sure that your stomach is empty. You may have sips of water to swallow your medications.
  • If the test is done as an outpatient, have someone drive you to the hospital. Your driver must remain in the hospital during your test. No driving is allowed for 24 hours.
  • Be sure to tell the doctor if you have a problem swallowing or if you have any conditions involving your esophagus or stomach.
  • Also, tell the doctor or nurse if you have allergies to medications, especially sedatives (medicines that help you relax).

Diagnostic Tests Before the Procedure
These will vary, depending on the reason for your procedure. An EKG and regular echo may have been done. Blood tests such as a blood count, electrolyte levels (potassium, magnesium, calcium, etc.), or other tests may have been done.

Directions to the Medical Center or Hospital

It is important to arrive at your scheduled time. Your procedure may not begin immediately due to varying lengths of procedures scheduled before your procedure. You will be updated as frequently as possible.

Preparing for the Procedure in the Hospital

  • Description of IV, site preparations, and medications that may be administered - An intravenous (IV) line will be inserted in your hand or arm. EKG electrodes will be placed on your chest. If your chest is very hairy, small patches of skin may be shaved so that the electrodes will make very close contact with the skin. A numbing spray such as Cetacaine (lidocaine) or Hurricaine will be sprayed in the back of your throat to make passing the TEE probe into your throat more comfortable. Sedative medications may be given in the IV to help you relax and remain comfortable during the procedure. You may be given a dose of IV antibiotics prior to the procedure, if indicated.

  • Consent forms - You will be asked to sign a consent form after your physician explains the procedure, its purpose, any risks, and the expected outcome. You should read through the consent carefully before signing it. If you have any questions or need more information, ask your physician.

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