核心脏病学

  1. 患者可以吃清淡的早餐/午餐(如吐司、果酱、水果、果汁、水),但测试之前 1 小时不要有任何进食。
  2. 测试之前 24 小时内停止摄入所有咖啡因产品。其中包括所有茶/咖啡、脱茶碱茶/脱咖啡因咖啡、碳酸饮料、巧克力,泰诺 2 和 3 以及/或者含咖啡因药物。
  3. 胰岛素依赖型糖尿病患者应该在测试之前 1 小时服用胰岛素并吃一顿简餐。
  4. 穿着宽松合身的衣服(如 T 恤衫、运动裤、运动鞋等)。
  5. 请带上一张目前用药清单。请咨询您的医生,了解是否停用任何心脏药物(例如 β-阻滞剂,如 Metroprolol/美托洛尔或 Atenolol/阿替洛尔,以及钙通道阻滞剂,如 Diltiazem/地尔硫卓或 Verapamil/维拉帕米)。
  6. 测试之前 48 小时不得服用勃起功能障碍药物(如 Viagra/万艾可、Cialis/犀利士、Levitra/艾力达等)。

心肌灌注成像包含 2 个部分:

  1. 休息研究 – 需要大约5-2 小时,包括注射,然后成像。
  2. 应激研究 – 需要大约 2-2.5 小时,包括应激测试、注射和成像。

Cardiologie Nucléaire

  1. Le patient peut prendre un petit déjeuner/dîner léger (p. ex., des rôties, de la confiture, un fruit, du jus, de l’eau) et ne doit rien manger une heure avant le test.
  2. Cessez toute consommation de produits contenant de la caféine 24 heures avant le test. Cela inclut le thé, le café, le thé/café décaféiné, les boissons gazeuses, le chocolat, le Tylenol 2 et 3 et/ou des médicaments contenant de la caféine.
  3. Les diabétiques insulinodépendants doivent prendre leur insuline et un léger repas une heure avant le test.
  4. Portez des vêtements amples (p. ex., t-shirt, pantalons d’exercice, chaussures de sport, etc.)
  5. Apportez une liste de tous vos médicaments actuels. Consultez votre médecin concernant l’arrêt de la prise de médicaments pour le cœur (p. ex., bêtabloquants comme le métroprolol ou l’aténolol, de même que les inhibiteurs calciques comme le diltiazem ou le vérapamil).
  6. Ne prenez aucun médicament pour le dysfonctionnement érectile (p. ex., Viagra, Cialis, Levitra, etc.) 48 heures avant le test.

La scintigraphie myocardique de perfusion se compose de deux parties :

  1. Étude au repos – prend environ 1,5 à 2 heures et consiste en une injection suivie d’un test d’imagerie.
  2. Étude à l’effort – prend environ 2 à 2,5 heures et consiste en un test à l’effort, d’une injection et d’un test d’imagerie.

Nuclear Cardiology

  • You should be fasting (except water) for 4 hours before the test
  • Insulin-dependent diabetics should take their insulin with a light meal 2 hours before the test.
  • Discontinue all caffeine products 24 hours before the test. This includes all tea, coffee, decaffeinated tea/coffee, pop, chocolate, Tylenol 2 & 3 and/or medications containing caffeine.
  • Wear loose fitting clothing, such a t-shirt, track pants, athletic shoes, etc. if the test involves treadmill exercise.
  • Bring a list of all current prescription medications and check with your physician regarding the discontinuation of any heart medications, such as Beta-Blockers like Metroprolol or Atenolol, as well as Calcium Channel Blockers like Diltiazem or Verapamil.
  • Do not take erectile dysfunction medications, such as Viagra, Cialis, Levitra, etc. for 48 hours before the test.
  • If you are pregnant or there is a possibility of pregnancy, or if you are breastfeeding, Nuclear Medicine Stress Testing may not be appropriate for you at this time. Please consult with your physician.

Myocardial Perfusion Imaging consists of 2 parts. These parts may be completed in one or two days.

Rest Study: 1.5-2 Hours

  • For this portion of the test the technologist will administer via intravenous injection a small amount of radioactive tracer, which is carried by the blood stream to your heart. There are no side effects with this injection. Approximately 15-45 minutes after your injection, the technologist will take pictures of your heart for approximately 20 minutes with a special gamma camera that detects the injection. For the imaging, you may be sitting in a specially designed imaging chair or lying on a bed and while the pictures are being taken, it’s important to remain very still during this time to avoid blurring the images.

Stress Study: 2-2.5 Hours

  • For this portion of the test, ECG electrodes will be place on your chest to monitor your heart rhythm throughout the test. An intravenous line will also be placed in the arm or hand. You will begin to exercise on a treadmill, during which time your heart rate and blood pressure will rise. These are normal responses that are being closely monitored with your ECG.
  • If you are unable to exercise adequately on a treadmill, similar results can be achieved using a drug called Persantine. Persantine mimics the effects of exercise by dilating the blood vessels of the heart, allowing for increased blood flow.
  • Once you have reached your maximum level of exercise, the technologist will administer a small amount of radioactive tracer and you will continue exercising for an additional 1-2 minutes. If blood flow to the heart is limited due to coronary artery disease, then the amount of tracer in your heart is reduced. Following the Stress Test, the intravenous will be removed.
  • It is very important that a set of pictures is taken after the stress test to compare to the resting images and assess the amount of blood supply to the heart at rest and during stress (exercise). Once the stress test is complete you will wait approximately 15-45 minutes afterwards before the imaging can begin. The wait time may vary based on individual characteristics to best optimize image quality, the technologist will advise how long you will be waiting before images.

After the Test: You will be able to return to your normal activities when the test is complete, unless your physician or technician tells you otherwise. You can drive after the test. If you are travelling by plane, train or crossing the border within one week after your test, please inform the technologist.