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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Reports Available: 1 Day