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Patient Instructions

Before arriving at North Kansas City Hospital for a cardiac test or procedure, it's important to follow certain guidelines to ensure accurate results. Refer to the information below for specific guidelines for common tests. If you have any questions about these guidelines please contact the Cardiology Department at 816-691-5401.

Stress (Exercise) Echocardiogram

  • No restrictions on caffeine, juice, milk or water
  • You may have a light meal 
  • No nicotine after midnight prior to your appointment
  • Hold beta and calcium blocker medications for 48 hours prior to appointment. Check with your physician if you are unsure which medications are affected.
  • Hold your morning nitrate dose 
  • Wear comfortable clothing and walking shoes
  • Don't wear lotions or powders 
  • Bring your inhaler, if you use one

Stress (Exercise) Nuclear

  • No caffeine for 12 hours prior to your appointment, including drinks labeled caffeine free or decaffeinated. In addition, no tea, chocolate, Excedrin, Anacin, all forms of Cafergot, Darvon and Fiornal.
  • No juice, water or milk for six hours prior to your appointment
  • No food after midnight for a morning test. If your test is in the afternoon, you may have a light breakfast in the morning. 
  • No nicotine after midnight prior to your appointment
  • Hold beta and calcium blocker medications for 48 hours prior to appointment. Check with your physician if you are unsure which medications are affected.
  • Hold dipyridamole medications (Persantine, Aggrenox, Pletal) or Theophylline (all forms) for 24 hours 
  • Hold oral diabetic medications (Glucophage, Glyburide, Avandia) or ½ dose of insulin in the morning. Bring a ½ dose of insulin with you to your appointment.
  • Hold long-acting nitrates for 12 hours. Remove nitro patches two hours prior to appointment. 
  • Wear comfortable clothing and walking shoes 
  • Don't wear lotions or powders 
  • Bring your inhaler, if you use one

Adenosine Nuclear

  • No caffeine for 12 hours prior to your appointment, including drinks labeled caffeine free or decaffeinated. In addition, no tea, chocolate, Excedrin, Anacin, all forms of Cafergot, Darvon and Fiornal.
  • No juice, water or milk for six hours prior to your appointment 
  • No food after midnight for a morning test. If your test is in the afternoon, you may have a light breakfast in the morning. 
  • No nicotine after midnight prior to your appointment
  • Hold dipyridamole medications (Persantine, Aggrenox, Pletal) or Theophylline (all forms) for 24 hours
  • Hold oral diabetic medications (Glucophage, Glyburide, Avandia) or ½ dose of insulin in the morning. Bring a ½ dose of insulin with you to your appointment
  • Hold long-acting nitrates for 12 hours. Remove nitro patches two hours prior. 
  • Wear comfortable clothing and walking shoes
  • Don't wear lotions or powders
  • Bring your inhaler, if you use one

Related Health Library Content

Contact Us

North Kansas City Hospital Cardiology Department
816-691-5401

Patient Information

  • Test and Procedure Instructions