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.

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