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SERVICES
CARDIAC STRESS AND ECHO TESTING
Offered at Our 5203 Vernon Ave. S. Location

Echocardiogram:

An echocardiogram, or echo, is an ultrasound study of your heart muscle, heart valves and pericardium (the sac surrounding your heart). This painless test uses sound waves to see how well your heart is working.

A wand-like instrument makes the sound waves. As the ultrasound wand is moved over your chest, pictures of your heart appear on a screen and are recorded digitally. An echocardiogram takes about 30 Ė 45 minutes to complete.
 

Patient Preparation:

You may eat and drink as usual.
Take any medications you normally take.
Wear loose, comfortable clothing (slacks and a top)
Tell the technician if you are pregnant.

Patient Experience:

You will undress to your waist and be given a gown to wear.
A technician will put electrocardiogram (EKG) patches on your chest to monitor your heartbeat.

You will lie on your left side on an exam table.

The exam room will be darkened to help the technician see the screen on the ultrasound machine.

The technician will put gel on the ultrasound wand before putting it on your chest.

The wand will be moved to different places on your chest to take a variety of pictures of your heart.
Echocardiogram w/Bubble Study:

A nurse will also insert an intravenous (IV) line in your arm.
A salt water solution (saline) will be injected into the IV line.
The ultrasound will take pictures of the saline as it flows through your heart.

Patient Preparation:

You may eat and drink as usual.
Take any medications you normally take.
Wear loose, comfortable clothing (slacks and a top)
Tell the technician if you are pregnant.

Patient Experience:

You will undress to your waist and be given a gown to wear.
A technician will put electrocardiogram (EKG) patches on your chest to monitor your heartbeat.
You will lie on your left side on an exam table.
The exam room will be darkened to help the technician see the screen on the ultrasound machine.
The technician will put gel on the ultrasound wand before putting it on your chest.
The wand will be moved to different places on your chest to take a variety of pictures of your heart.

Echocardiogram w/Bubble Study:

A nurse will also insert an intravenous (IV) line in your arm.
A salt water solution (saline) will be injected into the IV line.
The ultrasound will take pictures of the saline as it flows through your heart.

After Your Test:

Your physician will contact you about your test results.
You may return to your normal activities.

Stress Echocardiogram

An echocardiogram is a test that uses high frequency sound waves (ultrasound) to examine the heartís anatomy and function.
A treadmill stress test evaluates your heartís response to physical activity through the monitoring of your heart rate, blood pressure, and electrocardiograms while you exercise on a treadmill.
When the two tests are combined, an assessment can be made of the status of your heart at rest, as well as during and immediately following stress. This assessment can provide your doctor with information regarding whether or not you have significant blockages in your heart arteries.
Other information obtained includes an assessment of the pumping function of your heart and the status of your heart valves.

Common Indications for This Test:

1) To determine if coronary artery disease is present and if further studies and/or treatment are required.

2) To evaluate progress following a major cardiac event (heart attack, heart surgery, etc.).

3) To investigate the effort of exercise on heart function.

Patient Preparation

Ask your doctor ahead of tmie if you should take your usual medications the day of the test, especially if you have diabetes.
Do not eat or drink 4 hours before the test.
Do not smoke 2 hours before the test.
Wear loose, comfortable clothing (slacks and a top) and walking shoes.
Tell the technician if you are pregnant.

Patient Experience:

The treadmill stress test takes about 1 hour to complete, including preparation time. You will be walking on the treadmill for approximately 10 minutes of that time.
You will undress to your waist and be given a gown to wear.
Electrodes will be placed on your chest and wires will be attached to the electrodes so that the electrocardiogram (ECG) can be monitored continuously during the test by our Registered Nurse.
For men, a limited shaving of the chest may be required to assure god contact between the skin and the electrodes. A blood pressure cuff will be placed on your arm so that your blood pressure can be measured before, during and after exercise.

You will lie on your left side on an exam table while the sonographer (a specially trained ultrasound technologist) takes ultrasound images of your heart using a small hand-held transducer and water-soluble gel. The lights will be dimmed to reduce glare so that the sonographer can better see the picture monitor. These images will be recorded on a videotape.
You will then walk on a treadmill, which is an electrical walkway that can be raised. Every 3 minutes, the treadmill will gradually increase in speed and tilt upward, like a small hill.
Your blood pressure and heart rate will be monitored during the test. As you exercise, your heart rate and blood pressure will change. This is normal.
During the test, you will be asked to report any chest pain, unusual shortness of breath, increased fatigue, leg pain, dizziness or if you feel faint. Notify the technologist as soon as any of these symptoms occur.

When you reach your maximum level of exercise, you will be told to stop.
Immediately after stopping exercise, you will be helped quickly back onto the examining table and the sonographer will again take ultrasound pictures of your heart. You may be asked to hold your breath for short periods during this time so that the best possible pictures can be obtained. Ideally, the post-stress pictures area obtained within 1 minute of stopping exercise.

 

After Your Test:

You will continue to be monitored until your heart rate and blood pressure returns to pre-exercise levels.
The technologist will display the two sets of images side by side to compare the way your heart works at rest and after exercise.
You may return to your normal activities.
Your test will be reviewed and interpreted by a cardiologist and a report will be provided to your physician. Your physician will then contact you about your test results.

 

  Edina Family Physicians
5301 Vernon Ave. S. Edina, MN 55436
Edina Family Physicians / Imaging Center
5203 Vernon Ave. S. Edina, MN 55436
Edina Family Physicians
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