Patient Preparation
- Adjust protocol for CAD diagnosis (stress-rest/redistribution) or viability assessment (rest-redistribution). Use of 5-10 mg isosorbide mononitrate sublingually is suggested before resting phase or reinjection, to increase tracer uptake.
- Fasting for 3-4 h when stress test is performed.
- Withdraw cardiovascular medications if indicated by attending physician. In particular betablockers in case of exercise procedure.Allow 5 plasma half lives to pass on each of them.
- When employing dipyridamole or adenosine (preferred if LBBB present) withdraw any food containing xanthines (tea, coffee, chocolate, beverages) for 12-24 h.
References:
Mut F. Diagnostico de la Enfermedad Coronaria and Gonzalez P et al. Viabilidad Miocardica, in Medicina Nuclear Aplicaciones Clínicas. Ignasi Carrio y Patricio González . Editorial Masson, Barcelona España, 2003, p 39-56 and 105-119, respectively.
Home Index Myocardial Perfusion Spect Thallium Myocardial Perfusion Spect Study Protocol