Specialists
Burton L. Herbstman, M.D. FACC FCCP FSCAI
Steven D. Lupovitch, M.D. FACC Paul A. Ruzumna, M.D. FACC
Ankit A. Shah, M.D. FACC FSCAI Gilbert A. Sita, M.D. FACC FCCP FSCAI
Stress Echocardiogram
1632 W. Central Road Other ______________
What is a Stress Echocardiogram (echo)?
• A stress echo is a walking test on the treadmill as well as having ultrasound images of your heart
(called an echocardiogram) obtained before and after the activity.
• An echocardiogram, also called an echo, is a diagnostic tool that uses ultrasound waves to produce
What information will be obtained with a Stress Echo?
• When combined with exercise on the treadmill, the stress echo can detect areas of the heart that are
not receiving adequate blood flow and evaluate heart function. This can detect a blockage in one of the arteries that feed the heart muscle with blood.
Pre-Test Instructions
• Do not eat for 3 hours prior to your appointment. • Avoid alcoholic beverages 12 hours prior to your appointment. • Do not smoke or use any form of nicotine for 3 hours prior to your appointment. • Do not apply any lotion, powders or colognes to your chest. • Wear loose, comfortable clothing. • Wear WALKING or RUNNING shoes that are closed at the heel and toe. • Do not take any oral Beta-Blocking medication for 24 hours before the test unless otherwise instructed by your doctor. These include: Atenolol, Betagan (levobunolol), Betapace (sotalol),
Blocadren (timolol), Brevibloc (esmolol), Bystolic (nebivolol), Cartrol (carteolol), Coreg (carvedilol), Corgard (nadolol), Corzide, Inderal (propranolol), Inderide, Innopran, Kerlone (betaxolol), Levatol
(penbutolol), Lopressor, (metoprolol), Normodyne (labetolol), Nadalol, Ocupress (cartelol),
Optipranolol (metipranolol), Sectral (acebutolol), Tenoretic, Tenormin (atenolol), Timolide/Timoptic
(timolol), Toprol (metoprolol), Trandate (labetolol), Visken (pindolol), Zebeta (bisoprolol) and Ziac.
• It is OK to take your eye drops that contain these agents. Continue taking all other medication on the
day of the test unless instructed otherwise.
• If you use any kind of inhaler, please bring it on the day of the test. • The treadmill has a weight limit of 320 lbs. If there is a chance you might weigh more than this limit, please call us immediately. Test Procedure
• You will be given an explanation of the test and asked to sign an Informed Consent. • You will need to remove all clothing above the waist (females will be given a gown). • Electrodes will be attached to your upper body and a cable will be attached. • Your EKG and blood pressure will be monitored throughout the test. • You will lie on an exam table and the Echo Tech will obtain resting images of your heart. • An Exercise Physiologist will supervise the exercise component of the test. • The treadmill with start slowly and increase in speed and grade every three minutes. You will need to
report any symptoms that may occur while exercising or in the recovery period.
• When enough exercise has been performed, the treadmill is stopped and you will need to quickly
return to the exam table, where post-exercise images of your heart are obtained.
When will I know the results?
• The interpretation of the test is completed by a NORTHWEST HEART SPECIALISTS cardiologist. • If a physician outside of NORTHWEST HEART SPECIALISTS ordered the test, he/she will receive
a copy of the report the next business day and will contact you with the results.
• If a NORTHWEST HEART SPECIALISTS physician ordered the test, the ordering physician or
someone from our staff will contact you with the results.
• A copy of the test results will be faxed to your primary care physician and any other physician or
If you have any questions, please call us at 847/253-8050.
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