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Dual-isotope treadmill test

STRESS THALLIUM
(DUAL-ISOTOPE TREADMILL TEST)
Your physician has ordered a Dual-Isotope treadmill Test. This test gives the physician
important information regarding the flow of blood to your heart muscle. Depending on the
results, changes in your treatment plan may be necessary, and/or additional testing may be
required. You will have an intravenous line (IV) inserted into your arm for the administration of
one isotope, thallium-201. After a brief waiting period, a set of scans will be taken of your heart
at rest. After the scanning, you will be hooked to electrodes, to monitor your heart as you walk
on the treadmill. This will begin slowly, but gradually increase, depending on your ability. It is
important that you exercise as best you can. At the peak of the exercise, you will be injected
with the second isotope, Myoview® (technetium-99m) and asked to continue exercising an
additional one to two minutes. Report any chest pain, weakness, or shortness of breath to the
technician. After the treadmill session is complete, you will go to lunch, returning three hours
later to complete the last set of scans. This portion of the test will take approximately 30 minutes
to complete.
Due to the length of both portions of the test, and the lapse between them, you should
consider this to be an all-day procedure and plan your time accordingly.

DUAL ISOTOPE TEST INSTRUCTIONS:
You must follow these instructions, to ensure accurate testing
 No eating, drinking, or smoking after midnight, on the day before the test. If you are diabetic and your appointment is after 9:00 a.m., you may have one slice of dry toast
and 4 ounces of unsweetened juice, between 6:00 a.m. and 7:00 a.m.
 Have no caffeine products (i.e., colas, teas, chocolates) 24 hours prior to testing.
 You may drink water.
 Do not take beta-blocker medications on the day of the test.
 Take all other medications as scheduled, unless you are diabetic. If you are diabetic, take your medication (not insulin) only if your appointment is after 9 a.m. and you have eaten (see above). If you have any additional questions, please contact the office that you are having the test performed at.  Wear comfortable shoes and clothing (tennis shoes preferred; no dresses).
To avoid a $130.00 fee, 24 hour notice is required for cancellation.
Appointment Information
Location
Date:______________________
Time:______________________

Riverdale
770-907-9009
Follow up Visit
233-3309
Date: ______________________

Stockbridge 770-692-4000
Time: ________________________
770-504-1313
A List of Beta Blockers
BRAND NAME
GENERIC NAME
EYE DROPS CONTAINING BETA BLOCKERS
BRAND NAME

Source: http://www.atlantaheartassociates.com/forms/StressThallium.pdf

Microsoft word - splen-patinfo.doc

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Isa patient hx

Midwest Orthopaedic Institute Rheumatology Patient History Form Name: __________________________ Date: ________________ Please fill out and/or circle your answer. Please skip what does not apply to you. Thank you. If yes, please circle where you have pain: Right side: fingers. Wrist. Elbow. Shoulder. Hip. Knee. Ankle. Toes. Left Side: fingers. Wrist. Elbow. Shoulder.

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