|
Manassas Heart Center, LLC
8100 Ashton Ave., Suite 200
Manassas, VA 20109
703-335-8646 |
| Patient Name: ____________________Date:
__________ Time: _________ |
| Nuclear Stress Testing: |
- Do not eat or
drink 4 hours prior to scheduled appointment.
- NO smoking or
Caffeine 24 hours prior to study. (For example: no chocolate,
coffee, tea, soda to include decaffeinated drinks)
- Bring or wear
comfortable clothing and shoes for walking on the treadmill. (If
Treadmill ordered) Please do not wear sandals or backless
shoes.
|
| Bring with you to your appointment: |
- Your
insurance card/cards
- Written order
from your physician
- And completed
referral form or authorization (if required by your insurance
company.)
- A list of all
your current medications (be sure to note dosage and
frequency)
|
| The following medications should not be taken 24 hours prior
to testing: |
- Acebutolol
- Adalat CC
- Amlodipine
- Atenolol
- Betapace
- Betaxolol
- Bisoprolol
- Blocadren,
Timolide
- Calan
- Cardizem CD,
Cartia XT
- Carteolol
- Cartrol
- Carvedilol
- Coreg
- Corgard
- Covera HS
- Imdur
- Inderal,
Inderide
- Isotopin
|
- Kerlone
- Labetalol
- Levatol
- Lopressor
- Metoprolol
- Nadalol
- Nitroglycerine
- Normodne,
Trandate
- Penbutolo
- Persantine
- Pindolol
- Propanalol
- Sectral
- Sotalol
- Tenormin
- Tenoretic
- Timolol
- Toprol
XL
- Verapamil
|
- Verelan
- Viskin
- Ziac
- Zebeta
|
|
Should you have any questions please feel free
to call us prior to your appointment.
Expect to be here
approximately 3
Hours. |
