Time required:
2 Day Protocol: 1 1/2 hours each day.

Purpose:
Evaluates the adequacy of the blood supply to the heart muscle at stress and at rest. The Myoview study is useful in detecting the presence of Coronary artery disease (CAD). With CAD, the heart muscle may not receive sufficient blood resulting in chest pain called angina or other symptoms, or may not produce any outward physical symptoms.

Preparation:
You will be informed of your schedule by your doctor's office or at the time of booking your appointment. You must refrain from any caffeinated products for 24 hours prior to your stress test. This includes decaffeinated coffee, regular coffee, colas, tea, etc.
Please bring shorts, jogging pants or comfortable exercise clothing and shoes (preferably running shoes) appropriate for exercise on a treadmill. LADIES: PLEASE WEAR A TWO PIECE OUTFIT, NO DRESSES. Physician may decide to temporarily discontinue certain medications prior to the test. These are discontinued because they may offset the effectiveness of the test. DO NOT STOP any medication on your own without checking with your physician. If you were informed by your physician to stop any medication, you may resume taking your medications following the exercise portion of the test and throughout the remainder of the test.

Test Procedure:
The "Rest" Images require a tiny arm vein infusion of Myoview while sitting. You will be able to leave after these pictures are taken and return the next day for the stress portion.
Upon returning the next day , several electrode pads will be placed on your chest prior to exercise.These pads will be used to watch your heart rhythm throughout the exercise test. A small intravenous catheter will be inserted into your arm vein which will be used to infuse the Myoview into your blood stream when you reach your maximum level of exercise. You will exercise by walking on a treadmill, which increases its speed and grade in stages. You will be encouraged to exercise as long as you can to increase the effectiveness of the test. The Myoview radioisotope will be infused through the intravenous approximately 1 minute prior to the end of exercise. The Myoview is carried by the blood to the heart muscle. If blood flow is limited due to CAD then the amount of Myoview in your heart muscle is reduced. You will leave the facility after exercising but will be asked to return in 1 hour for pictures of your heart. You will have to lie down on a special table and a gamma camera will visualize the Myoview which has concentrated in your heart muscle. The camera is positioned close to your chest and rotates

Time required:
2 Day Protocol: 1 1/2 hours each day.

Purpose:
Evaluates the adequacy of the blood supply to the heart muscle at stress and at rest. The Myoview study is useful in detecting the presence of Coronary artery disease (CAD). With CAD, the heart muscle may not receive sufficient blood resulting in chest pain called angina or other symptoms, or may not produce any outward physical symptoms. A pharmacologic Myovew study is useful in detecting the presence of CAD in patients unable to complete an exercise stress test.

Preparation:
You will be informed of your schedule by your doctor's office or at the time of booking your appointnment. You MUST refrain from all caffeinated products for 24 hours prior to your stress test. This includes decaffeinated coffee, regular coffee, teas, colas, etc.
LADIES: PLEASE WEAR A TWO PIECE OUTFIT, NO DRESSES. Physician may decide to temporarily discontinue certain medications prior to the test. These are discontinued because they may offset the effectiveness of the test. DO NOT STOP any medication on your own without checking with your physician. If you were informed by your physician to stop any medication, you may resume taking your medications following the pharmacologic portion of the test and.throughout the remainder of the test.

Test Procedure:
The 'Rest Images require a tiny arm vein injection of Myoview while sitting. You will be able to leave after these pictures are taken and return the next day for the stress portion.
Upon returning the next day, several electrode pads will be placed on your chest. These pads will be connected to an electrocardiogram (ECG) monitor so that your heart rhythm can be watched closely throughout the test.
A small intravenous catheter will be inserted into your arm vein which will be used to infuse the medicine and Myoview into your blood stream.
A drug (Persantine, Dobutamine or Adenosine)
will be injected into the Intravenous line.
The Myoview radioisotope will be injected through the intravenous after the pharmacologic infusion. The Myoview is carried by the blood to the heart muscle. If blood flow is limited due to CAD then the amount of Myoview in your heart muscle is reduced.