Transesophageal echocardiography

Transesophageal Echocardiography is a special type of heart examination that uses a high-frequency echocardiogram to help doctors diagnose the structure of the heart in detail and clearly.

What are the benefits of transesophageal echocardiography? 

• Further investigation is required in cases where the diagnosis of patients with transthoracic echocardiography is unclear. 

• Check the function of the artificial heart valve 

• Check for coronary artery disease

• Check for tumors or lumps in the heart area 

• Check for abnormalities in the heart valves

• Screening for fibrosis in patients with endocarditis 

• Thoracic aortic disease

Preparation before transesophageal echocardiography

• Do not eat or drink for 4-6 hours before the examination to prevent danger from vomiting and choking during the examination.

• Stop taking blood thinning medications 3-5 days before the examination.

• If the patient has a history of drug allergies or has a chronic disease that is a contraindication to the examination, the staff should be informed.

• If your teeth become loose due to denture removal, you should notify the staff.

Contraindications for patients undergoing examination 

• Patients with respiratory diseases

• Patients with gastritis or bleeding 

• Patients with difficulty swallowing 

• Patients with esophagitis, tumors, or obstruction 

How is a transesophageal echocardiogram performed? 

• The doctor will explain the โปรโมชั่นพิเศษจาก UFABET สมัครตอนนี้ รับโบนัสทันที examination procedure in detail before inserting the catheter into the patient.

• Have the patient gargle and spray anesthetic to prevent sore throat before inserting the catheter.

• Have the patient lie on their left side and bow their head during the examination to allow saliva to drain from the side of their cheek.

• The doctor will insert the catheter through the mouth, into the esophagus, and the tip will be at the back of the heart. The doctor may ask the patient to swallow the catheter while it is inserted. 

• The examination will take approximately 10-20 minutes, during which the doctor will closely supervise you.

• During the examination, the patient should breathe through the nose. If the patient is a child, give them a sleeping pill before the examination.

Post-examination complications

• Fever , sore throat , irregular heartbeat

• Choking may occur and teeth may break or become loose. 

• Some people may develop esophageal ulcers, perforations, or inflammation. 

• There is bleeding in the stomach and esophagus. 

Post-inspection procedures

• Gargle and rinse your mouth with 1 glass of clean water. 

• Do not eat or drink for about 1 hour or until the numbness in the throat disappears. The anesthetic may take effect for 30-45 minutes.

• If there are no symptoms of choking, you can eat cold liquids such as milk followed by soft food. 

• In case of pain in the neck area, pain relievers can be taken every 4-6 hours.

Notification of inspection results

After the examination is complete, the doctor will inform the patient of the results and treatment plan. If the patient has a heart valve stenosis or the patient’s body does not meet any restrictions, the doctor will make an appointment for the patient to come in for an examination and have them stay in the hospital to receive treatment by inserting a heart valve balloon.