Transesophageal echocardiography (TEE) is a test done to record images of your heart with a probe inside your throat (esophagus). These images help your doctor find and treat problems, such as infection, disease, or defects in your heart's function, walls, or valves. This test may be done when a chest echocardiogram (transthoracic) doesn't give your doctor enough information.

• Tell your doctor about all the medicines you take. Ask if you should take them before the test. Your stomach typically should be empty for this test to prevent vomiting, so your doctor will likely tell you not to take them.
• Follow any directions you're given for not eating or drinking before the procedure.
• Tell your doctor if you have ulcers, a hiatal hernia, or problems swallowing. Also report a history of narrowing of the esophagus, or any other past gastrointestinal problems. A smaller probe may be needed for your study.
• Let the doctor know of any allergies to medicines or sedatives.
• Also let them know if you have dental implants or dentures that should be removed before the test.
• Arrange to have someone drive you home after the exam. You'll be given a sedative for the test. It won't be safe to drive for a period of time.

• When you arrive for your TEE, you'll change into a hospital gown, and then be taken to the testing room.
• Your doctor will spray your throat with a numbing medicine. You may be given a medicine through an I.V. (intravenous) line in your arm to help you relax. You may also be given oxygen. Then you'll be asked to lie on your left side.
• The doctor gently puts the small, lubricated probe into your mouth. A small plastic or rubber bite-block will be put in your mouth to prevent you from biting down on the probe during the test. As you swallow, the doctor will slowly guide the tube into your esophagus.
• You may feel the doctor moving the probe. But it shouldn't hurt or interfere with your breathing. A nurse checks your heart rate, blood pressure, and breathing. The test usually takes about 15 minutes.
• The nurse or assistant will suction any saliva out of your mouth, similar to when you have a dental cleaning.

• Tell your doctor about any pain. Let them know if you cough up or vomit blood, or have trouble swallowing.
• Your throat may be sore for a few hours. You can eat and drink again when your throat is no longer numb and you're fully awake.
• Don't drive a car or run heavy machinery for at least 24 hours after getting sedation. Most people can return to normal activities after 24 hours. Ask your doctor when it's safe for you to return to normal activities.
• Keep your follow-up appointment to go over the results with your doctor.
• Your next appointment is: ____________________