PREPARING FOR A STRESS TEST
- Do not eat or drink caffeine products (chocolate, soda, tea, coffee or
Excedrin®) for 24 hours before the exam. Please note: Decaffeinated
products contain caffeine.
- Consult your physician about going off beta blockers for 48 hours and calcium
channel blockers 24 hours before your exam.
- Do not eat or drink for three hours before your appointment. Drinking water is okay.
- If you are unable to exercise on the treadmill, a medication will be administered
to stress your heart. If you are undergoing this type of an exam, you
may take all your heart and blood pressure medications as instructed by
- If you have diabetes, please speak to your physician prior to this exam
to receive special instructions you may need regarding your medications.
- For SPECT exams, wear comfortable clothes and rubber-soled shoes or sneakers
for the treadmill portion of this exam.
- Please bring all your medications or a list of them with doses to your
During the Test
Approximate visit time for SPECT is 3-4 hours and for PET it is 2-3 hours.
You will receive two injections of a small amount of radioactive material.
The level of radioactivity used is extremely low and has no side effects.
To minimize the number of injections you receive, an intravenous line (IV)
will be placed in your arm prior to your first injection (thallium) and
will be re-used later for your second injection (Cardiolite).
Following your first injection, you will be placed under a gamma camera
and pictures of your heart will be recorded. This camera does not produce
any radiation. It will be placed close to your chest and pictures will
be taken for approximately 30 minutes. This portion of the test is called
the rest study.
Following your rest study, our trained staff will place EKG leads on your
chest. The EKG will be used to constantly monitor your heart during your
Your heart will be stressed, either through exercise or through the use
of medication. During the test you will be constantly monitored by a Nurse
Practitioner or a Physician.
The actual stress portion of the test takes about 10 to 15 minutes, however
the preparation takes longer (up to 30 minutes).
Before the end of the stress test, a second injection (Cardiolite) will
be administered. This radiopharmaceutical is taken up by your heart muscle
and can be visualized by the gamma camera in the same manner as the rest study.
The imaging portion of your stress study will take approximately 45 minutes.
What to Expect
Normal responses during testing include feeling tired, shortness of breath
You should tell the nurse practitioner or physician if you feel any of
these symptoms: chest, arm or jaw discomfort, severe shortness of breath,
extreme tiredness, dizziness, lightheadedness, leg cramps or soreness.
The test will be changed or stopped if it is unsafe for you to continue.
After the Test
When the test is over, you may eat or drink and return to your normal routine.
You may also resume all your medications.
Your films will be reviewed by our nuclear cardiologists, and results will
be sent to your physician. Your physician will discuss these results with
you and explain how the results relate to your health.