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Exercise Myocardial Perfusion Scan

Exercise myocardial perfusion scanning 2 day protocol.

Day 1. The Rest Scan.
  1. No food or fluid for 4 hours before the test. Fast overnight for a morning appointment, light breakfast for an afternoon appointment.
  2. No caffeine for 48 hours before the rest scan (coffee, tea, pop drinks and chocolate).
Day 2 The Stress Scan.
  1. No food or fluid for 4 hours before the test. Fast overnight for a morning appointment, light breakfast for an afternoon appointment.
  2. No caffeine for 48 hours before the stress scan (coffee, tea, pop drinks and chocolate).
  3. Stop beta-blockers for 48 hours before the stress scan (see list below).
  4. Stop calcium channel blockers for 48 hours before the stress scan (see list below).
  5. No nitrates on the day of the stress scan (see list below).
  6. You will have an intravenous inserted into the R) elbow area and be hooked up to a heart monitor.
  7. You will then exercise on a treadmill and a minute before the completion of the test a second dose of radioactive material will be injected and a second stress scan of the heart taken 20-30 minutes later.

Exercise myocardial perfusion scanning 1 day protocol.

  1. No food or fluid for 4 hours before the test. Fast overnight for a morning appointment, light breakfast for an afternoon appointment.
  2. No caffeine for 48 hours before the test (coffee, tea, pop drinks and chocolate).
  3. Stop beta-blockers 48 hours before the test (see list below).
  4. Stop calcium channel blockers 48 hours before the test (see list below).
  5. No nitrates on the day of the stress scan (see list below).
  6. You will receive a small dose of radioactive material into a vein and a scan of the heart taken 30 minutes later.
  7. You will have an intravenous inserted into the right elbow area and be hooked up to a heart monitor.
  8. You will then exercise on a treadmill and a minute before the completion of the test a second dose of radioactive material is injected and a second stress scan of the heart taken 20-30 minutes later.

Note: Special instructions for diabetics

Normal diet and normal medications on the day of the test. 
Persantine myoview scanning 1 and 2 day protocols. 
The only difference between this test and the exercise protocols is that you do not exercise. A medication called Persantine is injected over a period of 4 minutes, followed by an injection of radioactive material. Persantine is a medication that simulates exercise, most Patients feel no adverse effects from the drug although some may experience headache and flushing. The antidote aminophylline is then given at the completion of the test.

Beta-blockers: Calcium blockers: 
Acebutolol: Sectral or Rhotral. Amlodipine: Norvasc.
Atenolol: Apo-Atenol, Novo-Atenol, Nu-Atenol, Tenormin or Tenoretic. Diltiazem: Cardizem, Tiazac, Apo-diltiazem, Novo-Diltiazem or Nu-Diltiaz.
Bisoprolol: Monocor. Felodipine: Renedil, Plendil.
Carvedilol: Coreg. Nifedipine: Adalat, Adalat-XL.
Metoprolol: Lopressor, Apo-Metoprolol, Novo-Metoprol, or Nu-Metop. Verapamil: Isoptin, Apo-Verap, Nu-Verap, ChronoVera, or Novo-Veramil.
Nadolol: Corgard or Apo-Nadol. 
Oxprenolol: Trasicor. Nitrates: 
Pindolol: Visken, Apo-Pindol, Novo-Pindol, Nu-Pindol or Viskaside. Topical Nitroglycerin: NitroDur, Minitran. 
Propranolol: Inderal or Apo-Propranolol. Oral Nitrates: Isordil, Imdur, Nitrong-SR.
Sotolol: Sotocor. 
Timolol: Blockadren or Apo-Timol. 
Drugs that cannot be taken for Persantine testing: 
Aggrenox. Dipyridamole. Theophylline. 
Assantine. Persantine. 
Caffeine. Theo-Dur