Transoesophageal Echo (T.O.E.)
A Transoesophageal Echocardiogram (TOE) is a specialised heart ultrasound performed in hospital. It uses a probe passed gently down your oesophagus (food pipe) to capture high‑quality images of your heart. Because the probe is closer to the heart than in a standard echocardiogram, the pictures are much clearer and more detailed.
What happens during a Transoesophageal Echocardiogram?
- Hospital admission: This is usually a simple day procedure.
- Probe placement: A thin probe is passed down your oesophagus to take images of your heart.
- Sedation and comfort: Light sedation is given to help you relax, and a local anaesthetic is used to make passing the probe easier.
- High‑quality images: The test provides detailed pictures of your heart’s structure and function.
- Time required: The procedure, including recovery, takes about 3–4 hours.
What is a Transoesophageal Echocardiogram?
It’s a heart ultrasound using a probe in the oesophagus to get clearer images.
Why do I need this test?
Doctors use it to check heart structure and function when a standard echo doesn’t give enough detail.
Does the test hurt?
No, sedation and local anaesthetic are used to keep you comfortable. You will not feel anything during the procedure and have no memory of the procedure.
How long does the test take?
About 3–4 hours including recovery.
Do I need to prepare?
Yes, fast for at least 6 hours and arrange transport home.
Is the test safe?
Yes, it’s a routine hospital procedure with rare side effects

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