Nuclear Stress Test

What is a nuclear stress test?

In a stress test, you walk on a treadmill that makes your heart work harder. The treadmill progressively increases in speed and in the incline as per a pre-specified protocol. Your heart rate, blood pressure and EKG are monitored throughout the test. If you are not able to exercise, there are drugs to make your heart respond as if you are exercising.

This stress test is similar to the exercise stress test, however in addition to evaluation of EKG, an evaluation of the blood supply to the heart is made. During this test, a small amount of a radioactive tracer is injected into a vein. A special camera, detects the radiation released by the tracer to produce images of the blood flow to the heart. This may reveal a lack of blood flow that is not always apparent on other heart tests.

What to expect during the test?

  • A nurse and nuclear medicine technologist will place an IV into a vein in your arm or hand.
  • A small amount of radiotracer will be injected via the IV. You will wait 20-30 minutes after this injection and then you will be asked to lie still under the camera.
  • After the images are obtained, a technician will place electrodes on your chest to monitor your heart rhythm.
  • At this point, you will be requested to exercise on a treadmill.
  • If you’re not able to exercise, then a medication will be used to simulate the effects of exercising. This decision will be made by your cardiologist.
  • Then a second dose of a the radiotracer will be injected. After a wait of 30 to 45 minutes, a second set of images of your heart be taken.
  • The entire appointment time will last approximately 2-3 hours.

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