Order Forms
Call the LHI Appointment Desk at x8041 to schedule
Cardiac Test Scheduling
Test Description Reasons Scheduled Scheduling Length of Test Results Available Contact Order Form
Treadmill* As patient walks on Treadmill, it increases in speed and gradient
  • Normal EKG
  • Routine phys
  • Atypical CP
  • Dyspnea (DOE)
  • Pt must be able to walk
Wed-Fri

Specific doctor request may take longer to schedule

30-45 min At conclusion of test
Tanya Kemple 8049
2D Echo Provides ultrasound images of heart
  • Valvular Disease
  • Murmurs
  • Dyspnea
  • LV Function
Mon-Fri 30-45 min 24-48 Hours
Barb Brmaer 8519
Stress Echocardiogram Combines 2D Echo and treadmill
  • Abnormal EKG
  • Arrythmia such as: Afib, BBB
  • Use of Lanoxin
  • Pt must be able to walk
Mon-Fri

Specific doctor request may take longer to schedule

1 Hour At conclusion of test Tanya Kemple 8049
Nuclear Stress Test Cardiolite or Persantine* Cardiolite: Combines treadmill w/ nuclear isotope

Persantine: Non-exercise. Use of nuclear isotope & persantine infusion

Cardiolite:
Abn Ekg, Chest pain, Dyspnea, Pre-op clearance

Persantine**: same with severe difficulty walking

Mondays Apporx 4 Hours 1 Week Tanya Kemple 8049
Dobutamine Stress Echo Non-exercise form of stress test. Involves 2D Echo, IV insertion, Dobutamine infusion Same as Stress Echo with severe difficulty walking or respiratory distress Call for 1st available, will make every effort to accommodate on basis of necessity 60-90 min At conclusion of test Tanya Kemple 8049
Carotid Ultrasound Provides ultrasound images of the Carotid Arteries
  • Abn bruit
  • Carotid Bruit
  • Carotid stenosis
  • HTN
  • Dizziness
  • Syncope
  • TIA
Wed - a.m.
Fri- a.m.
45-60 min 24-48 Hours Barb Brmaer 8519
Segmental Arterial Pressures (SAP) & ABIs Provides Doppler wave forms of the upper and lower extremities
  • Claudication
  • PVD
  • Ulcer
  • Gangrene
  • Aneurysm
  • Arterial
  • Embolism
Mon - a.m.
Thurs - p.m.
45-60 min 24-48 Hours Barb Brmaer 8519
Holter Monitors 24 hours continuous monitoring for cardiac arrhythmias
  • Palpitations
  • Syncope
  • Chest Pain
Mon-Fri 24 Hours 3 to 5 days

life threatening arrhythmias reported immediately

Tanya Kemple 8049
EECP Enhanced External Counterpulsation Inflation & deflation of compressive cuffs on the calves, thighs & lower abdomen Chronic stable angina

Needs to have regular heart rhythm

Mon-Fri 1 hr treatment

35 total treatments

N/A
Sue Lough 8055 or
Lori Perkins 8809
Tilt Table Head Upright Pt secured and tilted upright to 70 degrees Syncope Fridays 1 Hour At conclusion of test Tanya Kemple 8049
King of Hearts 2 week arrhythmia event monitor Infrequent Symptoms same as Holter Call for appt.

may be a waiting list
2 Weeks 3 to 5 days after monitor is returned
Patty Lawler 8440

* Wt limit 350 lbs for all treadmill procedures or Persantines
**Contraindicated for patients with severe COPD

Patient Referral Form

Cardiovascular & Thoracic Surgery Patient Referral Form