February is National Heart Month - Nuclear Cardiac Stress Testing popular at Veterans Memorial Hospital


Pictured is Albert Matt of Clermont during one of his cardiac rehabilitation sessions on the NuStep machine in the Cardiac Rehabilitation unit at Veterans Memorial Hospital with Amy Rolfs, RN. Local nuclear cardiac stress testing and cardiac rehabilitation allows Veterans Memorial Hospital to provide cardiac care with state-of-the-art technology right here at home. Submitted photo.

Veterans Memorial Hospital in Waukon began nuclear cardiac stress testing within its Cardiac Rehab unit in 2008. The convenience of having these nuclear tests offered on a local level has been well received by many in the community since it began.

Nuclear Cardiac Stress Testing offers two different methods, both highly effective in detecting heart disease. These two new forms of nuclear stress testing are called the Exercise Nuclear Stress Test and Lexiscan Nuclear Imaging. Both methods can increase the likelihood of finding heart disease by 20% when compared to traditional treadmill stress tests.

While the traditional treadmill stress testing is still very effective, the new nuclear cardiac testing has many advantages. This test involves taking two sets of images of the heart - one at rest and one after the heart is stressed either by exercise or medication. These images can show areas of low blood flow through the heart and damaged heart muscle. This information can be used to assess coronary artery disease and the size and shape of one’s heart, along with a guide treatment of heart disorders. The additional information obtained from a nuclear stress test is beneficial for patients with known coronary artery disease and those with vague or non-classic cardiac symptoms.

The process of having either the Exercise Nuclear Stress Test or the Lexiscan Nuclear Imaging stress test takes approximately four hours total. The patient receiving the Exercise Nuclear Stress Test does still need to exercise on the treadmill while being monitored by the physician. The Lexiscan, or chemical stress test, is a method that can be used on those unable to exercise due to arthritis of the knees, hips, or due to poor exercise tolerance. These tests do have their limitations and some patients with severe COPD or Asthma should not undergo the chemical stress testing. The traditional treadmill stress tests take about one and a half hours to perform.

It will be up to the provider to determine which test is right for the patient. Prior to this service being added to Veterans Memorial Hospital, many patients would have to go to a larger facility and have a cardiologist perform these tests.

These new nuclear stress testing methods, as well as the traditional treadmill stress tests, are offered at Veterans Memorial Hospital on an outpatient basis. Any local medical provider can write an order for these tests to be scheduled at the hospital. Nuclear stress testing is available Thursdays by Dr. Steven Perkins and Dr. Dave Schwartz. Traditional treadmill stress tests are available any day of the week.

For more information, call the Cardiac Rehabilitation Unit at Veterans Memorial Hospital in Waukon at 563-568-3411.