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Cardiac ultrasound, echocardiography

Echocardiography is one of the most common methods used to examine the heart.

Cardiac ultrasound, also known as echocardiography, is used to assess the structure and function of the heart. 

Cardiac ultrasound is most commonly performed from the chest wall, but it can also be done via the esophagus using a thin tube. The most common reasons for performing the examination through the esophagus are to detect inflammatory changes in the valves, to look for thrombi in the atrial appendages, and to provide a more detailed analysis of structural abnormalities (such as valvular defects). 

A standard echocardiography does not require any special preparation. The examination is not restricted by other illnesses or pregnancy. 

For a examination through the esophagus, you must refrain from eating and drinking for at least four hours prior to the examination. Review the patient instructions you receive well in advance of the examination. 

A physician performs the echocardiography by moving an ultrasound probe over your chest while you lie on your left side. A gel is applied to the skin to improve contact. The examination does not involve radiation or heat and does not cause any particular sensations. Depending on the case, the examination takes approximately 15–45 minutes. 

In a examination through the esophagus, the throat is numbed and the ultrasound probe is inserted into the esophagus. This procedure is usually slightly uncomfortable. 

A standard echocardiography does not require follow-up and does not impose any restrictions on normal daily activities. After a examination through the esophagus you should refrain from eating and drinking for 2 hours. 

The physician who referred you for the examination will inform you of the results and how treatment will proceed. Contact your care unit if you do not have a scheduled appointment or call time. 

The examination is painless and involves no risks. A examination through the esophagus is usually slightly uncomfortable. 

Updated 15.4.2025