Appointment & Instructions: Nuclear Stress Test

Total Length of Test: Approximately 3-4 Hours

Patient Instructions:

* NO CAFFEINE OR DECAFFINATED PRODUCTS (COFFEE, TEA, SODA, CHOCOLATE, ETC) AFTER 6PM THE NIGHT PRIOR.
* NOTHING TO EAT 4 HOURS PRIOR TO APPOINTMENT (MAY HAVE WATER)
* Wear comfortable clothes and shoes for exercise (short sleeved shirt please)
* It can be chilly, please bring a sweater
* Medications (day of test)

1. Take all medications unless instructed otherwise by your physician
   Exemptions:
2. If you are diabetic and take pills to control your blood sugar, do not take your morning pills (please bring them with you to take after the test)
3. If you are diabetic and take Insulin please follow the instructions listed below:-You may eat something light the morning of your test (dry toast, 8oz. orange juice, saltines or graham crackers)
   -Insulin:

   A 24-hour cancellation/ rescheduling notice is required or you may be charged for testing materials.

Explanation of Test:

When you arrive for your test, an intravenous (IV) line will be placed in your arm. While you are sitting, a small amount of radioactive tracer (Myoview) will be injected through the IV line. You will wait approximately 1-hour after the injection and then pictures of your heart will be taken.

You will be lying flat on an imaging table for approximately 20-minutes while a special camera rotates around your chest. It is important for you to remain very still during the scan.

After this first scan, you will be prepared for the stress test. Several electrodes (small foam pads) will be placed on your chest so that your EKG may be monitored. A blood pressure cuff will also be placed on your arm.

If your doctor has requested an EXERCISE stress test, you will begin walking on a treadmill. The treadmill will start very slowly and will increase in speed and incline every three minutes until you reach your maximum ability. An additional injection of the radioactive tracer will be given through the IV line approximately 1-minute before the end of the exercise. A second 20-minute scan of your heart will be taken 15-minutes to 1-hour later. The test is then complete.

If your doctor has requested a CHEMICAL (pharmacologic) stress test, a medication will be given through the IV line while you are lying down. The medication will stimulate the effects of exercise and will increase the blood flow to your heart. The doctor may ask you to perform lowlevel exercise for a few minutes before/after the medication if you are able. An additional injection of radioactive tracer will be given through the IV line. A second 20-minute scan of your heart will be taken approximately 1-hour later. The test is then complete.

Appointment & Instructions: 2-Day Nuclear Stress Test

Explanation of Test (Resting) –  Day 1 Day 2
When you arrive for your test, an intravenous (IV) line will be placed in your arm. While you are sitting, a small amount of radioactive tracer (Myoview) will be injected through
the IV line. You will wait approximately 1-hour after the injection and then pictures of your heart will be taken. You will be lying flat on an imaging table for approximately 20-
minutes while a special camera rotates around your chest. It is important for you to remain very still during the scan.

Explanation of Test (Stress) –  Day 1 Day 2
When you arrive for your test, an intravenous (IV) line will be placed in your arm.  Several electrodes (small foam pads) will be placed on your chest so that your EKG may be monitored. A blood pressure cuff will also be placed on your arm. If your doctor has requested an EXERCISE stress test, you will begin walking on a treadmill. The treadmill will start very slowly and will increase in speed and incline every three minutes until you reach your maximum ability. An additional injection of the radioactive tracer will be given through the IV line approximately 1-minute before the end of the exercise. A second 20-minute scan of your heart will be taken 15-minutes to 1-hour later. The test is then complete.

If your doctor has requested a CHEMICAL (pharmacologic) stress test, a medication will be given through the IV line while you are lying down. The medication will stimulate the effects of exercise and will increase the blood flow to your heart. The doctor may ask you to perform low-level exercise for a few minutes before/after the medication if you are able. An additional injection of radioactive tracer will be given through the IV line. A second 20-minute scan of your heart will be taken approximately 1-hour later. The test is then complete.