Procedure Instructions

Cardiac Catheterization

Allergies:

Please discuss all of your allergies with your doctor, especially those listed below.

  • IVP Dye/Contrast Agent Allergy, Iodine Allergy
  • Latex/Rubber Products Allergy

Medications:

Discuss your medications with your physician – he or she may want to stop or adjust the doses several days prior to or on the day of the procedure, especially those listed below.

  • Anticoagulant Medication
    • Coumadin: Usually hold for 5 days prior to procedure.
    • Pradaxa:  Usually hold for 5 days prior to procedure.
    • Xarelto: Usually hold  for 3 days prior to procedure.
    • Eliquis: Usually hold  for 5 days prior to procedure.
  • Antiplatelets
    • No need to stop Aspirin, Plavix, Brilinta or Effient
  • Diabetes Medications
    • Metformin: Usually hold 48 hour before and after procedure.
    • Insulin: Usually not administered on the day of procedure.

Blood Work, EKG, Chest X-ray:

Ask your physician if all of the required pre-procedure tests have been completed or are scheduled before your cardiac catheterization procedure.

What to Bring:

  • We recommend bringing a family member with you to wait with you before the procedure.
  • Please bring a robe with you to wear as you wait for the procedure.
  • We recommend that you wear comfortable, easy-to-fold clothing.
  • You may be admitted to the hospital after the procedure, so pack toiletries and any other items you would like to make your stay more comfortable. Your family member can retrieve these items from your car when you need them. Please leave all valuables at home or with a family member.
  • A responsible adult MUST drive you home after the procedure. You will not be discharged unless there is someone available to drive you home.

 


 

Exercise Stress Test (Plain / Nuclear / Echocardiogram)

Can I eat or drink on the day of the test?

  • Yes. However, DO NOT eat or drink anything except water for four hours before the test.
  • Avoid all products that contain caffeine for 24 hours before the test. In general, caffeine is found in coffee, tea, colas and other soft drinks, most chocolate products, as well as strawberries (these contain a small amount of caffeine), as caffeine will interfere with the results of the test. Also avoid decaffeinated or caffeine-free products for 24 hours before the test, as these product contain trace amounts of caffeine.
  • DO NOT SMOKE ON THE DAY OF THE TEST, as nicotine will interfere with the results of your test.

Should I take my medications the day of the test?

Since many over-the-counter medications contain caffeine (such as diet pills, NoDoz®, Excedrin® and Anacin®), DO NOT take any over-the-counter medication that contains caffeine for 24 hours before the test. Ask your physician, pharmacist or nurse if you have questions about other medications that may contain caffeine.

DO NOT take the following heart medications on the day of your test unless your physician tells you otherwise or if it is needed to treat chest discomfort the day of the test:

The exercise stress echo test involves exercising on a treadmill or stationary cycle while you are closely monitored.

  • Beta blockers (e.g., atenolol (Tenormin), carvedilol (Coreg), metoprolol (Lopressor, Toprol), Propranolol (Inderal))
  • Isosorbide dinitrate (e.g., Dilatrate®, Isordil®, Sorbitrate®)
  • Isosorbide mononitrate (e.g., Ismo®, Imdur®, Monoket®)
  • Nitroglycerin (e.g., Minitran®, Nitropatches®, Nitrostat®)
  • Your physician may also ask you to stop taking other heart medications on the day of your test. If you have any questions about your medications, ask your physician.
  • If you use an inhaler for your breathing, please bring it to the test.

NOTE: Do not discontinue any medication without first talking with your physician.

Guidelines for People with Diabetes

If you take insulin to control your blood sugar, ask your physician what amount of your medication you should take the day of the test. Often, your physician will tell you to take only half of your usual morning dose and to eat a light meal four hours before the test.

If you take pills to control your blood sugar, do not take your medication until after the test is complete.

Do not take your diabetes medication and skip a meal before the test.

If you own a glucose monitor, bring it with you to check your blood sugar levels before and after your test. If you think your blood sugar is low, tell the lab personnel immediately. Plan to eat and take your diabetes medication following your test.

What should I wear on the day of the test?

Please wear or bring comfortable clothes and shoes suitable for walking. Please do not bring valuables. You will be given a locker to store your belongings during the test.