Myocardial Perfusion Imaging(Nuclear Stress Test)
by
Amy Scholten, MPH DefinitionMyocardial perfusion imaging is a test to look at the blood flow and function of the heart. It uses a low dose of a radioactive agent. Blood flow is tested when the heart is working hard. During the test, exercise or a drug may be used to increase the heart's workload.
Reasons for TestMyocardial perfusion imaging is used to:
Possible ComplicationsProblems are rare, but all procedures have some risk. The doctor will go over some problems that could happen such as:
During the test, the doctor and technicians will watch for any signs of heart or lung problems. They will be ready to act if problems develop. What to ExpectPrior to TestThe doctor may meet with you to talk about:
Description of TestA blood pressure cuff is placed on one arm. An IV is inserted into a vein on the other arm. Small, round pads are placed on the chest. They will monitor the heart's electrical activity. Blood pressure and heart rate are checked before, during, and after exercise. A small amount of radioactive material will be given through the IV. This material will show parts of the heart with good blood flow. A special camera will show parts of the heart that are not getting enough blood. These images are taken during rest and exercise. The heart may first be checked while at rest. The exercise or “stress” part of the test usually involves walking on a treadmill. Walking will be slow at first and then get faster. For those who cannot exercise, the doctor may give a special drug. The drug makes the heart act as if the person was exercising. About 15 to 30 minutes after exercise, images will be taken of the heart. Those with coronary artery disease may feel chest pain or angina during the test. The doctor may give medicines and stop the test. After TestYou will be able to leave after the test is done. If medicine was used to increase the work of the heart, there may be side effects. They may include anxiety, lightheadedness, nausea, shakiness, or problems breathing. The care staff needs to know about any symptoms. How Long Will It Take?The entire test takes 3 to 5 hours. It may be done in one day or in parts over several days. Will It Hurt?In general, this test should not be painful. ResultsThe doctor will look at the images and discuss them with you. Call Your DoctorCall your doctor if you have:
If you think you have an emergency, call for medical help right away. RESOURCES:American Heart Association http://www.heart.org National Heart, Lung, and Blood Institute http://wwhttps://www.nhlbi.nih.govw.nhlbi.nih.gov CANADIAN RESOURCES:Health Canada https://www.canada.ca Heart and Stroke Foundation of Canada http://www.heartandstroke.ca References:Cardiac nuclear medicine. Radiology Info—Radiological Society of North America website. Available at:
https://www.radiologyinfo.org/en/info/cardinuclear. Accessed September 3, 2021.
Cardiac stress testing. EBSCO DynaMed website. Available at:
https://www.dynamed.com/evaluation/cardiac-stress-testing. Accessed September 3, 2021.
Hoffmann U, Ferencik M, et al. Prognostic value of noninvasive cardiovascular testing in patients with stable chest pain: insights from the PROMISE Trial (Prospective Multicenter Imaging Study for Evaluation of Chest Pain). Circulation. 2017;135(24):2320-2332.
11/30/2010 DynaMed Plus Systematic Literature Surveillance
http://www.dynamed...
:
Einstein AJ, Weiner SD, Bernheim A, et al. Multiple testing, cumulative radiation dose, and clinical indications in patients undergoing myocardial perfusion imaging.
JAMA.
2010;304(19):2137-2144.
Last reviewed July 2021 by
EBSCO Medical Review Board
Nicole Meregian, PA Last Updated: 9/3/2021 | |
EBSCO Information Services is fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation. This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition. To send comments or feedback to our Editorial Team regarding the content please email us at healthlibrarysupport@ebsco.com. Our Health Library Support team will respond to your email request within 2 business days. |