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Instructions and Forms

Take control of your treatment with our cardiac patient forms in Naples, FL. Naples Heart Rhythm Specialists, P.A. is focused on educating patients about the cardiac imaging process.

The Following Studies Require No Preparation:
Regular Exercise Stress Test (Non-nuclear)
Echocardiogram
MUGA Scan
Carotid Doppler

PET Scan and Nuclear Stress Test Instructions:

Please avoid all caffeinated and decaffeinated products for 24 HOURS PRIOR to your stress test including but not limited to:

Coffee (Decaffeinated, Brewed, Instant, Iced, Lattes, Mochas)

Tea (Decaffeinated, Brewed, Instant, Iced, Green)

Soda Pop (All Types including Decaffeinated and Caffeine Free)

Chocolate (Candies, Cakes, Cookies, Pudding, Brownies, Milks, Ice Creams, Yogurt, Yoo-Hoo)

Energy Drinks (Red Bull, Monster, Rockstar, V8 Energy)

Energy Bars

Food or Drinks Containing Guarana

Do Not Eat or Drink Anything Six Hours Before Your Test

It is ok to take your necessary morning medications with a sip of water.

Certain medications should not be taken for 24 hours before your test, including but not limited to:

Beta Blockers (metoprolol, Lopressor, Toprol XL, atenolol, Tenormin, carvedilol, Coreg, nebivolol, Bystolic, propranolol, Inderal LA, InnoPran XL, bisoprolol, Zebeta, nadolol, Corgard)

Medications containing caffeine (Cafergot, ergotamine tartrate & caffeine, butalbital & acetaminophen & caffeine, Fioricet, Fiorinal, orpenadrine and aspirin and caffeine, Norgesic, Norgesic Forte)

Over the Counter Medications containing caffeine (Anacin, aspirin and caffeine, Excedrin, acetaminophen and aspirin and caffeine, Vivarin, NoDoz, Jet Alert)

Please notify our office if you are taking Elixophylline, Theo-24, theophylline, Aggrenox, Persantine, or dipyridamole as these medications may need to be held longer than 24 hours.

If you use an inhaler or nitroglycerin, please bring it with you.

Please wear loose and comfortable clothing. Ladies, please avoid wearing dresses. If you are having an exercise stress test, you will need sneakers/tennis shoes.

Bring a snack with you such as a piece of fruit, crackers, sandwich, and or granola bar.

If you have any questions or concerns, please feel free to call our office, and a practitioner will be happy to answer them.

Please Click Here for a printable list of instructions.

Patient Education

Click Here for an article "Living with Atrial Fibrillation."

Click Here for an article "Fainting."

Click Here for an article "Cardiac Pacemakers from the Patient's Perspective."

Click Here for an article "Cardiac Resynchronization Therapy A Patient's Guide."

Click Here for an article "How to Respond to an ICD Shock."

Click Here for an article "Coping with my Partner's ICD."

Click Here for an article "Coumadin and your Diet."

Click Here for an article "Warfarin."

Patient Forms

Print New Patient Forms to Complete before Your Appointment Here

View Frequently Asked Questions about Our Invasive Procedures Here

 

Contact us today to start filling out the cardiac patient forms that are needed for your appointment. We proudly serve patients from Naples, Florida, and surrounding communities.