> Download Cardiac Diagnostic Script Pad

Script Pad
No preparation is required for the following tests: MUGA, EKG, HOLTER MONITOR, LOOP MONITOR, 2D ECHO.

• Treadmill Stress Test with Nuclear Imaging (Cardiolite)
• Stress Thallium 201
• Persantine Stress Test with Nuclear Imaging
• Dobutamine Stress Test with Nuclear Imaging
• 2D Echo, Color Flow, Doppler
• Stress Echocardiogram (Pike Creek or Concord Plaza Only)
• Dobutamine Stress Echo (Pike Creek or Concord Plaza Only)
• MUGA Scan
• Holter Monitor
• Treadmill Stress Test
• EKG
• Loop Monitor

Patients must do the following prior to testing:
All testing that includes a Stress Test, i.e. Stress Echo, Stress Test with Nuclear Imaging and Routine Stress Testing

1. The test will take 2.5 to 3 hours.
2. No food or caffeine 2 hours prior to test.
3. Wear comfortable clothes and walking shoes.
4. Stress Thallium is 2 part test, the first part is 1 hour, you will then return approximately 3-4 hours later for a half hour. Cardiolite is a one part test, patients do not return.
5. Remain on all medications unless otherwise directed by your physician.
6. Request that a copy of your most recent EKG be sent or faxed to Cardiac Diagnostic Center by your physician.
7. Please contact your physician before having this test if you are pregnant, suspect you may be, or are a nursing mother. This test may not be appropriate at this time.

If you are scheduled for a Persantine or Dobutamine Stress Test, or Dobutamine Stress Echo Please adhere to the following instructions:

1. If you are scheduled for a Pharmacological Stress Test (Dobutamine / Persantine Stress Test with Nuclear Imaging), the test will take 3 hrs.
2. If scheduled for a Dobutamine Stress Echo, the test will take 1 1/2 hours.
3. Please do not eat any food, drink any beverages, or take any medications that contain caffeine (including decaffeinated products) for 24 hours prior to the test.
4. If your test is scheduled before 12 noon, please do not eat anything after midnight the night before the test. If your test is scheduled in the afternoon, please do not eat or drink anything after you eat breakfast on the day of the test.
5. If you are diabetic, you may eat a light meal two hours prior to your test, regardless of the time of the day that it is scheduled.
6. Any Dobutamine study, no beta blockers or calcium channel blockers 24 hours prior to test.
7. Remain on your medication unless your physician has told you otherwise. Bring a list of these medications with you. PLEASE NOTE: Medications taken for asthma or breathing disorders may have to be stopped prior to your test. Check with your physician.

Please visit the Locations page that lists our Physician Offices and Diagnostic Facilities.

< Back to Cardiac Diagnostic Center