I hate to continue to ask about these things but you all always break it down for me in terms I can understand. Also, my county paid doc can only spend fifteen minutes with me so I make her a list of things that hurt or what hurts or feels weird now lol. i hand her ths list and we try to address each of them but time runs out and i have to make another appt for the rest.I told my doc about these pains ive been getting in my chest and back. she listened to both sides and told me she is going to make me an appointment for the procedure stress echo thing. i was out the exam room door before i could ask her anything more than if it would hurt and she said "it shouldnt?" i remember my father began having pain in these same areas and he was a doctor phobe so he used up all the hocus pocus crap with the wearing of copper and the other crap. by the time i dragged his behind to the doc he had full blown squamos carcinoma. it had formed lumps attaching itself to his lungs. they removed about 60 precent of his lungs and i watched in horror and tears as he was in the recovery room flopping and floundering around like a giant fish for hours after. i held his hand to assure him i was there and tried to calm him down. he just couldnt breath well with his newly reduced lungs. a few hours later he was in a room with tubes for draining the fluids from his body. anyway i digress. i dont wanna put my wife through that so i go doctor crazy. is there any scary parts of this test? i despise needles and i cant walk more than a few yards without feeling completely spent. my knee is a waste at them moment its tricky and can fold out from under me without notice. thanks in advance and god bless you all... john
This is an easy test for you. You will have an IV and first will be given a radioactive isotope in your IV. You won't feel a thing from that. It is for the Echo part of the stress test where they put you on a table and a round disk rotates around your upper torso to scan your heart function. Before they put you on that table for the scan, they will put you in a nice, comfy recliner and inject dobutamine. This is a chemical stress test since you cannot walk on the treatmill. For a couple of minutes, you will feel like you are running a marathon. Your heart rate speeds up, you get flushed, your bp increases, the same as it would if you are running. You are connected to an EKG so your heart can be monitored, plus a nurse will be monitoring your blood pressure. Just take slow, deep breaths and don't panic. Everything is being watched very closely and you will be fine. After a minute or so, you will feel everything slowing back down to normal. You'll be given a glass of water (yes, plain water) to drink and you will be put on the table for echo. When that is done (maybe 30 minutes) you're finished unless they decide they need more shots with the scan. They'll do those, and you go home, feeling no different than you did when you walked in. No big deal, my friend. Maybe 2 minutes of discomfort, and they will know everything they need to know about your heart. I have these done every couple of years.
Btw, isn't your colonoscopy coming up soon? You didn't cancel, did you? Git r done!!! hehe!
Everyone wants to help everyone, don't you think? Your not bugging anyone.
Here's some info on the Stress echo w/ cvl stress echo dobutamine? It's long, but I'm sure it will help understand what you'll be going through. It really helped me understand. Thx for asking the question. So, here goes:
Stress echo w/ cvl stress echo dobutamine?What is a dobutamine stress echocardiogram?
A dobutamine stress echocardiogram is a diagnostic procedure that may be used when a doctor wants to assess the heart muscle under stress. If exercise on a treadmill is not an option (too much stress on the heart) due to a person’s medical condition, a doctor may use an intravenous medication called dobutamine. Dobutamine causes the heart to beat faster and will mimic the effects of exercise on the heart.
An echocardiogram is a noninvasive (the skin is not pierced) procedure used to assess the heart's function and structures. During the procedure, a transducer (like a microphone) sends out ultrasonic sound waves at a frequency too high to be heard. When the transducer is placed on the chest at certain locations and angles, the ultrasonic sound waves move through the skin and other body tissues to the heart tissues, where the waves bounce or "echo" off of the heart structures. The transducer picks up the reflected waves and sends them to a computer. The computer displays the echoes as images of the heart walls and valves.
A dobutamine stress echocardiogram may utilize one or more of four special types of echocardiography, as listed below:
M-mode echocardiography. This, the simplest type of echocardiography, produces an image that is similar to a tracing rather than an actual picture of heart structures. M-mode echo is useful for measuring heart structures, such as the heart's pumping chambers, the size of the heart itself, and the thickness of the heart walls.
Doppler echocardiography. This Doppler technique is used to measure and assess the flow of blood through the heart's chambers and valves. The amount of blood pumped out with each beat is an indication of the heart's functioning. Also, Doppler can detect abnormal blood flow within the heart, which can indicate a problem with one or more of the heart's four valves or with the heart's walls.
Color Doppler. Color Doppler is an enhanced form of Doppler echocardiography. With color Doppler, different colors are used to designate the direction of blood flow. This simplifies the interpretation of the Doppler technique.
2-D (two-dimensional) echocardiography. This technique is used to visualize the actual structures and motion of the heart structures. A 2-D echo view appears cone-shaped on the monitor, and the real-time motion of the heart's structures can be observed. This enables the doctor to see the various heart structures at work and evaluate them.
Other related procedures that may be used to assess the heart include resting or exercise electrocardiogram (ECG or EKG), Holter monitor, signal-averaged ECG, cardiac catheterization, chest X-ray, computed tomography (CT scan) of the chest, electrophysiological studies, magnetic resonance imaging (MRI) of the heart, myocardial perfusion scans, radionuclide angiography, and cardiac CT scan. Please see these procedures for additional information.
Reasons for the procedure
Possible indications for a dobutamine stress echocardiogram may include, but are not limited to, the following:
To assess the heart's function and structures
To assess stress or exercise tolerance in patients with known or suspected coronary artery disease
To further assess the degree of known cardiac valve disease
To determine limits for safe exercise in patients who are entering a cardiac rehabilitation program and/or those who are recovering from a cardiac event, such as a heart attack (myocardial infarction, or MI) or heart surgery
To evaluate the cardiac status of a patient about to undergo surgery
There may be other reasons for your doctor to recommend a dobutamine stress echocardiogram.
Risks of the procedure
Possible risks associated with a dobutamine stress echocardiogram include, but are not limited to, the following:
Severely high blood pressure
Nausea and extreme fatigue
Heart attack (rare)
Patients who are allergic to or sensitive to medications or latex should notify their doctor.
If you are pregnant or suspect that you may be pregnant, you should notify your health care provider due to risk of injury to the fetus from a dobutamine stress echo. If you are lactating, or breastfeeding, you should notify your health care provider.
There may be other risks depending on your specific medical condition. Be sure to discuss any concerns with your doctor prior to the procedure.
Certain factors or conditions may interfere with a dobutamine stress echocardiogram. These factors include, but are not limited to, the following:
Smoking or ingesting caffeine within three hours of the procedure
Beta-blocking medications may make it difficult to increase the heart rate to an appropriate level.
Before the procedure:
Your doctor will explain the procedure to you and offer you the opportunity to ask any questions that you might have about the procedure.
You will be asked to sign a consent form that gives your permission to do the test. Read the form carefully and ask questions if something is not clear.
Notify the doctor if you are allergic to or sensitive to medications or latex.
Fasting may be required before the procedure. Your doctor will give you instructions as to how long you should withhold food and/or liquids. In some cases, cigarettes and caffeinated beverages, such as coffee, tea, and cola may be restricted several hours before testing.
You may be instructed to hold certain medications before the procedure, such as beta blockers. Your doctor will give you specific instructions
If you are pregnant or suspect that you may be pregnant, you should notify your doctor. (Are you pregnant, John?)
Notify your doctor of all medications (prescription and over-the-counter) and herbal supplements that you are taking.
Notify your doctor if you have a pacemaker.
Based on your medical condition, your doctor may request other specific preparation.
During the procedure
A dobutamine stress echocardiogram may be performed on an outpatient basis or as part of your stay in a hospital. Procedures may vary depending on your condition and your doctor's practices.
Generally, a dobutamine stress echocardiogram follows this process:
You will be asked to remove any jewelry or other objects that may interfere with the procedure. You may wear your glasses, dentures, or hearing aids if you use any of these.
You will be asked to remove clothing from the waist up and will be given a gown to wear.
You will be asked to empty your bladder prior to the procedure.
An intravenous (IV) line will be started in your hand or arm prior to the procedure for injection of medication and to administer IV fluids, if needed.
You will lie on your left side on a table or bed, but may be asked to change position during the procedure.
You will be connected to an ECG monitor that records the electrical activity of the heart and monitors the heart during the procedure using small, adhesive electrodes. Your vital signs (heart rate, blood pressure, breathing rate, and oxygenation level) will be monitored during the procedure. The ECG tracing that will record the electrical activity of the heart will be compared to the images displayed on the echocardiogram monitor.
The room will be darkened so that the images on the echo monitor can be viewed by the technologist.
The technologist will place warmed gel on your chest and then place the transducer probe on the gel. You will feel a slight pressure as the technologist positions the transducer to get the desired image of your heart.
The dobutamine infusion will begin at a rate determined by your weight. The rate of the infusion will be increased every few minutes until you have reached your target heart rate (determined by the physician based on your age and physical condition), or until the maximum dose of dobutamine has been reached.
After the dobutamine is started and after each increase in the dobutamine rate, your blood pressure will be checked, an ECG tracing will be performed, and echocardiogram images will be obtained.
The technologist will move the transducer probe around on your chest so that all areas and structures of your heart can be observed. The different echocardiogram techniques described above (M-mode, 2-D, Doppler, and color Doppler) may be used. You will not be aware of the different techniques except that during the Doppler or color Doppler, you may hear a "whoosh-whoosh" sound, which is the sound of the blood moving through the heart.
Once you have reached your target heart rate or the maximum amount of the dobutamine, the medication will be stopped. Your heart rate, blood pressure, ECG, and echo will continue to be monitored for 10 to 15 minutes until they have returned to the baseline state. (Wow! That's a little more info than I thought. Bored?)
You should notify the technologist if you feel any chest pain, breathing difficulties, sweating, or heart palpitations.
Once all the images have been taken, the technologist will wipe the gel from your chest, remove the ECG electrode pads, and remove the IV line. You may then put on your clothes.
After the procedure
You may resume your usual diet and activities unless your doctor advises you differently.
Generally, there is no special type of care following a dobutamine stress echocardiogram. However, your doctor may give you additional or alternate instructions after the procedure, depending on your particular situation.
The content provided here is for informational purposes only, and was not designed to diagnose or treat a health problem or disease, or replace the professional medical advice you receive from your doctor. Please consult your health care provider with any questions or concerns you may have regarding your condition.
This page contains links to other websites with information about this procedure and related health conditions. We hope you find these sites helpful, but please remember we do not control or endorse the information presented on these websites, nor do these sites endorse the information contained here.
American College of Cardiology
American Heart Association
National Heart, Lung, and Blood Institute (NHLBI)
National Institutes of Health (NIH)
National Library of Medicine
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Heart and Vascular Institute
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Man oh man! I told you it was long, but I didn't expect to fall asleep. Are you still awake?
Sorry I haven't been around, John. I have had this test. They really get the heart going. By now you have had it? How did it go for you?
Ya gotta cut out the extra weight. You can drop twenty pounds just by not drinking one 12ounce soda, diet or sugared, per day. When I was well I could have two or more and I gained no weight. When I became ill I stopped. So if you drink that or juice, you can drop weight with that change alone. Same idea with something else you choose instead. Going on a full blown diet doesn't work. Getting rid of one thing at a time and you will be losing quickly. Drop another item once you are ready and see some progress. Then have that item later when not so important to you as a treat one day only every couple of weeks or so. It is amazing how no longer drinking soda is no longer missed. It now tastes unbearably sweet. Interesting, Huh?
- Dobutamine Information for Consumers
- Dobutamine Information for Healthcare Professionals (includes dosage details)
- Side Effects of Dobutamine (detailed)
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