What Y ou Need to Know

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What Y ou Need to Know

  1. 1. Non-Invasive Cardiology Test Nuclear Cardiology Test Rest Cardiac Blood Pool Imaging (RVG or MUGA) Patient’s name: Test date: Test time: See other side for test location and registration instructions. How to prepare for your test: What You Need to Know Continue a regular diet. Unless your doctor advises you otherwise, continue taking your medications as Required usual. before test: Please provide a Please wear two-piece clothing. signed physican order. Before the test, please advise the nuclear cardiology technologist if you Results will be sent to have an irregular heart rhythm. your ordering physician after a cardiologist’s How long will the test take? review. About 90 minutes. What is the purpose of the test? To evaluate the pumping function of the heart during rest. This test may also be requested by your doctor to monitor for heart muscle damage after certain types of chemotherapy drugs have been administered or to assess the pumping function after a heart attack. Other names for this test are rest RVG (radionuclide ventriculography) or, more commonly, rest MUGA (multiple gated acquisition scan). How is the test performed? A small tube will be placed into a vein in your arm, and a small amount of blood will be removed and “tagged” with a radioactive agent. The blood will then be reinserted into your body. You will be asked to lie quietly on your back, with your shirt off. Small adhesive pads or suction cups with attached wires will be placed across your chest, arms, and legs. The wires are connected to an electrocardiography (EKG) machine, which will monitor your heart rhythm during the test. A large camera will be placed over you and images will be taken at various angles.
  2. 2. Your test will be conducted at: EIRMC Heart Center 2nd Floor (above Emergency Dept.) How to register: 3100 Channing Way Idaho Falls 208-529-7880 Please park in the lot in front of the Emergency Department or in the adjacent lots. Enter the hospital through the First Floor Emergency entrance and turn left into the Emergency Department waiting room. Register here at the Check-In desk. You will need to show a copy of your insurance card, driver’s license, and signed physician’s order (if available). After you register, you will Additional Parking take an elevator up one floor to the Heart Parking Center for your test. Enter Here Register A Place for Family and Friends Here You are welcome to bring a family member or friend to your test. Our Heart Center also Second Floor has a comfortable waiting area. Heart Center In case of schedule delays... Waiting Room We do our best to start your procedure on schedule, but sometimes another patient may experience a cardiac emergency that delays your procedure. If a Outpatient delay occurs, we will keep you informed of changes Cardiac and will start your procedure as soon as possible. Reception
  3. 3. Non-Invasive Cardiology Test Nuclear Cardiology Test Stress Adenosine Scan with Cardiolite® Patient’s name: Test date: Test time: See other side for test location and registration instructions. How to prepare for your test: Next you will lie flat on a special table What You Need to Know under a large scanning camera that Do not eat or drink after midnight the night before detects the tracer. Areas of the the test. heart that have a good supply Required No caffeine for at least 12 hours, and preferably 24 of blood will pick up the hours, before the test. tracer right away, while before test: areas without a good supply Please provide a Patients who use medications containing will pick up the tracer signed physican order. theophylline or other xanthines must stop taking very slowly or not at all. them for at least 48 hours prior to the test. The scanning camera Results will be sent to Talk to your physician about any other alterations will move slowly in front your ordering physician you should make to your normal medication of your chest to take after a cardiologist’s schedule prior to the test. pictures of your heart from review. different angles. How long will the test take? Adenosine Stress Portion About 5 hours, but you will not be required to stay at Small adhesive pads the Heart Center for the entire period. (electrodes) with attached wires will be placed on your What is the purpose of the test? chest. The wires are connected to an To assess flow of blood to the heart. The test helps electrocardiography (EKG) machine, which will doctors to diagnose coronary heart disease, which monitor your heart rhythm during this portion of the is caused by narrowed or blocked coronary arteries. test. The test may also be done to determine how The technologist will infuse the adenosine into the severe coronary disease is, to estimate the risk of a IV line in your arm. This will take 4 – 6 minutes. heart attack, or to assess the results of a coronary Then the technologist will again inject Cardiolite procedure (such as angioplasty or bypass surgery). into the IV line. As the adenosine takes effect, This procedure is done as a substitute for an exercise your heart rate and blood pressure will rise. This is stress test for persons who may be unable to exercise normal, and they will be monitored along with your on a treadmill or stationary bicycle. EKG. You will report symptoms such as chest pain, dizziness, or shortness of breath. How is the test performed? You will again be placed on under the scanning Two sets of images will be taken. One set will be camera for another set of images. These images taken while you are at rest. Another set will be will be compared to those taken during the resting taken after infusion of a medication (adenosine) that portion of the test. dilates the coronary arteries. Rest Portion An intravenous (IV) line will be inserted into a vein in your arm. The technologist will inject a radioactive tracer (Cardiolite®) into the IV line.
  4. 4. Your test will be conducted at: EIRMC Heart Center 2nd Floor (above Emergency Dept.) How to register: 3100 Channing Way Idaho Falls 208-529-7880 Please park in the lot in front of the Emergency Department or in the adjacent lots. Enter the hospital through the First Floor Emergency entrance and turn left into the Emergency Department waiting room. Register here at the Check-In desk. You will need to show a copy of your insurance card, driver’s license, and signed physician’s order (if available). After you register, you will Additional Parking take an elevator up one floor to the Heart Parking Center for your test. Enter Here Register A Place for Family and Friends Here You are welcome to bring a family member or friend to your test. Our Heart Center also Second Floor has a comfortable waiting area. Heart Center In case of schedule delays... Waiting Room We do our best to start your procedure on schedule, but sometimes another patient may experience a cardiac emergency that delays your procedure. If a Outpatient delay occurs, we will keep you informed of changes Cardiac and will start your procedure as soon as possible. Reception
  5. 5. Non-Invasive Cardiology Test Nuclear Cardiology Test Stress Adenosine Scan with Thallium Patient’s name: Test date: Test time: See other side for test location and registration instructions. How to prepare for your test: Adenosine Stress Portion What You Need to Know Do not eat or drink after midnight the night before Small adhesive pads (electrodes) the test. with attached wires will be placed on your chest. The Required No caffeine for at least 12 hours, and preferably 24 wires are connected to hours, before the test. before test: an electrocardiography Please provide a Patients who use medications containing (EKG) machine, which signed physican order. theophylline or other xanthines must stop taking will monitor your heart them for at least 48 hours prior to the test. rhythm during the test. Results will be sent to An intravenous (IV) line your ordering physician Talk to your physician about any other alterations will be inserted into a you should make to your normal medication after a cardiologist’s vein in your arm. schedule prior to the test. review. The technologist will How long will the test take? infuse the adenosine into the IV line. This will About 5 hours, but you will not be required to stay at take 4 – 6 minutes. Then the Heart Center for the entire period. the technologist will inject a radioactive tracer (thallium) into the What is the purpose of the test? IV line. To assess flow of blood to the heart. The test helps As the adenosine takes effect, your heart rate and doctors to diagnose coronary heart disease, which blood pressure will rise. This is normal, and they will is caused by narrowed or blocked coronary arteries. be monitored along with your EKG. You will report The test may also be done to determine how symptoms such as chest pain, dizziness, or shortness severe coronary disease is, to estimate the risk of a of breath. heart attack, or to assess the results of a coronary procedure (such as angioplasty or bypass surgery). Next, you will lie flat on a special table under a large scanning camera that detects the tracer. Areas of This procedure is done as a substitute for an exercise the heart that have a good supply of blood will pick stress test for persons who may be unable to exercise up the tracer right away, while areas without a good on a treadmill or stationary bicycle. supply will pick up the tracer very slowly or not at all. The scanning camera will move slowly in front How is the test performed? of your chest to take pictures of your heart from Two sets of images will be taken. One set will be different angles. taken after infusion of a medication (adenosine) that dilates the coronary arteries. Another set of images Rest Portion will be taken after a period of rest. After a period of rest, you will again be placed under the scanning camera and another set of images will be taken. These images will then be compared to the images taken during the adenosine stress portion of the test.
  6. 6. Your test will be conducted at: EIRMC Heart Center 2nd Floor (above Emergency Dept.) How to register: 3100 Channing Way Idaho Falls 208-529-7880 Please park in the lot in front of the Emergency Department or in the adjacent lots. Enter the hospital through the First Floor Emergency entrance and turn left into the Emergency Department waiting room. Register here at the Check-In desk. You will need to show a copy of your insurance card, driver’s license, and signed physician’s order (if available). After you register, you will Additional Parking take an elevator up one floor to the Heart Parking Center for your test. Enter Here Register A Place for Family and Friends Here You are welcome to bring a family member or friend to your test. Our Heart Center also Second Floor has a comfortable waiting area. Heart Center In case of schedule delays... Waiting Room We do our best to start your procedure on schedule, but sometimes another patient may experience a cardiac emergency that delays your procedure. If a Outpatient delay occurs, we will keep you informed of changes Cardiac and will start your procedure as soon as possible. Reception
  7. 7. Non-Invasive Cardiology Test Nuclear Cardiology Test Stress Cardiac Blood Pool Imaging (RVG or MUGA) Patient’s name: Test date: Test time: See other side for test location and registration instructions. How to prepare for your test: attached wires will be placed across What You Need to Know your chest, arms, and legs. Do not eat or drink after midnight the night The wires are connected to before the test. an electrocardiography Required No caffeine for at least 12 hours, and preferably (EKG) machine, which before test: 24 hours, before the test. will monitor your heart Please provide a rhythm during the test. signed physican order. Wear comfortable walking shoes and two-piece clothing since you will be required to exercise as A small tube will be Results will be sent to part of the test. placed into a vein your ordering physician in your arm, and a after a cardiologist’s Unless your doctor advises you otherwise, radioactive imaging review. continue taking your medications as usual. agent will be injected into this tube. A nuclear- How long will the test take? medicine camera will take a series of images of the About 90 minutes. blood moving through your heart. This will complete the resting What is the purpose of the portion of the study. test? You will be asked to pedal a stationary bike. To evaluate the pumping function of the heart Gradually, the pedal resistance will increase. during both rest and exercise. This test may You will remain connected to the EKG also be requested by your doctor to monitor machine. The doctor or nurse who is present for heart muscle damage after certain types of during the exercise test will monitor your blood chemotherapy drugs have been administered pressure and heart rate. Images will be taken at or to assess the pumping function after a heart certain intervals during the test. attack. You will be encouraged to keep exercising for as Other names for this test are stress RVG long as you can depending on your heart rate, (radionuclide ventriculography) or, more EKG, and blood pressure. It is important to let commonly, stress MUGA (multiple gated the staff know if you are having symptoms such acquisition scan). as chest pain or shortness of breath during the test. How is the test performed? You will be asked to lie quietly on your back, with your shirt off. Small adhesive pads with
  8. 8. Your test will be conducted at: EIRMC Heart Center 2nd Floor (above Emergency Dept.) How to register: 3100 Channing Way Idaho Falls 208-529-7880 Please park in the lot in front of the Emergency Department or in the adjacent lots. Enter the hospital through the First Floor Emergency entrance and turn left into the Emergency Department waiting room. Register here at the Check-In desk. You will need to show a copy of your insurance card, driver’s license, and signed physician’s order (if available). After you register, you will Additional Parking take an elevator up one floor to the Heart Parking Center for your test. Enter Here Register A Place for Family and Friends Here You are welcome to bring a family member or friend to your test. Our Heart Center also Second Floor has a comfortable waiting area. Heart Center In case of schedule delays... Waiting Room We do our best to start your procedure on schedule, but sometimes another patient may experience a cardiac emergency that delays your procedure. If a Outpatient delay occurs, we will keep you informed of changes Cardiac and will start your procedure as soon as possible. Reception
  9. 9. Non-Invasive Cardiology Test Nuclear Cardiology Test Stress Cardiolite® Scan Patient’s name: Test date: Test time: See other side for test location and registration instructions. How to prepare for your test: Cardiolite very slowly or not at all. The What You Need to Know scanning camera will move slowly Do not eat or drink after midnight the night before in front of your chest to take the test. pictures of your heart from Required No caffeine for at least 12 hours, and preferably 24 different angles. hours, before the test. before test: Exercise Portion Please provide a Wear comfortable walking shoes and two-piece Small adhesive pads signed physican order. clothing since you will be required to exercise as part (electrodes) with attached of the test. wires will be placed on Results will be sent to Unless your doctor advises you otherwise, continue your chest. The wires your ordering physician taking your medications as usual. are connected to an after a cardiologist’s electrocardiography review. How long will the test take? (EKG) machine, which will monitor your heart From 4 to 5 hours. rhythm during the test. What is the purpose of the test? You will be asked to walk on a treadmill (or pedal a stationary To assess flow of blood to the heart. The test helps bike). The tread will move slowly at doctors to diagnose coronary heart disease, which first, and then the speed and incline will is caused by narrowed or blocked coronary arteries. gradually increase (or, if you are on a bike, the pedal The test may also be done to determine how resistance will gradually increase). As you exercise severe coronary disease is, to estimate the risk of a longer and harder, your heart rate and blood pressure heart attack, or to assess the results of a coronary will rise. This is normal, and they will be monitored procedure (such as angioplasty or bypass surgery). along with your EKG. You will report symptoms such as chest pain, dizziness, or shortness of breath. How is the test performed? Two sets of images will be taken. One set will be When you reach a point where you feel you can’t taken while you are at rest, followed by another set exercise much longer, you will let the doctor or nurse after you exercise. know. The technologist will again inject Cardiolite into the IV line in your arm, and you will exercise Rest Portion for another minute or two. An intravenous (IV) line will be inserted into a After a period of redistribution, you will again lie vein in your arm. The technologist will inject a flat on the table under the scanner. The scanning radioactive tracer (Cardiolite® , the trade name camera will again take pictures of your heart from for sestamibi) into the IV line in your arm. After a different angles. These images will be compared to period of redistribution, you will lie flat on a special the images taken during the resting portion of the table under a large scanning camera that detects the test. tracer. Areas of the heart that have a good supply of blood will pick up the Cardiolite right away, while areas without a good supply will pick up the
  10. 10. Your test will be conducted at: EIRMC Heart Center 2nd Floor (above Emergency Dept.) How to register: 3100 Channing Way Idaho Falls 208-529-7880 Please park in the lot in front of the Emergency Department or in the adjacent lots. Enter the hospital through the First Floor Emergency entrance and turn left into the Emergency Department waiting room. Register here at the Check-In desk. You will need to show a copy of your insurance card, driver’s license, and signed physician’s order (if available). After you register, you will Additional Parking take an elevator up one floor to the Heart Parking Center for your test. Enter Here Register A Place for Family and Friends Here You are welcome to bring a family member or friend to your test. Our Heart Center also Second Floor has a comfortable waiting area. Heart Center In case of schedule delays... Waiting Room We do our best to start your procedure on schedule, but sometimes another patient may experience a cardiac emergency that delays your procedure. If a Outpatient delay occurs, we will keep you informed of changes Cardiac and will start your procedure as soon as possible. Reception
  11. 11. Non-Invasive Cardiology Test Nuclear Cardiology Test Stress Thallium Scan Patient’s name: Test date: Test time: See other side for test location and registration instructions. How to prepare for your test: first, and then the speed and incline will What You Need to Know gradually increase (or, if you are on Do not eat or drink after midnight the night before a bike, the pedal resistance will the test. gradually increase). As you Required No caffeine for at least 12 hours, and preferably 24 exercise longer and harder, hours, before the test. your heart rate and blood before test: pressure will rise. This is Please provide a Wear comfortable walking shoes and two-piece normal, and they will be signed physican order. clothing since you will be required to exercise as part monitored along with of the test. your EKG. You will Results will be sent to Unless your doctor advises you otherwise, continue report symptoms such as your ordering physician taking your medications as usual. chest pain, dizziness, or after a cardiologist’s shortness of breath. review. How long will the test take? When you reach a point From 4 to 5 hours, but you will not be required to where you feel you can’t stay at the Heart Center for the entire period. exercise much longer, you will let the doctor or nurse What is the purpose of the test? know. The technologist will inject a radioactive tracer (thallium) into To assess flow of blood to the heart. The test helps the IV line in your arm, and you will then doctors to diagnose coronary heart disease, which exercise for another minute or two. is caused by narrowed or blocked coronary arteries. The test may also be done to determine how Next, you will lie flat on a special table under a large severe coronary disease is, to estimate the risk of a scanning camera that detects the tracer. Areas of heart attack, or to assess the results of a coronary the heart that have a good supply of blood will pick procedure (such as angioplasty or bypass surgery). up the thallium right away, while areas without a good supply will pick up the thallium very slowly or How is the test performed? not at all. The scanning camera will move slowly in Two sets of images will be taken. One set will be front of your chest to take pictures of your heart from taken after exercise, and another set after a period of different angles. rest. Rest Portion Exercise Portion Another set of pictures will be taken after several Small adhesive pads (electrodes) with attached hours of rest. These images will then be compared to wires will be placed on your chest. The wires the images taken during the exercise portion of the are connected to an electrocardiography (EKG) test. machine, which will monitor your heart rhythm during the test. An intravenous (IV) line will be inserted into a vein in your arm. You will be asked to walk on a treadmill (or pedal a stationary bike). The tread will move slowly at
  12. 12. Your test will be conducted at: EIRMC Heart Center 2nd Floor (above Emergency Dept.) How to register: 3100 Channing Way Idaho Falls 208-529-7880 Please park in the lot in front of the Emergency Department or in the adjacent lots. Enter the hospital through the First Floor Emergency entrance and turn left into the Emergency Department waiting room. Register here at the Check-In desk. You will need to show a copy of your insurance card, driver’s license, and signed physician’s order (if available). After you register, you will Additional Parking take an elevator up one floor to the Heart Parking Center for your test. Enter Here Register A Place for Family and Friends Here You are welcome to bring a family member or friend to your test. Our Heart Center also Second Floor has a comfortable waiting area. Heart Center In case of schedule delays... Waiting Room We do our best to start your procedure on schedule, but sometimes another patient may experience a cardiac emergency that delays your procedure. If a Outpatient delay occurs, we will keep you informed of changes Cardiac and will start your procedure as soon as possible. Reception

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