Microsoft word - ct cardiac referrer information sheet 092009.doc
390 Victoria Street Darlinghurst NSW 2010 Australia
CARDIAC CT T + 61 2 8382 1111 F + 61 2 9332 4142
Information for referring physicians, January 2010
SERVICES OFFERED: CT Coronary Angiogram (includes Calcium Score) Coronary Calcium Score Only (excludes CT Coronary Angiogram)
Workup for left atrial ablation procedures PRICE: The final price may be variable, and the examination performed wil depend on factors such as the clinical history and the referral letter. As a guide, the price range is $250-800 depending on what type of cardiac scan needs to be performed. REFERRAL POLICY: Services wil be offered:
On an outpatient basis, with limited numbers of bookings available per day
Al outpatient cases wil require an up-front fee payment, which is presently non-rebateable A Medicare rebate has been approved, rebate indications will be listed when it is available.
Additional urgent cases wil be considered upon direct consultation with the referring physician
BOOKING TIMES: RESULTS:
Provisional results wil be available on the day and final reports wil be made available the next day.
RELATIVE CONTRAINDICATIONS: Assessed on case by case basis. Usual as per IV contrast, and additional y: known high calcium score, arrhythmias with uncontrol ed ventricular rate, intolerance to beta blockers eg Asthmatics. PATIENT PREPARATION: CARDIAC PACING DEVICES These may be temporarily adjusted for the duration of the scan (eg. rate = 50)
Please have manufacturer’s or technician’s contact details handy, or organise in advance for them to attend the scan, to minimize delays.
BETA BLOCKER
Please supply a script for oral METOPROLOL50mg (25mg if weight <60kg or BP<110): PREMEDICATION
Instructions: take one dose evening before study and one dose on the morning of study. Patients already on Beta Blocker medication only need further Metoprolol if HR > 60. Please cal the department if you have any further concerns about premedication.
No caffeinated drinks, energy or diet pil s, and no Viagra Take evening Metoprolol. If diabetic on METFORMIN, withhold METFORMIN
Fast for 4 hours. Take morning Metoprolol. Continue taking regular medicines as usual, except METFORMIN. Attend 1 hour before appointment time. Proceed to Day Procedure Centre Level 5 and fol ow the signs to Medical Imaging CT Level 5, cubicle 3.
If diabetic on METFORMIN, withhold METFORMIN
CONTACTS FOR FURTHER INFORMATION: Bookings: Medical Imaging Department, St Vincents Public Hospital Phone: 02 8382 3495 Fax: 02 8382 2142
Prof Michael Feneley (Director, Cardiology)
A/Prof Lourens Bester (Director, Medical Imaging)
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