Nuclear Stress Test


Premier Heart & Vascular

Board Certified, Interventional Cardiology, Cardiovascular Disease & Nuclear Cardiology

Pranav Doshi DO   |   10240 W Indian School Rd Suie 140, Phoenix AZ 85037   |   Phone 602-922-1020


PATIENT INSTRUCTIONS FOR NUCLEAR STRESS TEST

Patient Name
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Time
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Please note: Failure to provide 24-hour cancellation notice will result in you being billed $250.00 for the cost of the nuclear isotope purchased for your test, which is not covered by insurance.

  1. The test usually takes approximately 3 hours, although your test time will vary.
  2. Nothing to eat or drink 4 hours prior to the test. You may have water at any time. (Bring a water bottle with you).
  3. NO CAFFEINE 12 HOURS prior to the test. This includes caffeinated and decaffeinated beverages, coffee, tea, or chocolate.
  4. DO NOT take any of your medication(s) the morning of the test but bring all morning medication(s) with you as you will take them after the stress portion of the test is completed.
  5. Patients who have diabetes MUST consult their physician before taking insulin or diabetic medication the morning of the test.
  6. Bring a list of medications you are taking with the dosing information.
  7. Wear comfortable clothing and walking shoes. Wear a short sleeve, button down, or loosefitting t-shirt that contains no metal, no underwire bras or necklaces. Bring a light jacket / sweater without any metal zippers or buttons; the rooms must be kept cold.
  8. Bring something to occupy your time (book, knitting, etc.) As there are waiting periods during the test.
  9. Please call if you need to cancel or reschedule. If the appointment is not cancelled at least 24 hours in advance,
    I understand that I will be charged $250.00 for the isotope that was ordered on my behalf as the isotope cannot be used for another patient and expires within (3) hours.
    • Monday – Friday (8:00am-5:00pm) Call (602) 922-1020
  10. We will attempt to contact you 3 times the day before the test in order to confirm your appointment; however, if we are unable to confirm the appointment with you or your representative, WE WILL CANCEL THE TEST ON YOUR BEHALF.
  11. I understand that if the treadmill is unavailable for any reason, that I will be given a chemical stress test in its place.

My signature below acknowledges that I have read and understand these instructions:

Signature
MM slash DD slash YYYY
Patient Name:
MM slash DD slash YYYY