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Preparation
Dr. Moore orders a Transesophageal Echocardiogram or TEE when he needs to evaluate the way your heart
is functioning in detail and examine the structures of your heart, such as your heart valves and
vessels. This diagnostic exam typically becomes necessary when the regular echocardiogram does not
provide adequate detail of the heart anatomy. During this test, Dr. Moore will insert a small tube
with a special tip into your esophagus or food pipe. Much like a standard echocardiogram (echo), this
test works by sending sound waves to the heart. The special tip transmits the sound waves to the
heart. The waves reflect back allowing Dr. Moore to obtain images of your heart. Because of the close
proximity of the tip to your heart, these images are much more detailed and informative than
non-invasive tests, such as a standard echo.
Dr. Moore performs TEE's at Indian River Memorial Hospital. To prepare for this test, you must:
- Inform Dr. Moore if you have a history of esophagus problems, such as a hiatal hernia, cancer or acid reflux
- Inform Dr. Moore if you may be pregnant
- Abstain from eating or drinking at least eight hours prior to the test
You may have to stop taking certain medications, such as aspirin, Plavix or warfarin therapy, prior to
this test and obtain pre-test blood work. You also may have to pre-register for this outpatient
procedure. Dr. Moore and his staff will provide you with specific instructions.
Note: Because you'll receive a mild sedative during this test, you'll be unable to drive afterwards.
You must bring someone with you to drive you home and keep an eye on you.
Procedure
Once you have registered, changed into a hospital gown, and been situated in a bed, you'll receive an
intravenous (IV) line. The IV will administer a mild sedative that will help you relax during the
procedure. You'll still be awake and somewhat responsive during the test, but many patients find
they don't remember much afterwards. Electrodes will be attached to your chest to monitor your heart,
and a cuff will be placed on your arm to monitor your blood pressure.
After you gargle a medication that numbs your throat and tongue, you'll be positioned on your side
with a pillow under your head. A mouth guard will be placed in your mouth. The tube will slowly be
inserted into your mouth and down your throat. You will be asked to breathe deeply, adjust your head
position, and swallow to assist in the process. Once the tube is in place, the cardiologist will gather
the images of your heart on a video screen. You may be able to see the images during the test. Once the
test is completed, the tube, mouth guard and IV will be removed. You'll be monitored for about an hour
after the test to ensure that you're recovering from the sedative normally. The entire process
generally takes two to three hours.
Post-procedure
Following the test, Dr. Moore will discuss the results with your and your family. If required, a
follow-up appointment will be scheduled. Resume your normal medication schedule as instructed by Dr.
Moore.
After you have been driven home, rest while the sedatives wear off. Do not eat or drink anything until
the sedatives in your throat and mouth have worn off and you can swallow normally. It usually takes a
few hours. You may also not
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