was this test ordered?
Your doctor asked you to have a stress test at Ohio Heart Care to
determine whether exercise causes decreased blood flow to your heart muscle. If
so, we can determine whether your blood flow improves with rest. This is termed
"reversible ischemia." This ischemia can also produce disturbances in your heart
rhythm which may not be seen at rest.
How do I prepare for the test?
PATIENT INSTRUCTIONS: (same for both tests)
© No dairy products
milk, cream, butter, ice cream, etc., after midnight the day before the test.
© No caffeine or
de-caffeinated products coffee, tea, chocolate, soft drinks, etc., for at
least 12 hours, preferably 24
comfortable shoes and clothing to enable you to exercise or move freely.
© Do not apply
body lotion or powder to the chest area.
© You should
take your medication unless specifically instructed not to take a certain
© If you are
Diabetic, you may eat a light breakfast - water, juice, toast & jelly
What happens during the test?
When you arrive at Ohio Heart Care, you will be asked to undress down to the
An intravenous (IV) line will be
inserted into your hand.
The radioisotope will be injected.
(It is not a dye. If you are pregnant or may be pregnant you must tell the
You will wait at least 20 minutes
You will then have a scan which will
take about 11 minutes.
For this test, you will lie down with
your arms above your head (this position allows for better viewing of your
After the scan the nurse will prepare
you for the stress part of the test.
Electrocardiogram (EKG) wires will
then be hooked up to your chest.
You will be asked to walk* on a
treadmill until you experience symptoms such as chest pain or
shortness of breath, or until you
are too tired to continue walking.
A doctor and a technician will be
present throughout the entire test and will be monitoring your blood pressure
and EKG continuously.
Approximately one minute before you stop walking on the treadmill, you need to
let the technician know so that the radioisotope can be injected, which is
"taken up" by the heart. It flows more easily through non-diseased arteries. The
radioisotope enables blood flow to be seen on a camera. You will be lying on a
table with a scanner overhead that will take pictures of your heart.
*If you are unable to walk on the treadmill, one of two different drugs may be
used to exercise your heart. These are Dobutamine or Adenosine. In this case,
the test is the same, except that the drugs are injected over a specific period
of time, and you are not required to walk on the treadmill.
Then a second scan takes place
approximately 20 minutes to an hour after the stress.
You will then have another scan which
will take about 11 minutes.
For this test, again you will lie
down with your arms above your head just like the first scan.
Then you are done and ready to leave.
How long will the
Plan to be at Ohio Heart Care for 4 hours.
Is there a wait after the test before I can leave?
There is no real recovery period. You will be free to leave when the test is
6. What happens after the test?
You will have an appointment to speak to your doctor to discuss the results.
Does insurance cover this test?
Depending on the type of coverage, most commercial insurance carriers will pay
the major share of the cost. You should always consult your insurance company to
determine proper coverage.
Who should I contact with questions about this test?
Call our triage nurse 330-492-2102 and press 3 when the Automated Attendant