Get ready for your appointment

Once you have scheduled an appointment, you can fill out the patient forms at home, or you can come in 15-20 minutes before your appointment to fill out the paperwork in our office. The necessary forms for your visit include the new patient forms, medical records request, medical records consent, and patient medication verification.

If you are having a stress test, read more about stress test preparation below.

  • Complete the new patient forms
  • Bring your driver’s license and insurance information
  • Bring a list of all the medicines you are currently taking
  • Confirm we have your medical records on file

Stress test preparation

What to Expect
  • First, electrodes will be placed on your chest and a technologist will ultrasound images of your heart at rest
  • Next, a blood pressure cuff will be placed on your arm; you will step onto a treadmill and begin walking slowly
  • Every 2 to 3 minutes the speed and elevation of the treadmill will increase slightly and at each stage, your blood pressure will be taken
  • Once the exercise portion is complete, you will be asked to lie down as more images of your heart are taken; you will continue to be monitored for a short time
  • The test will take approximately 1 hour
How to Prepare
  • No caffeine 12 hours prior to the procedure—this includes soda, coffee, tea, chocolate, and even decaffeinated beverages
  • No tobacco or nicotine of any kind the day of your test
  • No solid food two hours prior to your scheduled test time (diabetic patients may have a light snack or follow physician recommendations)
  • Wear loose fitting pants, a button down shirt, and sneakers or walking shoes
  • Take your medications as regularly scheduled, unless your physician has instructed you otherwise
  • Bring a list of your current medications
  • If you have a history of asthma, bring your inhalers with you
  • Always check with your ordering physician if he/she has any special instructions to be adhered to (such as withholding a medication the day of your test i.e. beta blockers)
What to Expect
  • First, you’ll receive a small amount of radioactive tracer through an IV
  • While the medicine circulates, you will be asked to sit in the waiting room until your first set of pictures is taken
  • For the stress portion of the study, you will be asked to jog on a treadmill while your heart rate and rhythm are monitored with an EKG machine
  • After your stress test, you will be asked to wait once again in the waiting room until a second set of pictures is taken
  • Your entire test will take approximately 3-4 hours
How to Prepare
  • No tobacco or nicotine of any kind 24 hours prior to the procedure
  • No caffeine 24 hours prior to the procedure—this includes soda, coffee, tea, chocolate, and even decaffeinated beverages
  • Do not eat or drink for 6 hours prior to the test
  • Bring a light snack as you will be instructed to eat during your appointment
  • Please shower or bathe the day of the test and do not apply lotion or powder to your chest
  • Wear loose fitting pants, a button down shirt, and sneakers or walking shoes. No metal underwire bras
  • Take all of your regular medications unless otherwise instructed
  • Do not take the medication Theophylline for 24 hours prior
  • Do not take Viagra, Levitra, Cialis or similar medicines 24 hours prior
  • If you are diabetic, please follow these instructions:
  • For morning appointments: Do not take your diabetic medications or insulin the morning of the test but please bring your medications
  • For afternoon appointments: You may eat a light breakfast and take your medications 4 hours prior to your appointment, but do not eat lunch and please bring your medications with you
What to Expect
  • First, you’ll receive a small amount of radioactive tracer through an IV
  • While the medicine circulates, you will be asked to sit in the waiting room until your first set of pictures is taken
  • For the stress portion of the study, you will receive a medication through the IV that will increase blood flow to your heart—as though you were exercising—while your heart rate and rhythm are monitored with an EKG machine
  • After your stress test, you will be asked to wait once again in the waiting room until a second set of pictures is taken
  • Your entire test will take approximately 3-4 hours
How to Prepare
  • No tobacco or nicotine of any kind 24 hours prior to the procedure
  • No caffeine 24 hours prior to the procedure—this includes soda, coffee, tea, chocolate, and even decaffeinated beverages
  • Do not eat or drink for 6 hours prior to the test
  • Bring a light snack as you will be instructed to eat during your appointment
  • Please shower or bathe the day of the test and do not apply lotion or powder to your chest
  • Wear loose fitting pants, a button down shirt, and sneakers or walking shoes—no metal underwire bras
  • Take all of your regular medications unless otherwise instructed
  • Do not take theophylline, Viagra, Levitra, Cialis or similar medicines 24 hours prior
  • If you are diabetic:
    • For morning appointments: Do not take your diabetic medications or insulin the morning of the test but please bring your medications
    • For afternoon appointments: You may eat a light breakfast and take your medications 4 hours prior to your appointment, but do not eat lunch and please bring your medications with you

Frequently asked questions

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    A risk factor is a health condition or habit that makes you more likely to develop a particular disease. For heart disease, there are some factors you can change, like your weight, and others you cannot, like your genetics.

    Here are important risk factors you can do something about:

    • High blood pressure
    • High cholesterol
    • Smoking
    • Having an unhealthy diet
    • Being overweight
    • Diabetes
    • Stress levels
    • Not exercising

    The risk factors you can’t control are:

    • Your family history of heart disease
    • Your age (55+ for women)
    • Your gender

    If you have more than one of the above, be sure to talk to our cardiologists about your risk for heart disease and what you can do about it.

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    A heart attack may not happen like you see on TV or in the movies. For some people, it’s possible to have one without any chest pain. This is more likely to happen if you are older, female, or diabetic.

    For many people, though, there are common signs and symptoms. They are:

    • Chest pain or discomfort in the center or left side of the chest. The severity can range from mild to severe and has been described as pressure, squeezing, fullness, or even heartburn or indigestion
    • Pain in your arm(s), back, shoulder, neck, jaw or stomach
    • Shortness of breath. It is possible for this to be your only symptom and to happen even when you are resting

    Other symptoms include:

    • Feeling sick to your stomach and/or vomiting
    • Feeling unusually tired
    • Getting light-headed or dizzy
    • Breaking into a cold sweat

    The more of these symptoms that you experience together, the more likely you are to be having a heart attack.

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    If your chest pain is moderate to severe, immediately dial 9-1-1. If you’ve been experiencing discomfort in your chest over a number of days, call us and let the receptionist know right away.

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    Please give our office 24 hours advance notice if you are cancelling or rescheduling an appointment. Nuclear stress test medications are ordered specifically for your height and weight and expire within a short period of time. If you are unable to cancel a non-emergency nuclear test within 24 hours, you will be billed for the appointment.

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    Our office participates with numerous insurance companies. Please call our office to verify we are in-network with your insurance. We require you to show your insurance card(s) at every visit.

    Once you’ve verified that we are in-network for your insurance, it is important for you to be familiar with the guidelines of your insurance plan, requirements regarding authorizations, deductibles, co-insurance, and co-payments.

    The entire amount of your co-payment is due on the day of service.

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