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TEE (Transesophageal Echocardiography)

What Is TEE (Transesophageal Echocardiography)?
 


In TEE, a miniature ultrasound transducer is passed down the esophagus (food tube) behind the heart. This allows the physician to obtain very high quality images. TEE is typically performed to evaluate strokes and TIA (Transient Ischemic Attacks), previous valve replacements and bypass surgeries, and other heart conditions.

 

Preparations before the test


Do not eat or drink for at least 4 hours before the test.

Arrange for a companion to accompany you and avoid driving if the procedure is performed on an outpatient basis.

Be sure to notify the doctor or technologist if you have any drug allergies or if you have any difficulty in swallowing or problem with your mouth, esophagus or stomach. Dentures will be removed during the test.

A written consent will be obtained before the test. However if you are below 21 years of age, you will be required to bring your legal guardian to sign the consent.

 

How is the test done?  

ECG electrodes will be connected to your chest. You will be asked to lie on your left side. The doctor will insert a hand plug on your hand. A sedative will be given through your vein to help in relaxation and your throat will be sprayed with an anesthetic to “numb” it. The transducer will be passed down your throat to obtain quality images. The heart rate and blood pressure are monitored during the whole procedure.

After the procedure, driving is not allowed as you may still feel drowsy. Eating and drinking should be avoided for at least 2 hours because the throat will still be numb and the food or drink could be aspirated into the lungs.

You should plan to be in CMU for about two hours. The actual procedure usually lasts 30 minutes. The remainder of the time is spent in preparation and observation.

 

Is the test safe?  


There is a small risk of complications including allergic reactions, abnormal heartbeats, and perforation of the gastrointestinal tract, bleeding, aspiration or even stroke. The chance of this happening in an average patient is approximately 1 in 10,000.

 

Can I undergo the test if I am not feeling well?  


No. If you are feeling ill because of fever, runny nose or acute illness, you should not proceed with the test. Please call Tel: 68502580 to change the appointment.

 



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