Cardiopulmonary

The Cardiopulmonary Department is staffed 24 hours a day and performs a Cardiopulmonaryvariety of diagnostic tests that deal with the heart and lungs. Please see our comprehensive list of tests and what to expect with each below.

Please call our Centralized Scheduling Department at 333-2743 to schedule these appointments.

WE NOW OFFER CARDIAC STRESS TESTING 5 DAYS A WEEK!

PLEASE SCHEDULE APPOINTMENTS FOR ALL OF THE FOLLOWING TESTS.

NAME OF TEST Electroencephalogram (EEG)

DEFINITION OF TEST – Measures brainwave activity and conductivity.

WHAT TO EXPECT

• A cap will be placed on the patient’s head.
• Gel will be inserted into the electrodes (openings) on the cap.
• Patient will lie flat on a bed for one-half hour.

PREPARATION – No products in hair (gel, hairspray, mousse).

NAME OF TEST Electrocardiogram (ECG or EKG)

DEFINITION OF TEST – Records the electrical activity of the heart.

WHAT TO EXPECT

• Patient will lie on a bed.
• Therapist will place electrodes (stickers) on patient’s chest, arms and legs.
• Wires will then be attached to these electrodes.
• Patient must remain still for testing.
• Tracings are printed on a graph paper.
• Chest may need shaved on some male patients to enhance the clarity of the EKG tracing.

PREPARATION – No lotion or oil substance should be applied to chest, arms and legs prior to test.

NAME OF TEST Arterial Blood Gas (ABG)

DEFINITION OF TEST – Blood sample will analyze oxygen and carbon dioxide, along with many other levels.

WHAT TO EXPECT – Respiratory Therapist will draw blood from the artery; most commonly from wrist area.

PREPARATION

• Doctor may request patient to be on or off oxygen.
• If ABG is to be done on room air (No supplemental oxygen), Oxygen must be off 30 minutes prior to ABG being drawn.

NAME OF TEST Pulmonary Function Test (PFT or PFS)

DEFINITION OF TEST

• A series of breathing patterns that will measure spirometry (measures peak expiratory flow rates).
• DLCO (measures diffusion capacity) and lung volumes.
• Patient will be required to wear nose clips and breathe through a mouthpiece during test.
• A breathing treatment will be administered followed by repetition of some of the testing.

WHAT TO EXPECT– Test will last approximately one hour.

PREPARATION – No breathing medications 6 hours before test.

* A SIMPLE PFS is a shorter version of the above described test. Most commonly ordered for pre-employment physicals.

NAME OF TEST Echocardiogram (Heart ECHO)

DEFINITION OF TEST – Ultrasound using high-frequency sound waves to measure function of heart valves and chambers.

WHAT TO EXPECT – Ultrasound will be done on chest area.

PREPARATION – No preparation.

NAME OF TEST Stress test (Nuclear and Non-Nuclear)

NUCLEAR

• Cardiolite

DEFINITION OF TEST – The electrical activity of your heart is monitored throughout the test. Nuclear images help detect any lack of blood flow to the heart muscle.

WHAT TO EXPECT

• Technologist will start an IV on patient with the first dose of the nuclear agent.
• Nuclear agent has no side effects.
• Patient will wait for approximately one hour to allow the agent to circulate.
• The patient will have their resting images taken (lying on a table for about twenty minutes).
• Patient will then be taken to the stress testing room and electrodes (stickers) will be placed on the chest area.
• Wires will be connected to the electrodes.
• A resting blood pressure will be obtained.
• Supervising physician will review resting EKG then the patient will begin walking on the treadmill. The treadmill will increase in speed and grade every 3 minutes. Patient will continue walking until the target heart rate is reached or the patient is no longer able to continue.
• During the exercise portion a Nuclear Technologist will give a second dose of nuclear agent. Patient will be monitored until heart rate and blood pressure return to resting values.
• Another one hour wait is required for the dose to circulate, then the final images will be taken.

PREPARATION – No medications or caffeine (including coffee, soda and chocolate) should be taken the morning of the test. Wear a button shirt and comfortable pants and shoes. No lotion or oil substance on chest area.

NAME OF TEST Nuclear

• Adenosine

DEFINITION OF TEST – The electrical activity of your heart is monitored throughout the test. Nuclear images help detect any lack of blood flow to the heart muscle.

WHAT TO EXPECT

• Technologist will start an IV on patient.
• First dose of the nuclear agent. Nuclear agent has no side effects.
• Patient will wait for approximately one hour to allow the agent to circulate.
• The patient will have their resting images taken (lying on a table for about twenty minutes).
Patient will then be taken to the stress testing room and electrodes (stickers) will be placed on the chest area.
• Wires will be connected to the electrodes.
• A resting blood pressure will be obtained.
• Supervising physician will review resting EKG. The patient will receive a four minute injection of a medication that simulates exercising of the heart muscle.
• During the infusion portion, the Nuclear Technologist will give second dose of nuclear agent. Patient will be monitored until heart rate and blood pressure return to resting values.
• Another one hour wait is required for the dose to circulate, then the final images will be taken.

PREPARATION – No medications or caffeine (including coffee, soda and chocolate) should be taken the morning of the test. Wear a button shirt. No lotion or oil substance on chest area.

NAME OF TEST Non-Nuclear

• (Regular Stress Test, EKG Treadmill)

DEFINITION OF TEST – The electrical activity of your heart is monitored throughout the test.

WHAT TO EXPECT

• The patient will then be taken to the stress testing room and electrodes (stickers) will be placed on the chest area.
• Wires will be connected to the electrodes. A resting blood pressure will be obtained.
• Supervising physician will review resting EKG, then the patient will begin walking on the treadmill. The treadmill will increase in speed and grade every 3 minutes. Patient will continue walking until the target heart rate is reached or the patient is no longer able to continue. Patient will be monitored until heart rate and blood pressure return to resting values.

PREPARATION – No medications or caffeine (including coffee, soda and chocolate) should be taken the morning of the test. Wear a button shirt and comfortable pants and shoes. No lotion or oil substance on chest area.

NAME OF TEST Holter Monitor

DEFINITION OF TEST – A twenty-four hour continuous recording of the electrical activity of the heart.

WHAT TO EXPECT

• Seven electrodes (patches) will be placed on the patient’s chest.
• Wires will be attached to those patches.
• Monitor will be placed in a small pouch that the patient can carry with a strap or place around waist with a belt.
• A diary will also be given to patient to record any symptoms they may have while wearing the monitor.
• No shower or bath may be taken during test.
• Monitor will need to be returned the following day.

PREPARATION – No lotion of oil substance should be applied to chest area.

NAME OF TEST Vascular or Doppler Studies, Lower Venous, Carotid, Ankle Brachial Index (ABI) and Lower Arterial

DEFINITION OF TEST refer to http://www.midwestultrasound.com/

WHAT TO EXPECT – All tests are non-invasive. Ultrasound done on neck or leg area depending upon test ordered.

PREPARATION – Patients having the Aorta and Lower Arterial studies should not eat or drink 6-8 hours prior to test.