One-Day Cardiolite Stress Test
A Cardiolite stress test is a procedure used to view blood flow to the heart muscle. This procedure will take approximately 3-4 hours. Some of that time is scheduled downtime spent in the waiting room. If you choose, bring something along to help occupy that time.
Insurance Information Some insurance companies may require pre authorization for your scheduled procedure. Please check with your ordering provider and/or insurance company if you have questions about this. When doing so, the procedure code (CPT code) to reference for this procedure is 78452. Patient Preparation
• Do not eat 4 hours prior to your arrival time. A meal eaten before that time
should be light. **If you are diabetic please eat your meals as normal**
• You may continue and are encouraged to drink water until the time of your
procedure. **No caffeinated beverages, including decaffeinated coffees, teas, or sodas 24 hours prior to exam.** Please see attached sheet for complete list of medications and products to avoid prior to your exam.
• Bring a list of your current medications and the doses of each. Medication
bottles can also be brought instead of a list. **If you use inhalers please use them as directed and bring them with you to the appointment.**
• Beta-blockers, nitrates, and theophylline based medications are commonly held
for this test. **Please see attached sheet for complete list of medications and products to avoid prior to your exam.**
• Wear comfortable walking shoes and clothing. It is recommended to wear a
short-sleeved, loose fitting T-shirt for your comfort. It is often cool in the waiting room so bring a sweatshirt or sweater if you choose. There are also blankets available if needed.
• Follow any other instructions provided by your physician.
Upon Arrival
When you arrive, you will register at the front desk. Please bring your insurance cards along. You will also need to sign a consent form for your procedure.One-Day Cardiolite Stress Test Procedure
• An IV will be started. Through this Cardiolite will be injected. Cardiolite is an
imaging agent that will circulate throughout your heart muscle. There is no known side effects or reactions to Cardiolite.
• After a minimum 30 minute wait, your resting images will be taken. These
pictures will take approximately 15 minutes. You will be lying down and asked to rest both arms above your head.
• Following the resting pictures, you will be prepared for the stress portion of the
test. EKG patches will be placed on your chest so heart rhythms can be monitored. This will be done either with a treadmill or with a medication called Lexiscan.
– A treadmill stress test involves walking on a treadmill that increases in
speed and incline every 3 minutes. Heart rhythms and blood pressures are continually monitored. You will continue walking until heart rate reaches target level and you have reached maximal exertion. Cardiolite is injected 1 minute prior to the end of exercise.
– A Lexiscan stress test involves infusing Lexiscan through the IV. Heart
rhythms and blood pressures are continually monitored. Cardiolite is injected after this infusion. Some side effects may be experienced with Lexiscan but are usually mild. Common side effects include, but are not limited to, flushed face and some shortness of breath. Walking slowly on a treadmill for 3 minutes will reduce the severity of any side effects.
• After a minimum 30-minute wait your stress images will be taken. Following
Post Procedure Care
You may resume normal activity immediately following the test, including driving yourself home from the exam.
Post Procedure Results
You should receive the results within one week from your physician’s office who ordered the test. If you have not received results after one week, please call your physician’s office.
One-Day Cardiolite Stress Test YOUR PROCEDURE IS SCHEDULED FOR: Date:
First Floor Registration 1818 N. Meade Street (enter from Glendale St.) Appleton, WI 54911 731-8900 or (800) 236-8988
Outpatient Registration (first floor) 130 Second Street Neenah, WI 54956 (920)729-3100 or (800) 236-3122
_________________________________ _________________________________ _________________________________ _________________________________ One-Day Cardiolite Stress Test PRE-TEST INFORMATION FOR PATIENTS
Substances to avoid before your Cardiolite or PET Test
Please do not take 72 hours or 3 days prior to your test: Drugs containing Theophylline Aggrenox is a medication that should not be taken 48 hours prior to your test. Please do not take 24 hour or 1day prior to your test: UNLESS OTHERWISE INSTRUCTED BY YOUR PHYSICIAN Beta Blockers Long Acting Nitrates
Lopresor® Betaloc® (Metoprolol Tartrate)
Lopresor® Betaloc® (Metoprolol Succinate)
Please do not take 24 hours prior to your test: Prescriptions Drugs Containing Over the Counter Drugs Containing Caffeine Caffeine Food and Drinks Containing Caffeine
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One-Day Cardiolite Stress Test 
One-Day Cardiolite Stress Test 
One-Day Cardiolite Stress Test 
One-Day Cardiolite Stress Test