Detailed heart imaging for closer assessment of cardiac structure and function.
Expert cardiology care with a personal approach.
A transoesophageal echocardiogram, or TOE, is a specialised ultrasound that provides detailed images of the heart by placing a small probe into the oesophagus (food pipe). This close proximity allows for clearer views of certain heart structures that may be difficult to see through the chest wall.
TOEs are often recommended when a standard echocardiogram does not provide enough detail. They can help assess heart valves, blood flow, infection, clots, and other structural concerns with greater accuracy.
During your appointment:
You will be given instructions before the procedure, including fasting requirements
A local anaesthetic spray and light sedation may be used for comfort
A small ultrasound probe is gently passed into the oesophagus
Detailed images of the heart are taken during the procedure
The test is performed in a controlled clinical setting by an experienced team.
After the procedure, you will be monitored until you are ready to go home, and your cardiologist will review the results and provide a report to your referring doctor.
You may be referred for a transoesophageal echocardiogram if:
A standard echocardiogram has not provided enough detail
There is a need to assess heart valve disease more closely
Your doctor needs clearer imaging of heart structures
There is concern about blood clots, infection, or structural abnormalities
Further investigation is required before treatment or surgery
This test is particularly useful when precise imaging is needed to support diagnosis and treatment planning.
Dr Jodi Harker is a highly experienced cardiologist providing comprehensive cardiac care across the Gold Coast.
With expertise in both diagnostic and preventative cardiology, Dr Harker focuses on delivering clear, patient-centred care tailored to each individual.
Her approach emphasises accurate diagnosis, clear communication and long-term heart health management.
Please bring:
This helps ensure your cardiologist has all the information needed to provide accurate assessment and advice.
If you have been referred for a transoesophageal echocardiogram, our team is here to provide careful, professional and well-supported cardiac assessment.
A Transoesophageal Echocardiogram (TOE) is a specialised type of heart ultrasound. Unlike a standard echocardiogram that uses a probe on the chest, a TOE involves passing a thin ultrasound probe down the oesophagus (food pipe) while you are under light sedation. Because the oesophagus sits directly behind the heart, this test provides highly detailed images of your heart’s structure and function, especially the heart valves and upper chambers.
Transoesophageal echocardiograms are performed at Pindara Private Hospital by a Cardiac Imaging Cardiologist. They are conducted as a day admission procedure or during an inpatient hospital stay, depending on your clinical needs. Admission paperwork must be completed ahead of time.
A TOE helps your cardiologist closely examine your heart’s structure and function, particularly the valves, chambers, and surrounding blood vessels. It’s often used to investigate blood clots, infections, or valve problems that may not be visible on other imaging tests.
You’ll need to fast for at least six hours before your test. Please advise us of any medications you’re taking, allergies, or swallowing difficulties. You’ll also need someone to drive you home, as sedation is used during the procedure.
You’ll rest in recovery until the sedation wears off. Some people experience a mild sore throat for a short time. Your cardiologist will review the images and discuss the results with you or your referring doctor once the analysis is complete.
