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Before the examination:

  • Anamnesis:
    • With known valve defect, endocarditis prophylaxis should be considered. 
    • Diabetes requiring insulin should be treated according to guidelines. 
    • Anticoagulation or antiphlogistic drugs should be stopped 5 days before the examination.
  • The stomach should be empty.
  • The patient should fast, starting 6 hours before the examination. Clear fluids are allowed up to 2 hours before the examination.
  • Daily medications can be taken the same day with a sip of water.

The day of the examination:

  • Premedication with local anesthetic in the pharynx.
  • Possibly general anesthesia.

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