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Lexiscan
Adenosine receptor agonist -increase heart perfusion for pharmacological stress test
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Adenosine
Increase heart perfusion for pharmacological stress test
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Dobutamine
Increase oxygen demand of the heart for pharmacological stress test
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Atropine
Added to Dobutamine to reach target HR for pharmacological stress test
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Technetium-99
Radiopharmaceutical nuclear agent for Nuclear stress test
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Thallium-201
Radiopharmaceutical nuclear agent for Nuclear stress test
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Drugs that cause false negatives on cardiac tests and should be withheld 48 hours prior to a DIAGNOSTIC stress test:
BB, CCB, Dipyridamole and Nitrates
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Drugs that are suspected to have some Stess test impact on results, but is currently unclear what that is and should be continued during a stress test:
ACEIs and ARBs
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Drugs that cause false negatives on cardiac tests and should be continued during a stress test:
Amiodarone, Statins
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Ending for Beta blockers
-olol
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Ending for Ca channel blockers
–dipine or -pamil
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Drugs that can cause false positives on Stress tests, but is currently unclear when they should be stopped to prevent this occurance:
Estrogen and Digoxin
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Drugs that can cause false negatives on Stress tests, and interact with a coronary perfusion agent:
Caffeine, theophylline, and dipyridamole
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Caffeine should be held how long before a Diagnositc stress test?
12 hours
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Theophylline should be held how long before a Diagnositc stress test?
24 hours
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Dipyridamole should be held how long before a Diagnositc stress test?
48 hours
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Drugs that need to be stopped prior to Cardiac Catheterization or Angiography:
Warfarin, Metformine and Potentially Antiplatelets
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Before and after an angiography or Cardiac cath, when can you start/stop Metformin?
Stop: 48 hours prior, Start: 48 hours after
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Drugs used during an Angiography or Cardiac Cath:
Midazolam or Brevitol, Heparin, NTG (PRN) and Morphine (PRN)
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Optison
Contrast Dye for ECHO
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Definity
Contrast Dye for ECHO
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Medications commonly needed to perform CT angiography:
BB to reduce HR below 65 BPM
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