Xray

Instruction Side A
Bring your Health Card to your appointment.
Arrive 30 minutes prior to appointment for registration.
All QHC hospitals are designated as a reduced scent environment.
Appointment Date&Time:______________________

INSTRUCTIONS FOR A MYOCARDIAL PERFUSION TEST (REST/STRESS TREADMILL)
This Nuclear Medicine Procedure requires a radioactive injection, which is expensive and must be ordered in advance. Please
notify our department 48 hours prior to your scheduled appointment time, if you are unable to attend. The number is (613) 969-
7400 Ext# 2494.

1) This is a 2 part test. Both parts may take place on 1 day (both parts taking a total of 6 hrs) or 2 consecutive days
(1 part each day, taking 3 hours each day). The decision to perform the test in 1 or 2 days will be determined by the
Nuclear Medicine Physician.
2) Patient preparation is essential. The instructions regarding your medications and caffeine are extremely important,
and will affect the accuracy of the myocardial perfusion test. Cardiac medication should be discontinued prior to a
diagnostic stress test. If a patient has known heart disease, discontinuation of medication is left to the discretion of the
ordering physician.
3 ) After you check with your Physician, please stop the following medications:

No Beta-Blockers for 48 hours. (e.g. Metoprolol, Atenolol, Bisoprolol, Lopresor, Monocor,Tenormin)
No Calcium Antagonists for 48 hours. (e.g. Norvasc, Cardizem, Diltiazem, Adalat, Plendil, Amlodipine,
Tiazac, Verapamil, Felodipine, Nifedipine, Isoptin)
No long-acting Nitrates for 24 hours (e.g. Isorbide dinitrate, Isordil)
No Nitro–patch for 12 hours. NOTE * Should you require Nitrospray or Nitro pills on the day of
the test, please note the time at which it was taken.
No Viagra or Cialis for 24 hrs.
4) Nothing to eat or drink (except water) for 4 hours.
5) Do not have any caffeine for 24 hours before your test. That includes coffee – both decaf and regular, iced
Rev: Aug 11
tea, tea, pop, hot chocolate, chocolate, gravol, fiorinal, codeine, Tylenol 2 or 3 or anything else which contains caffeine. (Contact your pharmacist, if you have questions.)
6) Bring all your medications, in their original containers, with you on the day of your test.
7) No smoking on the day of the test.
8) Wear comfortable walking shoes and clothing. No sandals or high heels.
9) During the test you will be required to eat. Please bring a lunch, or money to purchase food at the
Hospital.
Please check in at the Nuclear Medicine Department ( located in the Basement at the Belleville site) on the day of
your test. You need not stop at Admitting. Once you have checked in, you will be directed to Nuclear Medicine.
*** If you have questions concerning this procedure, please contact your physician.

Instruction Side B
Bring your Health Card to your appointment.
Arrive 30 minutes prior to appointment for registration.
All QHC hospitals are designated as a reduced scent environment.
Appointment Date&Time:______________________

INSTRUCTIONS FOR A MYOCARDIAL PERFUSION TEST (DIPYRIDAMOLE)
This Nuclear Medicine Procedure requires a radioactive injection, which is expensive and must be ordered in advance. Please
notify our department 48 hours prior to your scheduled appointment time, if you are unable to attend. The number to call is (613)
969-7400 Ext# 2494.

1) This is a 2 part test. Both parts may take place on 1 day (both parts taking a total of 6 hrs) or 2 consecutive days
(1 part each day, taking 3 hours each day). The decision to perform the test in 1 or 2 days will be determined by the
Nuclear Medicine Physician.
2) Patient preparation is essential. The instructions regarding your medications and caffeine are extremely important,
and will affect the accuracy of the myocardial perfusion test. Cardiac medication should be discontinued prior to a
diagnostic stress test. If a patient has known heart disease, discontinuation of medication is left to the discretion of the
ordering physician.
3 ) After you check with your Physician, please stop the following medications:

No Beta-Blockers for 24 hours. (e.g. Metoprolol, Atenolol, Bisoprolol, Lopresor, Monocor, Tenormin)
No Calcium Antagonists for 24 hours. (e.g. Norvasc, Cardizem, Diltiazem, Adalat, Plendil, Amlodipine,
Tiazac, Verapamil, Felodipine, Nifedipine, Isoptin) No long-acting Nitrates for 24 hours (e.g. Isorbide dinitrate, Isordil) No Nitro–patch for 12 hours. NOTE * Should you require Nitrospray or Nitro pills on the day of the test, please note the time at which it was taken. No Aminophylline, Uniphyl, Theodur, or Trental for 36 hours. No Aggrenox for 24 hours. Continue to take oral asthma medications and puffers, such as, Acolet, Atrovent, Advair, Ventolin, Pulmicort, Singular. No Viagra or Cialis for 24 hours.
4) Nothing to eat or drink (except water) for 4 hours.
5) Do not have any caffeine for 24 hours before your test. That includes coffee – both decaf and regular, tea,
iced tea, pop, hot chocolate, chocolate, energy drinks, gravol, fiorinal, codeine, Tylenol 2 or 3, or anything else which contains caffeine. (Contact your pharmacist, if you have questions.)
6) Bring all your medications, in their original containers, with you on the day of your test.
7) No smoking on the day of the test.
8) Wear comfortable walking shoes and clothing. NO sandals or high heels.
9) During the test you will be required to eat. Please bring a lunch, or money to purchase food at the hospital.
Please check in at the Nuclear Medicine Department (located in the Basement of the Belleville site) on the day of
your test. You need not stop at Admitting.
Once you have checked in, you will be directed to Nuclear Medicine.
*** If you have questions concerning this procedure, please contact your physician.

Source: http://www.qhc.on.ca/photos/custom/Myocardial.pdf