An echocardiogram is a test that uses sound waves to create a moving picture of the heart. The picture is much more detailed than a plain x-ray image and involves no radiation exposure.
Transthoracic echocardiogram (TTE); Echocardiogram - transthoracic; Doppler ultrasound of the heart; Surface echo
TRANSTHORACIC ECHOCARDIOGRAM (TTE)
TTE is the type of echocardiogram that most people will have.
An echocardiogram allows doctors to see the heart beating, and to see the heart valves and other structures of the heart.
Occasionally, your lungs, ribs, or body tissue may prevent the sound waves and echoes from providing a clear picture of heart function. If so, the sonographer may inject a small amount of liquid (contrast) through an IV to better see the inside of the heart.
Very rarely, more invasive testing using special echocardiography probes may be needed.
TRANSESOPHAGEAL ECHOCARDIOGRAM (TEE)
The back of your throat is numbed and a scope is inserted down your throat.
On the end of the scope is a device that sends out sound waves. An experienced technician will guide the scope down to the lower part of the esophagus. It is used to get a clearer echocardiogram of your heart.
There is no special preparation for the test. For a TEE, you will be asked not to eat or drink for several hours before the test.
You will be asked to remove your clothes from the waist up and lie on an examination table on your back. Electrodes will be placed on your chest to allow for an ECG to be done. A gel will be spread on your chest and then the transducer will be applied. You will feel a slight pressure on your chest from the transducer. You may be asked to breathe in a certain way or to roll over onto your left side.
This test is done to evaluate the valves and chambers of the heart in a noninvasive way. The echocardiogram allows doctors to diagnose, evaluate, and monitor:
Your health care provider may recommend a transesophageal echocardiogram (TEE) if:
A normal echocardiogram reveals normal heart valves and chambers and normal heart wall movement.
An abnormal echocardiogram can mean many things. Some abnormalities are very minor and do not pose significant risks. Other abnormalities are signs of very serious heart disease that will require further evaluation by a specialist. Therefore, it is very important to discuss the results of your echocardiogram in depth with your health care provider.
There are no known risks associated with this test.
Connolly HM, Oh JK. Echocardiography. In: Bonow RO, Mann DL, Zipes DP, Libby P, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 9th ed. Philadelphia, Pa: Saunders Elsevier;2011: chap 15.