WHAT IS A SPECT RADIONUCLIDE STRESS TEST?

A SPECT Radionuclide Stress Test is an examination during which your heart rate, heart rhythm, blood pressure and electrocardiogram are evaluated, along with actual imaging of the heart muscle.  Cardiolite and/or Thallium, a mild radioactive substance given in small amounts, is what allows us to obtain these images of your heart.  There are no side effects to either of these isotopes.

WHY IS A SPECT RADIONUCLIDE STRESS TEST NECESSARY?

A SPECT Radionuclide Stress Test is a more accurate way of evaluating the condition of the heart muscle and its blood supply.

WHO WILL DO THE TEST?

A cardiologist, a nuclear medicine technologist, and a cardiac nurse or technologist will be present for the test. 

WHAT IS THE USUAL PROCEDURE?

Take all of the medications as you normally would and bring a list of those medications to the test.  Avoid caffeine and decaffeinated products 24 hours before the test.  Before your arrival, eat a light meal and avoid dairy products.  When you arrive at Consultants In Cardiology, Inc., please report to the receptionist in order to complete registration forms.

 WHAT DOES THE EXAMINATION INCLUDE?

A brief cardiac history will be taken and an IV will be started in your arm. A Radionuclide will be injected into the IV and a 15 minute resting image of your heart muscle will be taken 30 minutes following the injection.  Following the resting image, a simple skin preparation will be done and electrodes applied to monitor your heart.  You will walk on a treadmill at increasing levels of speed and grade.  A Radionuclide will be injected into the IV at peak level of exercise and you will need to walk one minute longer.  Post exercise we will have you rest for approximately 30 minutes and a stress image will be taken of your heart muscle.  This image will take about 15 minutes.  Please allow three hours for your total exam.  Your cooperation is vital to the successful completion of this test.  If you have any further questions, please feel free to ask your nurse or physician.

 WHAT SHOULD I WEAR?

Comfortable shoes or sneakers if possible.  To ensure modesty, women should wear loose slacks.  Wear socks or knee high hose; no pantyhose please.  If you wear glasses, please bring them, as you will need to read and sign a consent form.  Also, please arrive 15 minutes early before your scheduled appointment time, as you may have forms to fill out.

 Unless otherwise directed by your physician, do not take the following medications the night before or the morning of the test: 

BETA BLOCKERS

INDERAL--PROPRANOLOL

BLOCADREN--TIMOLOL

LOPRESSOR—METOPROLOL—TOPROL XL

CORGARD--NADOLOL

 

TENORMIN—ATENOLOL

VISKEN—PINDOLOL

NORMODYNE—LABETOLOL

SECTRAL—ACEBUTOLOL

ZEBETA—BISOPROLOL

 

 Take all other medications as you normally would.

It is necessary to restrict caffeine for 24 hours prior to a procedure or test.  Commonly used beverages and foods containing caffeine would include:

COFFEE

Brewed drip coffee

Brewed percolator coffee

Instant coffee

Decaffeinated brew coffee

Decaffeinated instant coffee

TEA

Brewed commercial tea

Brewed imported tea

Instant tea

 Iced tea

FOOD

Cocoa

Chocolate milk

Milk chocolate

Dark semi-sweet chocolate

Baker’s chocolate

Chocolate syrup

Chocolate cake

Candy, chocolate

Chocolate ice cream

Chocolate pudding

Nut fudge brownie

 

SOFT DRINKS

Coca-Cola

Cola, decaffeinated

Dr. Pepper

Dr. Pepper, sugar free

Jolt Cola

Mellow Yellow

Mountain Dew

Mr. Pibb

Pepsi Cola

Pepsi, diet

Tab

 

COMMONLY PRESCRIBED DRUGS CONTAINING CAFFEINE

Cafergot

Fiorinal

Wigraine (all forms)

Darvon

Synalgos-DC

A FEW OVER-THE-COUNTER DRUGS CONTAINING CAFFEINE

Anacin

Excedrin

NoDoz

 

 

 If you have any questions, please call 453-7767 and ask for the stress lab nurse.

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