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MIBI SCAN

An exercise MIBI scan will show if coronary artery disease is present.  Coronary artery disease is a narrowing of the blood vessels that supply oxygen to the heart muscle.  If  the heart muscle does not receive adequate oxygen, chest pain or angina can result.  During the test, MIBI is used to take pictures of the heart.  The substance is injected into your bloodstream and travels to the heart muscle through the coronary arteries.

Preparation:

  • Do not eat or drink anything containing caffeine for 24 hours before the test.  This includes coffee, tea, colas and chocolate.
  • Do not smoke for two hours before this test.
  • Do not eat anything for at least two hours before this test.
  • You may drink water at any time.
  • Follow your doctor's instructions regarding medication.  You may be asked to decrease or stop certain medicines for this test.  You should resume your regular medicines after completion of the test.  Please bring a complete listing of all medicines with you.
  • If you are diabetic and take insulin, please consult the doctor who manages your insulin for advice regarding dosage before and after this test.  Please bring your insulin and syringes to the hospital so you can take the dose recommended by your doctor.
  • Please wear comfortable clothes that break at the waist ( a shirt or a blouse) and flat walking shoes or sneakers.  Sneaker are strongly recommended.  Electrodes will be placed on your chest so that your heart can be monitored during exercise.  Women must remove their bras for the procedure.  If you wear an unusually large or small size of clothing, please bring your own T-shirt and pants.  You will be working hard during this test.  Comfortable clothing is recommended.

Procedure:  There are three parts to the MIBI Scan.

  1. An intravenous (IV) line will be inserted in your arm.  This is similar to a pinprick when having blood drawn.  The MIBI is then injected through the IV.  You will not feel anything from this injection.  You will wait approximately 30 minutes until the MIBI circulates in your body.  For approximately 15 minutes, while you are lying down, we will take pictures of your heart with a special camera.
  2. You will be asked to exercise by walking on a treadmill.  Your heart will be monitored with an EKG.  Your blood pressure will be taken many times during this part of the test.
  3. Pictures will be taken again, this time with the MIBI circulating in the blood.  You will be asked to lie down as before.  The camera will take pictures for approximately 15 minutes.

The test takes approximately 3 1/2 to 4 hours.

Your physician will explain the results to you.

Nuclear medicine procedures are very safe.  Your body is able to quickly eliminate the radioactive materials used.  The radiation dose from this test is approximately the same dose that you receive from most routine X-rays.



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