For optimal diagnosis of coronary
artery disease, it is recommended
that patients should be:
Off Propranolol for at least 24 to 48
hours prior to exercise studies to allow
the greatest likelihood of achieving
an adequate stress.
Long acting nitrates should be
discontinued for at least four hours
and Nitroglycerine at least one hour
before initiation of the study.
Adjustment of patient medications,
however, must be ordered by the
referring physician.
For most protocols, separate female
normal limits are required in order to
account for the breast attenuation
which alters the normal distribution
of the anterior wall. Even with these
normal limits, the breast may still be
a source of artifact, particularly
in large-breasted women.
For optimal diagnosis of coronary artery disease, it is recommended that patients
should be:
Off Propranolol for at least 24 to 48 hours prior to exercise studies to allow the
greatest likelihood of achieving an adequate stress.
Long acting nitrates should be discontinued for at least four hours and
Nitroglycerine at least one hour before initiation of the study. Adjustment of patient
medications, however, must be ordered by the referring physician.
For most protocols, separate female normal limits are required in order to account
for the breast attenuation which alters the normal distribution of the anterior wall.
Even with these normal limits, the breast may still be a source of artifact, particularly
in large-breasted women.