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EACVI Adult Transthoracic Echocardiography (TTE) Certification

Certification organised by the European Association of Cardiovascular Imaging (EACVI)

Results of the 2019 written exam delivered in Vienna on 5 December have been sent to participants through the email addresses registered on their My ESC accounts. 

The next EACVI TTE exam will be held in 2020.


COVID-19 (coronavirus)

Click here to read a message from the EACVI Certification and Accreditation Committee to all candidates considering applications for EACVI Certification Programmes.


Upcoming Exam

The next EACVI TTE exam will be held in 2020.

More information will be communicated in due time:




*The ESC reserves the right to modify the above schedule, if needed. Therefore, the ESC strongly recommends late return flights.

About the TTE Exam

The goals of certification are to protect patients from undergoing transthoracic echocardiographic examinations performed by unqualified persons and to set a European standard for competency and excellence in this field. 

The benefits of certifying in EACVI TTE:

  • Certification in TTE gives credibility and professional legitimacy to an individual by demonstrating his/her competency.
  • The certification process identifies qualified practitioners of transthoracic echocardiography, enhancing their professional image.
  • European certification tests the competency of an individual to perform, interpret, and report routine transthoracic echocardiographic studies unsupervised.
  • Certification in TTE is not a compulsory or regulatory certificate of competence or excellence. Individuals' rights to report and sign clinical studies in individual countries remain to be defined by national laws and regulations.
  • Sonographers (technicians) and doctors of all disciplines can apply for certification in TTE.

Certification Process

To obtain certification, candidates must succeed in both of the steps below: 

First Step: Theoretical part - delivered on tablet.

Candidates who are successful in the examination will be entitled to proceed with the practical skills assessment.

Second Step: Practical part - e-Logbook. 

Candidates must submit an e-Logbook of 250 transthoracic clinical cases they have performed. 

Theoretical: Delivered on Tablet

The theoretical examination is held twice a year in:

  • August - during ESC Congress
  • December - during EuroEcho

The examination is delivered on an iPad and is composed of multiple choice questions (examinees must select the best answer out of five possible choices) divided into two sections:

  • Reporting: 50 questions on TTE cases with displayed echoes - 1 hour, 30 minutes
  • Theory: 75 questions - 1 hour, 50 minutes

The examination is in English
The duration of the written examination is approximately five hours, including a 20-minute break.

Please note that the schedule can be subject to on-site modification.

To be successful, a candidate must pass both sections of the written exam (reporting and theory). The passing scores for each section are established after each exam within the TTE subcommittee based on statistical performance on individual questions and on the average level of scores taken from the respective examinations.

Before the Examination
  • Candidates need to have answered the pre-exam questionnaire.
  • Candidates are required to come to the certification registration desk at least 30 minutes before the start of the exam.
  • Candidates are requested to present photo ID documents to confirm their identities.
  • A final invitation letter will be sent approximately 10 days before the exam. Please contact the certification office if you have not received the information before this point.
During the Examination
  • There will be a 20-minute break between the two sections.
  • If candidates leave the room before the end of the exam, they will have to sign out and will not be permitted to re-enter the room.
  • Once the examination is completed, candidates are allowed to leave the examination room.

Results of the written examinations are sent by email two months after the exam.

Appealing the Exam
  • On the exam day, in case of an issue with the scientific content of the exam:

A complaint must be logged on site with the exam invigilators. The appeals procedure will be recorded only if candidates have filed an official complaint on the day of the exam. Under no circumstance will you be entitled to fee refunds or damages.

  • After having received your results:

If you believe that an incorrect result has been given to you, you may lodge an appeal by sending to the ESC exam administration an official letter within eight days of receiving your scores, using the ESC contact us form. The result of such an appeal may be a higher grade, a lower grade, or no grade change. In no circumstance will you be entitled to a fee refund nor damages.

Appeal Process

The ESC exam administration and relevant certification committee will reply within four weeks.

Reply from the ESC exam administration and relevant certification committee is final. You agreed to this during the exam registration process by accepting the ESC exam's 'terms and conditions'. 

Appeals are free of charge.

First Step: Exam


If you sat this exam less than six months ago, we highly encourage you to wait for your results before registering.

Registration for the exam is separate from that of the congress. You do not need to register for the congress to sit the exam.

In order to respect exam room capacity, registration will be managed on a first-come, first-served basis.
We encourage you to register online as early as possible to guarantee a seat.

Registration for all ESC-administered exams closes 10 days prior to the examination with no exceptions.
However, registration may close earlier if the exam room capacity is reached.


Not an EACVI Silver Member yet? Subscribe today and save up to €122**

  1. Become an EACVI Silver Member for €156 (or €78 if you are under age 40 or in training)
  2. Benefit from the exam registration member fee (€360 instead of €560)
  3. Save up to €122!**
  4. Enjoy all the EACVI Silver Membership benefits, including an online subscription to the European Heart Journal - Cardiovascular Imaging (EHJ-CI), unlimited access to EACVI webinars and congress resources, discounts on EACVI congresses and courses, and much more.  Join and save now.** 


** Compared to standard fee for non-members and including the EACVI Silver Membership fee.

I want to know more about the EACVI Silver Membership.


Please read the registration terms and conditions.

Registration Fees (in Euros)

Fee Types Online Fees  (until seats sold out/10 days before exam date)

Standard/EACVI Regular Member


EACVI Silver Member







*To benefit from member fees you must be a validated member before registering for the exam. This fee is only available for Silver Members - for further information please go to the membership page.

**To benefit from EACVI Fellow fees you must have a validated EACVI Fellowship
before registering for the exam. This fee is only available for EACVI Fellows.

***Please note that the resit fee is reserved only for candidates who have sat and failed the exam in the past, and cannot be used by candidates under any other circumstances.

Registration Requirements

NEW: Before paying, candidates must complete a questionnaire in which they identify their supervisor and provide information on their training.

Please note that the supervisor does not need to be EACVI certified. Candidates who are looking for a supervisor can refer to the list of TTE-certified practitioners.

Registration Conditions

Important - Please note that in order to respect the capacity of the examination room, registrations are taken on the basis of first-come, first-served. We encourage online registration as early as possible to guarantee a seat.

Benefit from reduced exam fees and other advantages! Become an EACVI Member.

Payment and General Conditions

All registration fees are quoted in Euros (€) and include national applicable VAT. Payment in any other currency will not be accepted.

Registration fees are based on the date of receipt. The prices indicated are only applicable if both registration form/request and payment are received before the registration deadlines; otherwise, the higher registration fee will be applied.

Registrations will be acknowledged by email upon receipt of payment and a valid candidate email address (make sure your My ESC profile is updated and ensure that no third party email address is linked to your registration). 

Cancellation Policy Conditions

If a participant wishes to cancel his/her registration for the certification exam they should contact us.

Please take careful note that the cancellation policy on refunds is as follows:

Weeks before Exam % Refund
Up to 6 weeks (before exam) 90%
4-6 weeks (before exam) 50%
Within 4 weeks 0%
No show 0%

Please note that a 'no show' is not considered a cancellation. If you do not attend the exam without giving forewarning of your absence and without proof of good reason (unforeseen circumstances - such as a death in the family, serious accident of the candidate...) no refund will be allowed.

If there are any queries concerning visas problems, please contact us. Please note you are responsible for your visa applications and you must give at least two months preparation time to your respective embassy; otherwise it is your responsibility if the visa is not granted in time. 

Should a candidate not attend the exam for whatever reason, no further claims for reimbursement or waiving of fees can be made. Similarly no right to further claims or waiving of fees will arise should the ESC be obliged to alter the exam proceedings.

By registering for the exam, each candidate waives his/her rights to claim any compensation from the ESC. The organiser cannot be held liable for any hindrance or disruption of exam proceedings arising from political, social or economic events, or any other unforeseen incidents beyond their control.

Under no circumstances will the ESC be liable for indirect damages or costs.

All candidates are urged to take personal travel insurance.

Registration of a candidate entails acceptance of these conditions.

Exam Preparation

Recommended Readings

There are many excellent books on echo: some examples are listed below. In addition to those listed, there are many small basic texts which are a useful introduction to the subject.

  • A.E. Weyman, Principles and Practice of Echocardiography, 2nd ed. 1994, Lea & Febiger.
  • H. Feigenbaum, Echocardiography, 5th ed. 1994, Lea & Febiger.
  • C. Otto, The Practice of Clinical Echocardiography, 4th ed. 2012, Elsevier Saunders.

You can also visit the EACVI educational area.

This section includes information about education-related matters such as:

Frequently-Asked Questions

Please refer to the FAQs for further general information on the certification process.

For any other information, please contact us.

Second Step: e-Logbook

Candidates have to submit their logbook electronically (e-Logbook). Please note that any document with the candidate's name will be rejected. The logbook will be sent to EACVI graders for review.

The main elements of the logbook are:

  • Signed supervisor letter documenting the training and review of studies undertaken by the candidate. 
  • 250 summary sheet cases assessed by candidate's supervisor.
    • Please note that cases must be collected from one year before to one year after the written exam and must cover only 12 consecutive months.
    • Each patient may be present only once in the logbook. It is not allowed to add multiple studies of the same patient.
    • Candidates are not asked to submit the full reports for these particular cases, although they may be requested by the EACVI graders and/or EACVI certification committee. Thus candidates are asked to keep this information available.
    • If you are having problems with the PDF template, please create an Excel sheet with exactly the same column titles, and use this instead. Don't forget to include the first page signed by your supervisor.
  • 6 TTE cases following requirements defined by the certification committee.
    • The cases must be anonymous: no patient name or candidate name should be visible. Nevertheless, it is important to be precise with others details, such as the age and sex of the patient.
    • All these cases must have been under the care of the candidate and accompanied by the original clinical reports that the candidate wrote in their place of practice. 
    • Several measurements should be included to indicate the workings and outcome of each case. Findings in the report must by supported by relevant measurements and Doppler-derived data.
    • A comprehensive conclusion should be included.

Reports are judged on completeness and accuracy, meaning the reports should match the uploaded images, and  there should be no errors of interpretation or omission. 

The eLogbook can be submitted in one of the available languages:

Spanish / Swedish / Turkish

Available languages
Bulgarian Croatian Danish Dutch English
French German Greek Hungarian Italian
Norwegian Polish Portuguese Romanian Russian


* Submitted reports must be accompanied by English translations.
Do remember to select the correct language when submitting your logbook. For example, if some of the logbook is in English, but the reports are in Hungarian, please select 'Hungarian' as the language. 

Extension Requests

If any candidate needs an extension for their logbook submission date, they must request this with a signed letter of explanation from their supervisor. The request must be submitted before the deadline of their logbook submission and cannot be granted in arrears. All requests should be directed to the certification office

Please note that the reason for an extension must be important: extensions are not granted for minor issues, including poor organisation.


Results of the complete certification process are sent by email within three months of submitting the e-Logbook.
Failure to comply with any of the above requirements will require the candidate to start the whole process from the beginning.

Appeal to the Logbook

Candidates who fail the full certification process (logbook section after having passed the exam) may raise an appeal to the EACVI certification team. Please contact us

The appeal procedure for the re-evaluation of a logbook is free of charge and does not guarantee a pass after this second review. The appeal decision made by the committee is final.

Failing the certification programme will require the candidate to start the whole process from the beginning.


Candidates who have successfully completed the certification process have been awarded a five-year certification.

To retain the respective certification, candidates must apply for recertification from six months before to six months after the certification expiration date.

During this time, candidates who are eligible for the recertification will receive an automatic email every three months to apply for recertification. This email is sent from the My ESC email address. All candidates will be reminded as the deadline approaches, but it is the candidate's responsibility to ensure that the recertification is submitted in a timely manner.

Click here to consult the recertification requirements.

TTE Graders

Please find here the list of EACVI TTE graders.

Certified Individuals in TTE

Find below the list of professionals who are certified by the EACVI in TTE.

Discover who they are, where they come from and benefit from their experience!

The EACVI certification is valid for five years.

List of EACVI TTE certified individuals