Sestamibi Stress Test with Adenosine


What is a Sestamibi Stress test with Adenosine?

This is an Adenosine Stress Test with Imaging (myocardial perfusion imaging).

This study is used for patients who cannot exercise on a treadmill. Pharmaceutical stress is used to assess regional blood flow to the heart muscle both at stress and at rest. Pharmaceutical stress is used to increase myocardial blood flow. The test will be ordered to assess chest pain or other symptoms that may be related to your heart.

•  Patients with a history of asthma should discuss this with their physician before the day of the exam.

•  A complete listing of foods and medications that may interfere with this test are listed on the last page.

Medications: Please ask your referring physician whether or not to take your normally prescribed medications. Also bring a complete listing of your medications with you.

Foods: Have nothing to eat for 4 hours prior to your exam. You may drink water at any time. Diabetic patients may have a light snack, as needed, to maintain blood sugar levels. Avoid all caffeinated and decaffeinated foods, drinks and medications for 24 hours. Please see the list below of common Foods, beverages and medications containing caffeine.

Clothing: Comfortable clothing should be worn. Wear slacks, shorts, sweat pants or a skirt. No dresses please. You will have EKG leads placed on your chest during the exam. A hospital gown will be provided to you.


What will happen during the exam?

There are three (3) parts to this test: imaging, Adenosine injection by the cardiologist and more imaging.

Part I.  An IV will be started in your arm.  A radioactive tracer will be injected through the IV.  We will then wait 40 minutes before having your first set of images. The images take about 20 minutes.  You must be able to lie perfectly still for these pictures.

Part II. The technologist will then attach EKG electrodes to your chest in preparation for the Adenosine study. A cardiologist will inject a drug called Adenosine through your IV. This type of drug simulates the effects of exercise. The cardiologist will monitor your blood pressure and cardiogram.  Another tracer will be injected into the IV.

Part III. There will be a 45 minutes wait before the last set of images.


How long will the procedure take?

The entire procedure will take three (3) hours.


What will happen after the exam?

After the exam, the technologist will process your images using a computer. A radiologist will compare the two sets of pictures within 24 hours and dictate a report. A report will be sent to your physician.

A cardiologist will evaluate the EKG portion of the exam. This will be reported separately to your physician.


How will I receive the results?

You will get the results of the exam from your doctor.

If there is any possibility that you are PREGNANT or NURSING a baby, please speak with your referring physician before your scheduled appointment.

Common Foods, beverages and medications containing caffeine

Do NOT take any of the following for 24 hours before your Adenosine Study. Remember to check with your doctor before making any medications changes.

Foods Containing Caffeine:
chocolate in any form

Drinks Containing Caffeine:
coffee - regular or decaffeinated
tea - regular or decaffeinated
cocoa
cola
Dr. Pepper
Jolt
Mellow Yellow
Mountain Dew
Mr. Pibb
Pepsi Cola
Tab

Over the Counter Medicines Containing Caffeine:
Anacin
Appedrine
Aqua-Ban
Excedrin
No Doz

Prescription Medications:
Cafergot
Darvon compound
Esgic
Fioricet
Fiorinol
Norgesic
Prolamine
Synalgos
Synalgos DC
Wigraine

Drugs containing Theophylline:
Aerolate
Bronkodyl S-R
Constant-T
Duraphyl
Elixophyllin SR
LaBID
Lodrane
Primetene tablets
Quibron-T SR
Respbid
Slo-bid
Slo-phyllin
Somophyllin- CRT
Sustaire
Tedral SA
Tehospan SR
Theo-24
Theobid Duracaps
Theobid Jr. Duracaps
Theochrom
Theoclear LA
Theo-Dur
Theolair-SR
Theo-Organidin
Theophylline SR
Theophyl-SR
Theo-sav
Theospan SR
Theostat
Theo-Time
Theovent
TheoX
T-PHYL
Uniphyl

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