My EP has ordered a cardioversion for me, my first since I was diagnosed with AF end of June 2021. What I didn’t know until I talked to the scheduler yesterday is that it will be preceded by a transesophageal echocardiogram (TEE). I also learned that my EP, who is the most experienced member of the team and also older, does not himself perform cardioversions when they are combined with TEE. (Is that because you need a steadier hand??) Since all this information is new to me, and because my anxiety level about the procedure increased exponentially when I found out the TEE involves sticking a tube with a camera down your throat, I’ve made a separate appointment to see my EP in the week before the procedure. Two questions:
1) Has anyway experienced a cardioversion immediately preceded by a TEE? Just how unpleasant is the TEE? I'm kind of worried about it, though I understand it's probably advisable to have it in order to make sure there are no clots before proceeding.
2) Any questions you can think of that I should ask my EP about either procedure? (FYI: I have persistent AF, and am asymptomatic. The main reason for doing the cardioversion is to see if I can be put back into normal rhythm. I’ve made some lifestyle changes since my diagnosis, so I’m somewhat hopeful it might be succcesful.)