FROM DIAGNOSIS TO INTERVENTION
Depending on the number, severity and location of
the obstruction, the physician may recommend the
patient for a cardiac catheterization.  Upon
occasion, the cardiologist may suggest
transforming the diagnostic test on the spot, into a
more therapeutic procedure.

HOW DO THEY DO IT?

The  cardiologist places a more versatile catheter
into the opening of the coronary artery.  A thin wire
is threaded through this catheter and well past the
narrowing,( stenosis) in the artery.  A "rail" or track
has now been established and any number of
therapeutic devices, such as a balloon, can be
passed safely over the wire and positioned
precisely at the obstruction.
WHAT CAN I EXPECT?

As the blockage is opened, blood flow in the artery
is stopped for very brief periods, During which time
the patient may experience some chest pain.  This
is very normal.  During the procedure, the patient is
given light sedation for comfort, but remains awake
in order to respond to various instructions from the
Interventional Cardiologist.

AFTER THE PROCEDURE...

When the procedure is over, all equipment is
removed, the puncture site is compressed in order
to heal, and the patient usually can return home
within a day or two.  For many patients, the most
uncomfortable part is the several hours post-
procedure, when they need to lie still for the
puncture site compression.  Several devices, or
"sealers" are now being utilized to reduce this
period of time significantly.
A guide wire is placed
across the lesion and
the balloon is inflated.
201-845-3535
 Cardiac Catheterization
                  And
Nuclear Stress Test Instructions
The patient can respond
to various instructions
from the Interventional
Cardiologist.
Di  agno Interventional Cardiology
If you are scheduled for a Nuclear Stress Test at
218 State Rte. 17 North
Suite 310
Rochelle Park, NJ 07662
the following instructions are provided to you for your convenience.

PRE-TEST INSTRUCTIONS

  •  Do not eat, drink fluids other than water or smoke after midnight, the night prior to the
    test unless instructed otherwise.

  • Bring your medications with you to the test.

  • Do not take Diabetes medications.

  • Do not take any medications unless previously reviewed and allowed by our physicians.

  • Please dress casually and wear comfortable shoes.

  • Call to inform us if you are pregnant or breastfeeding.

Plan on being at the office for approximately four (4) hours.  Bring a snack and your
medications.
                                       
                                               
 WHAT TO EXPECT THE DAY OF YOUR TEST

  •  You will be asked to sign a consent form for the test.  This is to insure that you
    understand the procedure and any risks involved.

  • A technician will prepare your chest for the EKG.

  • An intravenous catheter (IV site) will be placed in your hand, wrist or arm.

  • The technologist will inject an isotope that will allow us to image the blood flow to your
    heart.

  • You will be asked to wait and drink water while the material circulates (there is a water
    cooler at the office).

  • Pictures of your heart will be taken for approximately 15 minutes. You will be laying
    down on your back with your arms raised behind your head, as a specialized machine
    takes pictures of your heart.

  • The stress test will be performed next, either with exercise or with a medication.  
    During the stress test, a second injection of the isotope will be given.  The doctor and
    the nurse will be present during the stress test.

  • After the stress test, you may eat, drink and take your medication.  There will be a
    waiting period while the isotope circulates again.

  • The last part will be a second set of pictures similar to the first ones.


         
If you have any concerns or questions regarding the information provided,
                                                         please call our office.