Thank you for choosing Rose Medical Center for your cardiac care. Our goal is to make your stay as comfortable and pleasant as possible. Please let our knowledgeable and friendly staff know if there is anything we can do to improve your experience.

What is a TEE?

A transesophageal echocardiogram is a diagnostic procedure that assess the heart’s function and structure with the use of ultrasound. Images are obtained by advancing the probe down your esophagus to the level of your stomach. This procedure can determine areas of the heart muscle that may not be contracting appropriately. It can also look for blood clots, fluid buildup in the pericardium and possible problems with the aorta.

Why is this procedure being done?

Your cardiologist may be recommending this procedure for you to:

  • Assess the overall function of your heart’s valves and chambers.
  • Evaluate possible abnormalities of the left atrium.
  • Assess for clot formation from an abnormal heart rhythm (arrhythmia).
  • Heart and Valve Infection.
  • Determine the possible presence of different types of heart disease.

Before the procedure:

You will be asked not to eat or drink anything after midnight the night before the procedure. Discuss your medications with your doctor, as he or she may want you to stop or adjust the doses several days prior to your procedure. Please bring all your current medications in their original bottles with you on the day of your procedure. Please bring a list of all drug/food allergies, past medical and surgical history also with you. We recommend that you wear comfortable clothing and bring a small bag with your personal items and toiletries in the event you spend the night in the hospital to make your stay as comfortable as possible.

What to expect upon arrival to the hospital:

When you arrive for your procedure, you will be asked to change into a gown. Please remove all undergarments and use the restroom as needed. Please let the staff know if you are taking blood thinners such as aspirin, warfarin, clopidogrel, prasurgel, ticagrelor, rivaroxaban, apixaban and dabigatran etexilate, diuretics (water pills), and/or any form of diabetic medication. An IV will be started so you can receive medications during your procedure and the nurse will review your medical history with you once again. At this time blood work will be drawn if needed and an EKG will be performed.

During the procedure:

On arrival to the procedural area a nurse will help to make you comfortable by answering any questions you may have about the procedure. They will place monitoring equipment on you to include pulse oximetry, blood pressure cuff and EKG cables. Warmed blankets will be offered to help keep you warm and comfortable during your procedure.

The echo technician will spray the back of your throat with medication (anesthetic) that helps to numb the area and decrease your gag reflex. This will increase your comfort during the procedure. A bite block will be placed in your mouth to assist with the ease of advancing the probe. When the procedure starts, you will be helped to lie on your left side and sedation will be given until you are sleepy and unaware of your surroundings. Only then will the physician obtain images of your heart through the advancement of the probe.

After the procedure:

Once your procedure is complete you will be transferred to the recovery room for about an hour where your vital signs will be closely monitored. Once you have fully recovered from the sedation our staff will go over all your discharge instructions and assist you and your driver to the car.

It is common to have a sore throat and/or a hoarse voice for 1-2 days following your TEE.

Procedural risks:

  • Oral or Esophageal Injury
  • Abnormal Heart Rhythm
  • Infection
  • Breathing difficulties

Contact your doctor if:

  • You have problems taking or obtaining any of your heart medications.
  • Or if you have any other questions.

Seek care immediately/dial 911 if:

  • Chest pain and shortness of breath.
  • Coughing up blood.
  • You have feelings of dizziness, extreme fatigue, or fainting spells.


If you have any further questions before your procedure please call the office and speak with your physician.

Thank You For Choosing Rose Medical Center For Your Cardiac Care!