can someone please explain to me in laymens terms what is a nuclear stress test?
my 77 yr old father has recently started experiencing "chest pain" He went to his doctor last week. After reviewing the EKG the doctor recommended the nuclear stress test. Although my wife is an RN she is not familiar with this. Her speciality is psych.
thank you in advance.
Thallium stress test is a nuclear imaging method that shows how well blood flows into the heart muscle, both at rest and during activity.
This test is done at a medical center. The test is done in two parts:
* Part 1: You will walk on a treadmill or be given a medicine called a vasodilator to increase your heart rate. You will be given the drug if your doctor does not think exercise is safe for you or if you have joint problems that may make doing so difficult.
* Part 2: The health care provider will inject a radioactive substance into one of your veins and then take pictures of your heart.
The radioactive material may be thallium or sestamibi. (If sestamibi is used, it’s called a "sestamibi stress test.") This substance travels through your bloodstream into the heart muscle.
Next, you will be asked to lie down on a table under a special camera that scans the heart. A computer creates pictures of the heart by tracking how the radioactive material moves through the area.
The first pictures are taken shortly after you get off the treadmill or are given the vasodilator drug. These images show how blood flows to the heart during exercise. This is the part most commonly referred to as the "stress test," because it is the most challenging for your heart.
After lying quietly for a few hours, you’ll have more pictures of the heart taken. These images show blood flow through your heart during rest.
The entire test can take about 4 hours. You will usually be given a long break in between scans and allowed to have caffeine-free lunch or a snack at a nearby cafeteria.
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August 14th, 2009 at 2:59 pm
A nuclear stress test is one in which an IV is started and a radioactive isotope is injected through the IV. The patient waits for an hour, then has scans taken of their heart. Then the patient is put on the treadmill until tired or technician stops test. After that the patient is taken to the scan room again for more pictures. The isotope is generally very safe, your father should not have any reactions to it. It also shows the coronary arteries of the heart very well to see if there are any blockages.
The total test time is usually 4 hours. Best wishes to your dad.
References :
August 14th, 2009 at 3:49 pm
Basically your heart is visualized at rest using a nuclear molecule in the circulation/imaging that is sensitive to pick up the radiation.
They then inject a substance (usually dobutamine but sometimes other molecules), that ramps up your heart similar to exercise, and repeat the test
What they’re looking for is changes in the circulation of the heart with stress, that would indicate areas of the heart that aren’t getting good blood flow, that would indicate where in the heart the angina is coming from. Its one of the tools that helps decide how bad things are, and whether it’s something to watch, or something to operate on.
References :
Med Student (not a liable medical consultation)
August 14th, 2009 at 4:34 pm
It is chemical instead of physical. You get on the treadmill and then you are injected with dye. You get off the treadmill wait 30 minutes and get back on treadmill. At that point the doctor will get his readings.
References :
My husband just had this done
August 14th, 2009 at 5:00 pm
It measures blood flow to the heart during stress and while at rest. An image is produced by injecting a radioactive (but only a little radioactive) dye into the vascular system, which then travels to the heart and can be viewed with a scanner.
there are a couple of different types
During a myocardial perfusion test, the patient runs on a treadmill and when they reach their maximum heart rate, then the dye is injected. The images are viewed immediatly after excersise, and a few hours later as well.
during a multiple gated aquisition scan, the patient is injected with dye before excersise so that images can be viewed both before and after activity.
References :
http://www.mayoclinic.com/health/nuclear-stress-test/AN00168
August 14th, 2009 at 5:36 pm
Thallium stress test is a nuclear imaging method that shows how well blood flows into the heart muscle, both at rest and during activity.
This test is done at a medical center. The test is done in two parts:
* Part 1: You will walk on a treadmill or be given a medicine called a vasodilator to increase your heart rate. You will be given the drug if your doctor does not think exercise is safe for you or if you have joint problems that may make doing so difficult.
* Part 2: The health care provider will inject a radioactive substance into one of your veins and then take pictures of your heart.
The radioactive material may be thallium or sestamibi. (If sestamibi is used, it’s called a "sestamibi stress test.") This substance travels through your bloodstream into the heart muscle.
Next, you will be asked to lie down on a table under a special camera that scans the heart. A computer creates pictures of the heart by tracking how the radioactive material moves through the area.
The first pictures are taken shortly after you get off the treadmill or are given the vasodilator drug. These images show how blood flows to the heart during exercise. This is the part most commonly referred to as the "stress test," because it is the most challenging for your heart.
After lying quietly for a few hours, you’ll have more pictures of the heart taken. These images show blood flow through your heart during rest.
The entire test can take about 4 hours. You will usually be given a long break in between scans and allowed to have caffeine-free lunch or a snack at a nearby cafeteria.
References :
http://www.nlm.nih.gov/medlineplus/ency/article/007201.htm
http://www.mayoclinic.com/health/nuclear-stress-test/AN00168
http://en.wikipedia.org/wiki/Thallium_Stress_Test
http://www.merck.com/mmpe/sec07/ch070/ch070i.html#sec07-ch070-ch070i-288
August 14th, 2009 at 5:59 pm
May be the EKG did not show changes consistent with some heart problem the doctor was after, hence recommended Nuclear stress test.
All explanation mentioned above + these nuclear subs are picked up by the heart and showed up on screen. Heart is first stressed and dye injected: areas with poor blood flow, there is lack of distribution of these injected subs to it…. hence do not show up clearly. After rest another image is taken, if that area now showed up clearly, there may be atherosclerotic plaque (those things that clog up arteries) that is partially blocking the artery (artery supplying the heart). If it remains the same - that part of the heart is not viable.
If the above imagery is the same throughout and there is no sign of any heart damage, likelihood that his chest pain is caused by a heart problem is low.
References :