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Dobutamine Stress Echo (DSE)/Pharmacological -Delhi

Dobutamine Stress Echo (DSE)/Pharmacological -Delhi

Prerequisites for Stress echo, Dobutamine stress echo and TMT
1.Pt Should not be on beta blockers for 24 hrs to 48 hrs. Unless specified by referring doctor to do the test on medication
2.Hb to be > 10 gm% (done within 3 days).
3.Sodium / potassium to be with in normal range (done with in 3 days). 
If creatinine is > 2.5 mgm/sec then serum electrolytes report should be of same day.
4.BP should be < 140/90.
5.pO2 should be > 95%.
6.Pt should not be having chest pain at rest.
7.Pt should not have had heart attack (MI) within 4 weeks.
8.ECG should not show serious arrythmias (heart rhythm should not be grossly disturbed).
9.Referring doctors prescription is necessary.
10.Bring old records like ECG, previous ECHO, angiography report.
11.4 Hrs Fasting before test.
12.In Male patients shave / Trim the chest hair if long.
13.Bring your walking shoes for comfortable tread mill.
14.It is advisable to bring an attendant with you for the test.
15.List of common beta blockers to be stopped with duration _______
GENERIC NAME            
Brand name
Stop for a period of and take alternative medicine If needed.
ATENOLOL
acar
if 25 mg dose then stop for 24 hrs or if more than 25 mg then stop for 36 to 48 hrs
 
abiten
 
 
asoprol
 
 
AT beta
 
 
AT beta
 
 
atcardil
 
 
atecard
 
 
ateloc
 
 
atelol
 
 
aten
 
 
atpure
 
 
esmololAT
 
 
Numlo AT
 
 
Presolol
 
 
Stemlo Beta
 
 
TENOLOL
 
 
Tenormin
 
METOPROLOL
 
 
 
betaloc
if 25 mg dose then stop for 24 hrs or if more than 25 mg then stop for 36 to 48 hrs
 
betaone
 
 
cardibeta
 
 
embeta
 
 
lopresor
 
 
metapro xl
if 25 mg dose then stop for 24 hrs or if more than 25 mg then stop for 36 to 48 hrs
 
meto
 
 
metocard
 
 
metolar
 
 
metpure
 
 
met-xl
 
 
metzok
 
 
prolomet
 
 
revelol
 
 
seloken
 
 
selopress
 
 
starpress xl
 
CARVIDILOL
 
 
 
carca
48 hrs
 
cardivas
 
 
carelol
 
 
carloc
 
 
cartab
 
 
carvas
 
 
carvedil
 
 
carvedilol
 
NEBIVOLOL
 
 
 
nebicard
48 hrs
 
nebilong
 
 
nebipril
 
 
nebistar
 
 
nebiten
 
 
nebivas
 
 
nebivolol
 
PROPRENOLOL
 
 
 
Beta cap
24 hrs
 
inderal
 
 
Ciplar
 
 
 
 
 
 

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