What Y ou Need to Know

12
Non-Invasive Cardiology Test Patient’s name: Test date: Test time: See other side for test location and registration instructions. What You Need to Know Nuclear Cardiology Test Required before test: Please provide a signed physican order. Results will be sent to your ordering physician after a cardiologist’s review. Rest Cardiac Blood Pool Imaging (RVG or MUGA) How to prepare for your test: Continue a regular diet. Unless your doctor advises you otherwise, continue taking your medications as usual. Please wear two-piece clothing. Before the test, please advise the nuclear cardiology technologist if you have an irregular heart rhythm. How long will the test take? 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.

Transcript of What Y ou Need to Know

Page 1: What Y ou Need to Know

Non-Invasive Cardiology Test

Patient’s name:

Test date:

Test time:

See other side for test location and registration instructions.

What You N

eed to Know

Nuclear Cardiology Test

Required before test:

Please provide a signed physican order.

Results will be sent to your ordering physician after a cardiologist’s review.

Rest Cardiac Blood Pool Imaging (RVG or MUGA)

How to prepare for your test:Continue a regular diet.

Unless your doctor advises you otherwise, continue taking your medications as usual.

Please wear two-piece clothing.

Before the test, please advise the nuclear cardiology technologist if you have an irregular heart rhythm.

How long will the test take?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.

Page 2: What Y ou Need to Know

ParkingAdditionalParking

Enter Here

RegisterHere

First Floor

Heart CenterWaitingRoom

OutpatientCardiac

Reception

OutpatientCardiac

Reception

Second Floor

Your test will be conducted at:

How to register:

Please park in the lot in front of the Emergency Department or in the adjacent lots. Enter the hospital through the 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 take an elevator up one floor to the Heart Center for your test.

You are welcome to bring a family member or friend to your test. Our Heart Center also has a comfortable waiting area.

A Place for Family and Friends

EIRMC Heart Center 2nd Floor (above Emergency Dept.)

3100 Channing Way Idaho Falls

208-529-7880

In case of schedule delays...

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 delay occurs, we will keep you informed of changes and will start your procedure as soon as possible.

Page 3: What Y ou Need to Know

Non-Invasive Cardiology Test

Patient’s name:

Test date:

Test time:

See other side for test location and registration instructions.

What You N

eed to Know

Nuclear Cardiology Test

Stress Adenosine Scan with Cardiolite®

How to prepare for your test:Do not eat or drink after midnight the night before the test.

No caffeine for at least 12 hours, and preferably 24 hours, before the test.

Patients who use medications containing theophylline or other xanthines must stop taking them for at least 48 hours prior to the test.

Talk to your physician about any other alterations you should make to your normal medication schedule prior to the test.

How long will the test take?About 5 hours, but you will not be required to stay at the Heart Center for the entire period.

What is the purpose of the test?To assess flow of blood to the heart. The test helps doctors to diagnose coronary heart disease, which is caused by narrowed or blocked coronary arteries. The test may also be done to determine how severe coronary disease is, to estimate the risk of a heart attack, or to assess the results of a coronary procedure (such as angioplasty or bypass surgery).

This procedure is done as a substitute for an exercise stress test for persons who may be unable to exercise on a treadmill or stationary bicycle.

How is the test performed? Two sets of images will be taken. One set will be taken while you are at rest. Another set will be taken after infusion of a medication (adenosine) that 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.

Next you will lie flat on a special table under a large scanning camera that detects the tracer. Areas of the heart that have a good supply of blood will pick up the tracer right away, while areas without a good supply will pick up the tracer very slowly or not at all. The scanning camera will move slowly in front of your chest to take pictures of your heart from different angles.

Adenosine Stress Portion

Small adhesive pads (electrodes) with attached wires will be placed on your chest. The wires are connected to an electrocardiography (EKG) machine, which will monitor your heart rhythm during this portion of the test.

The technologist will infuse the adenosine into the IV line in your arm. This will take 4 – 6 minutes. Then the technologist will again inject Cardiolite into the IV line. As the adenosine takes effect, your heart rate and blood pressure will rise. This is normal, and they will be monitored along with your EKG. You will report symptoms such as chest pain, dizziness, or shortness of breath.

You will again be placed on under the scanning camera for another set of images. These images will be compared to those taken during the resting portion of the test.

Required before test:

Please provide a signed physican order.

Results will be sent to your ordering physician after a cardiologist’s review.

Page 4: What Y ou Need to Know

ParkingAdditionalParking

Enter Here

RegisterHere

First Floor

Heart CenterWaitingRoom

OutpatientCardiac

Reception

OutpatientCardiac

Reception

Second Floor

Your test will be conducted at:

How to register:

Please park in the lot in front of the Emergency Department or in the adjacent lots. Enter the hospital through the 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 take an elevator up one floor to the Heart Center for your test.

You are welcome to bring a family member or friend to your test. Our Heart Center also has a comfortable waiting area.

A Place for Family and Friends

EIRMC Heart Center 2nd Floor (above Emergency Dept.)

3100 Channing Way Idaho Falls

208-529-7880

In case of schedule delays...

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 delay occurs, we will keep you informed of changes and will start your procedure as soon as possible.

Page 5: What Y ou Need to Know

Non-Invasive Cardiology Test

Patient’s name:

Test date:

Test time:

See other side for test location and registration instructions.

What You N

eed to Know

Nuclear Cardiology Test

How to prepare for your test:Do not eat or drink after midnight the night before the test.

No caffeine for at least 12 hours, and preferably 24 hours, before the test.

Patients who use medications containing theophylline or other xanthines must stop taking them for at least 48 hours prior to the test.

Talk to your physician about any other alterations you should make to your normal medication schedule prior to the test.

How long will the test take?About 5 hours, but you will not be required to stay at the Heart Center for the entire period.

What is the purpose of the test?To assess flow of blood to the heart. The test helps doctors to diagnose coronary heart disease, which is caused by narrowed or blocked coronary arteries. The test may also be done to determine how severe coronary disease is, to estimate the risk of a heart attack, or to assess the results of a coronary procedure (such as angioplasty or bypass surgery).

This procedure is done as a substitute for an exercise stress test for persons who may be unable to exercise on a treadmill or stationary bicycle.

How is the test performed?Two sets of images will be taken. One set will be taken after infusion of a medication (adenosine) that dilates the coronary arteries. Another set of images will be taken after a period of rest.

Adenosine Stress Portion

Small adhesive pads (electrodes) with attached wires will be placed on your chest. The wires are connected to an electrocardiography (EKG) machine, which will monitor your heart rhythm during the test. An intravenous (IV) line will be inserted into a vein in your arm.

The technologist will infuse the adenosine into the IV line. This will take 4 – 6 minutes. Then the technologist will inject a radioactive tracer (thallium) into the IV line.

As the adenosine takes effect, your heart rate and blood pressure will rise. This is normal, and they will be monitored along with your EKG. You will report symptoms such as chest pain, dizziness, or shortness of breath.

Next, you will lie flat on a special table under a large scanning camera that detects the tracer. Areas of the heart that have a good supply of blood will pick up the tracer right away, while areas without a good supply will pick up the tracer very slowly or not at all. The scanning camera will move slowly in front of your chest to take pictures of your heart from different angles.

Rest Portion

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.

Required before test:

Please provide a signed physican order.

Results will be sent to your ordering physician after a cardiologist’s review.

Stress Adenosine Scan with Thallium

Page 6: What Y ou Need to Know

ParkingAdditionalParking

Enter Here

RegisterHere

First Floor

Heart CenterWaitingRoom

OutpatientCardiac

Reception

OutpatientCardiac

Reception

Second Floor

Your test will be conducted at:

How to register:

Please park in the lot in front of the Emergency Department or in the adjacent lots. Enter the hospital through the 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 take an elevator up one floor to the Heart Center for your test.

You are welcome to bring a family member or friend to your test. Our Heart Center also has a comfortable waiting area.

A Place for Family and Friends

EIRMC Heart Center 2nd Floor (above Emergency Dept.)

3100 Channing Way Idaho Falls

208-529-7880

In case of schedule delays...

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 delay occurs, we will keep you informed of changes and will start your procedure as soon as possible.

Page 7: What Y ou Need to Know

Non-Invasive Cardiology Test

Patient’s name:

Test date:

Test time:

See other side for test location and registration instructions.

What You N

eed to Know

Nuclear Cardiology Test

Stress Cardiac Blood Pool Imaging (RVG or MUGA)

How to prepare for your test:Do not eat or drink after midnight the night before the test.

No caffeine for at least 12 hours, and preferably 24 hours, before the test.

Wear comfortable walking shoes and two-piece clothing since you will be required to exercise as part of the test.

Unless your doctor advises you otherwise, continue taking your medications as usual.

How long will the test take?About 90 minutes.

What is the purpose of the test?To evaluate the pumping function of the heart during both rest and exercise. 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 stress RVG (radionuclide ventriculography) or, more commonly, stress MUGA (multiple gated acquisition scan).

How is the test performed?You will be asked to lie quietly on your back, with your shirt off. Small adhesive pads 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 small tube will be placed into a vein in your arm, and a radioactive imaging agent will be injected into this tube. A nuclear-medicine camera will take a series of images of the blood moving through your heart. This will complete the resting portion of the study.

You will be asked to pedal a stationary bike. Gradually, the pedal resistance will increase. You will remain connected to the EKG machine. The doctor or nurse who is present during the exercise test will monitor your blood pressure and heart rate. Images will be taken at certain intervals during the test.

You will be encouraged to keep exercising for as long as you can depending on your heart rate, EKG, and blood pressure. It is important to let the staff know if you are having symptoms such as chest pain or shortness of breath during the test.

Required before test:

Please provide a signed physican order.

Results will be sent to your ordering physician after a cardiologist’s review.

Page 8: What Y ou Need to Know

ParkingAdditionalParking

Enter Here

RegisterHere

First Floor

Heart CenterWaitingRoom

OutpatientCardiac

Reception

OutpatientCardiac

Reception

Second Floor

Your test will be conducted at:

How to register:

Please park in the lot in front of the Emergency Department or in the adjacent lots. Enter the hospital through the 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 take an elevator up one floor to the Heart Center for your test.

You are welcome to bring a family member or friend to your test. Our Heart Center also has a comfortable waiting area.

A Place for Family and Friends

EIRMC Heart Center 2nd Floor (above Emergency Dept.)

3100 Channing Way Idaho Falls

208-529-7880

In case of schedule delays...

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 delay occurs, we will keep you informed of changes and will start your procedure as soon as possible.

Page 9: What Y ou Need to Know

Non-Invasive Cardiology Test

Patient’s name:

Test date:

Test time:

See other side for test location and registration instructions.

What You N

eed to Know

Nuclear Cardiology Test

Stress Cardiolite® Scan

How to prepare for your test:Do not eat or drink after midnight the night before the test.

No caffeine for at least 12 hours, and preferably 24 hours, before the test.

Wear comfortable walking shoes and two-piece clothing since you will be required to exercise as part of the test.

Unless your doctor advises you otherwise, continue taking your medications as usual.

How long will the test take?From 4 to 5 hours.

What is the purpose of the test?To assess flow of blood to the heart. The test helps doctors to diagnose coronary heart disease, which is caused by narrowed or blocked coronary arteries. The test may also be done to determine how severe coronary disease is, to estimate the risk of a heart attack, or to assess the results of a coronary procedure (such as angioplasty or bypass surgery).

How is the test performed?Two sets of images will be taken. One set will be taken while you are at rest, followed by another set after you exercise.

Rest Portion

An intravenous (IV) line will be inserted into a vein in your arm. The technologist will inject a radioactive tracer (Cardiolite® , the trade name for sestamibi) into the IV line in your arm. After a period of redistribution, you will lie flat on a special table under a large scanning camera that detects the 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

Cardiolite very slowly or not at all. The scanning camera will move slowly in front of your chest to take pictures of your heart from different angles.

Exercise Portion

Small adhesive pads (electrodes) with attached wires will be placed on your chest. The wires are connected to an electrocardiography (EKG) machine, which will monitor your heart rhythm during the test.

You will be asked to walk on a treadmill (or pedal a stationary bike). The tread will move slowly at first, and then the speed and incline will gradually increase (or, if you are on a bike, the pedal resistance will gradually increase). As you exercise longer and harder, your heart rate and blood pressure will rise. This is normal, and they will be monitored along with your EKG. You will report symptoms such as chest pain, dizziness, or shortness of breath.

When you reach a point where you feel you can’t exercise much longer, you will let the doctor or nurse know. The technologist will again inject Cardiolite into the IV line in your arm, and you will exercise for another minute or two.

After a period of redistribution, you will again lie flat on the table under the scanner. The scanning camera will again take pictures of your heart from different angles. These images will be compared to the images taken during the resting portion of the test.

Required before test:

Please provide a signed physican order.

Results will be sent to your ordering physician after a cardiologist’s review.

Page 10: What Y ou Need to Know

ParkingAdditionalParking

Enter Here

RegisterHere

First Floor

Heart CenterWaitingRoom

OutpatientCardiac

Reception

OutpatientCardiac

Reception

Second Floor

Your test will be conducted at:

How to register:

Please park in the lot in front of the Emergency Department or in the adjacent lots. Enter the hospital through the 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 take an elevator up one floor to the Heart Center for your test.

You are welcome to bring a family member or friend to your test. Our Heart Center also has a comfortable waiting area.

A Place for Family and Friends

EIRMC Heart Center 2nd Floor (above Emergency Dept.)

3100 Channing Way Idaho Falls

208-529-7880

In case of schedule delays...

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 delay occurs, we will keep you informed of changes and will start your procedure as soon as possible.

Page 11: What Y ou Need to Know

Non-Invasive Cardiology Test

Patient’s name:

Test date:

Test time:

See other side for test location and registration instructions.

What You N

eed to Know

Nuclear Cardiology Test

Stress Thallium Scan

How to prepare for your test:Do not eat or drink after midnight the night before the test.

No caffeine for at least 12 hours, and preferably 24 hours, before the test.

Wear comfortable walking shoes and two-piece clothing since you will be required to exercise as part of the test.

Unless your doctor advises you otherwise, continue taking your medications as usual.

How long will the test take?From 4 to 5 hours, but you will not be required to stay at the Heart Center for the entire period.

What is the purpose of the test?To assess flow of blood to the heart. The test helps doctors to diagnose coronary heart disease, which is caused by narrowed or blocked coronary arteries. The test may also be done to determine how severe coronary disease is, to estimate the risk of a heart attack, or to assess the results of a coronary procedure (such as angioplasty or bypass surgery).

How is the test performed?Two sets of images will be taken. One set will be taken after exercise, and another set after a period of rest.

Exercise Portion

Small adhesive pads (electrodes) with attached wires will be placed on your chest. The wires are connected to an electrocardiography (EKG) 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

first, and then the speed and incline will gradually increase (or, if you are on a bike, the pedal resistance will gradually increase). As you exercise longer and harder, your heart rate and blood pressure will rise. This is normal, and they will be monitored along with your EKG. You will report symptoms such as chest pain, dizziness, or shortness of breath.

When you reach a point where you feel you can’t exercise much longer, you will let the doctor or nurse know. The technologist will inject a radioactive tracer (thallium) into the IV line in your arm, and you will then exercise for another minute or two.

Next, you will lie flat on a special table under a large scanning camera that detects the tracer. Areas of the heart that have a good supply of blood will pick up the thallium right away, while areas without a good supply will pick up the thallium very slowly or not at all. The scanning camera will move slowly in front of your chest to take pictures of your heart from different angles.

Rest Portion

Another set of pictures will be taken after several hours of rest. These images will then be compared to the images taken during the exercise portion of the test.

Required before test:

Please provide a signed physican order.

Results will be sent to your ordering physician after a cardiologist’s review.

Page 12: What Y ou Need to Know

ParkingAdditionalParking

Enter Here

RegisterHere

First Floor

Heart CenterWaitingRoom

OutpatientCardiac

Reception

OutpatientCardiac

Reception

Second Floor

Your test will be conducted at:

How to register:

Please park in the lot in front of the Emergency Department or in the adjacent lots. Enter the hospital through the 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 take an elevator up one floor to the Heart Center for your test.

You are welcome to bring a family member or friend to your test. Our Heart Center also has a comfortable waiting area.

A Place for Family and Friends

EIRMC Heart Center 2nd Floor (above Emergency Dept.)

3100 Channing Way Idaho Falls

208-529-7880

In case of schedule delays...

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 delay occurs, we will keep you informed of changes and will start your procedure as soon as possible.