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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 address registered on their MyESC accounts. 

The next EACVI TTE exam will be held in 2020.

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 on getting this certification.
  • The certification process will identify qualified practitioners of transthoracic echocardiography and should enhance their professional image.
  • European Certification is designed to test the competency of an individual's ability 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 below steps: 

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 - eLogbook 

Candidates must submit an eLogbook 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

This examination is delivered on iPad, it is a Multiple Choice Question form (MCQ, 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 minutes 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 Sub-Committee, based on statistical performance of 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 bring and present a photo ID document to confirm his/her identity.
  • 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.
Post examination

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

Appealing the exam
  • On the exam day, in case of 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. In no circumstance you will be entitled to fee refund nor damages.

  • After having received your results:

If you believe that an incorrect result has been awarded to you, you may lodge an appeal by sending to the ESC exam administration an official letter within 8 days of receiving your scores, to the ESC contact us form. The result of such appeal may be a higher grade, a lower grade, or no grade change. In no circumstance you will be entitled to fee refund nor damages.

Appeal process:

The ESC exam administration and relevant certification committee will reply within 4 weeks.

Reply from ESC exam administration and relevant certification committee is final. You agreed to this during the exam registration process by accepting the ESC exam delivery Terms and Conditions. 

Appeals are free of charge.

First Step: Exam


If you sat this exam less than 6 months ago we highly encourage you to wait for your results before registering.

The 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, registrations 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 when 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 below 40 years old 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 congresses 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 be a validated EACVI Fellowship
before registering for the exam. This fee is only available for EACVI Fellow.

***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 have to complete a questionnaire where they must declare 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 e-mail upon receipt of payment and a valid candidate email address (make sure your MyESC 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 he/she 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 concern if the visa is not granted in time. 

Should a candidate not attend the Exam, for whatever reasons, 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 to the Exam each candidate waives his/her rights to claim for any compensation toward 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.

In no event will the ESC be liable for indirect damages or cost.

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 and just 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
  • Otto C. The Practice of Clinical Echocardiography. 2nd ed. Philadelphia: W. B. Saunders 2002

You can also visit the EACVI educational area.

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

Frequently Asked Questions:

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

For any further 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 1 year before to 1 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 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 with exactly the same column titles and use this instead. Don't forget to still include the first page signed by your supervisor.
  • 6 TTE cases following requirements defined by the Certification Committee.
    • The 6 cases must be anonymous, no patient name nor candidate name should be visible. Nevertheless, others details as the age and the sex of the patient are important to precise. 
    • All these cases must be performed by the candidate and accompanied by the original clinical reports that the candidate has written 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. If the report matches the uploaded images, and if there are any errors of interpretation or omission. 

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

Available languages


Bulgarian Croatian Danish Dutch English
French German Greek Hungarian Italian
Norwegian Polish Portuguese Romanian Russian
Spanish Swedish Turkish    


* 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 a candidate is in need of 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 through Contact Us

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


Results of the complete certification process are sent by email within three months of submitting the eLogbook.
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 decision of the appeal is made by the committee and 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 5-year certification.

To retain the respective certification, candidates must apply for recertification from 6-months before to 6 months after the certification expiration date.

During this time window, candidates who are eligible for the recertification will receive an automatic email every 3 months to apply for recertification. This email is sent on MyESC 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 5 years.

List of EACVI TTE certified individuals