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This document outlines the policy and procedures for performing nuclear stress testing at the Heart & Vascular Center to ensure consistency and quality in test performance.
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01
Schedule the test with your healthcare provider.
02
Arrive at the testing facility on the scheduled date, typically fasting for a few hours before the test.
03
Wear comfortable clothing and shoes suitable for exercise.
04
Have your medical history reviewed by the technician, including any medications you are taking.
05
An initial resting heart scan will be performed to create a baseline image of your heart.
06
An IV will be placed in your arm to administer a radionuclide (a small amount of radioactive material) during the test.
07
Begin the Bruce Protocol treadmill exercise, increasing the intensity of the exercise at each stage as per set intervals.
08
Monitor heart rate, blood pressure, and any symptoms throughout the exercise.
09
Once the desired stress level is reached, the exercise will stop, and a second scan will be performed to assess the heart's response.
10
The radiology team will analyze the images and provide results to your healthcare provider for interpretation.

Who needs Nuclear Stress Testing (Bruce Protocol Marquette)?

01
Individuals with chest pain or discomfort potentially related to heart conditions.
02
Patients with a history of heart disease or prior coronary artery disease.
03
Individuals being evaluated for exercise capacity or to determine the effect of medications on heart function.
04
Patients with abnormal heart rhythms or those experiencing shortness of breath.
05
Individuals who need pre-operative evaluations for major surgeries.
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Heart and Circulatory System At each stage, the gradient and speed of the treadmill are elevated to increase work output, called METS. Stage 1 of the Bruce protocol is performed at 1.7 miles per hour and a 10% gradient. Stage 2 is 2.5 mph and 12%, while Stage 3 goes to 3.4 mph and 14%.
Stages StageMinutesMPH 1 3 1.7 2 3 2.5 3 3 3.4 4 3 4.23 more rows
The Bruce protocol is the most common one used during treadmill exercise stress testing. [15] This protocol is divided into successive 3-minute stages, each requiring the patient to walk faster and at a steeper grade.
Achieving 10 METs on a stress test signifies a good level of fitness. In the context of the Bruce Protocol, reaching this level suggests that your heart can effectively pump blood and your body can efficiently utilize oxygen during physical activity.

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Nuclear Stress Testing (Bruce Protocol Marquette) is a diagnostic procedure that evaluates the heart's function and blood flow during exercise stress and rest. It uses small amounts of radioactive material and imaging technology to assess heart performance, particularly in detecting coronary artery disease.
Typically, healthcare professionals such as cardiologists or licensed nuclear medicine technologists are required to file the results of Nuclear Stress Testing (Bruce Protocol Marquette) as part of a patient's medical records and for insurance purposes.
To fill out Nuclear Stress Testing (Bruce Protocol Marquette), the administering physician must complete a standardized form, detailing patient demographics, medical history, indications for the test, protocols followed, imaging results, and any pertinent findings during the test.
The primary purpose of Nuclear Stress Testing (Bruce Protocol Marquette) is to assess how well the heart functions under stress, to detect ischemic heart disease, evaluate the severity of existing heart problems, and guide treatment plans for patients with suspected heart conditions.
The report for Nuclear Stress Testing (Bruce Protocol Marquette) must include patient identification, details of the exercise protocol used, resting and stress images, findings related to heart perfusion, any significant changes in heart rhythm, and the overall interpretation of the test results.
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