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EKG Preps
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FOR: |
CHC, Heart Clinic, Cardiac Clinic |
| COMMON REASON FOR EXAM: | Patients are referred from their Primary Care Physician. Once a patient is scheduled for the clinic, they are automatically rescheduled for follow up visits at the Cardiologists discretion. |
| PREPARATION: | Patients
are mailed a letter from the Heart Clinic Coordinator with the
scheduled appointments. Patients
will have an EKG and a PA CHEST X-RAY prior to their clinic visit. |
| EXAM TIME: |
EKG: 15 MINUTES CHEST X-RAY: 15 – 30 MINUTES Clinic
visit 1 hour |
| BRIEF DESCRIPTION OF EXAM | Patients are taken into the exam room and and EKG is performed. Patients are then sent to Medical Imaging to check in to have their PA Chest X-ray. |
| PLEASE NOTE: | Patients are taken into the exam room and and EKG is performed. Patients are then sent to Medical Imaging to check in to have their Pa Chest X-ray. |
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FOR: |
Baseline EKG, EKG, ECG, Electrocardiogram, 12 Lead, Resting EKG, Routine EKG |
| BRIEF DESCRIPTION OF EXAM: |
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| COMMON REASON FOR EXAM: | This
exam is routinely ordered for patients who are experiencing chest
pain or "fluttering in the chest."
This is a routine test for pre-operative patients who are
over 40 years of age. This
may also be a baseline test for routine physicals. |
| PREPARATION: | No
diet restrictions
Patients should be as relaxed as possible. Female patients will need to
unhook bra and remove
nylons (if applicable). Patients must untuck their
shirts if they are tucked in. |
| EXAM TIME: | 15 – 20 MINUTES |
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FOR: |
24 Hour Monitor, Holter Recorder, Ambulatory EKG |
| BRIEF DESCRIPTION OF EXAM: |
The
Holter MonitorThe Holter Monitor is a small recorder ran by 4-AA
batteries and a data card. It
is worn for approximately 24 hour and then returned to the Non
Invasive Cardiology Department at the hospital.
Upon the patients arrival, the technician will apply
rubbing alcohol and an omni prep on 5 different areas of the
patients chest. The tech
will then apply electrodes to these areas.
Wires will then be attached to the electrodes and taped
over to assure that the wires will stay in place. |
| COMMON REASON FOR EXAM: | |
| PREPARATION: |
None, no dietary restrictions. |
| EXAM TIME: |
This
examination is This examination is completed over a two-day
period. 1st day: 45 MINUTES (this is the actual hook-up of the monitor) 2nd
day: The
monitor will be dropped off by the patient, or unhooked |
| PLEASE NOTE: |
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FOR: |
Late Potential |
| PREPARATION: |
No diet restrictions. |
| EXAM TIME: | 30 – 45 minutes |
| BRIEF DESCRIPTION OF EXAM: | Patient's skin is cleaned
with alcohol and omni prep (skin cleaner). Area may be shaved, if
needed, to apply electrodes.
Patient will have to lie very still and relax during this test. |
| COMMON REASON FOR EXAM: | V Tach, passing out. |
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COMMON NAMES: |
Stress Echo, Exercise Echo, Dobutamine Stress Echo |
| PREPARATION: |
No
diet restrictions. No bowel preparation. |
| EXAM TIME: | 1 – 2 hours |
| BRIEF DESCRIPTION OF EXAM: | An
echocardiogram is first done at rest, then immediately after an
exercise (treadmill) test.
Patients who cannot exercise may be given an injection of
Dobutamine to that will produce a stress on the heart similar to
exercise.
The stress echo is done in three parts: first, a resting echocardiogram is performed. Next, the patient will walk on a treadmill. Immediately afterward, another echocardiogram will be performed while the heart is still beating rapidly. It is important that these next echo views be recorded within one to two minutes from the time the patient stops running on the treadmill. |
| COMMON REASON FOR EXAM: | The stress echocardiogram is often ordered for patients who have cardiac symptoms or conditions that suggest underlying coronary artery disease. A stress echocardiogram combines an ultrasound study of the heart with an exercise stress test. This allows doctors to evaluate how the heart functions when it is made to work harder. |
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COMMON REASON FOR EXAM: |
Syncope, Dizziness, Light-headedness |
| PREPARATION: |
Nothing to eat or drink after midnight before the test.
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| EXAM TIME: | 1 – 2 hours |
| BRIEF DESCRIPTION OF EXAM: |
Patient comes in and has an IV started and monitoring electrodes attached.
Then patient is tilted on a table to a 70-degree upright position for 45
minutes. Blood pressure and EKGs are taken every 5 minutes. |
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COMMON NAMES: |
Cardiac Stress Test, Exercise Stress Test, Exercise Tolerance Test, ETT | ||||||
| PREPARATION: |
The patient should wear loose, comfortable clothing and comfortable shoes. The patient may have a light breakfast. The patient must receive instructions from his or her physician regarding their medication intake prior to this exam. |
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| EXAM TIME: | 1 hour | ||||||
| BRIEF DESCRIPTION OF EXAM: | EKG monitoring electrodes on placed on the patient. Patient exercises until heart rate achieved, symptoms appear or EKG changes. | ||||||
| COMMON REASON FOR EXAM: | Chest pain, Syncope, light-headedness, jaw or arm pain | ||||||
| PLEASE NOTE: |
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Glens Falls Hospital |
