Nuclear stress test

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Risks

By Mayo Clinic staff

A nuclear stress test is generally safe, and complications are rare. But, as with any medical procedure, it does carry a risk of complications.

Potential complications include:

  • Allergic reaction. It's possible you could be allergic to the radioactive dye that's injected into a vein in your hand or arm during a nuclear stress test.
  • Low blood pressure. Blood pressure may drop during or immediately after exercise and cause dizziness. It usually goes away when you stop exercising.
  • Abnormal heart rhythms (arrhythmias). Arrhythmias brought on by an exercise stress test usually go away shortly after you stop exercising. Life-threatening arrhythmias are rare and usually occur in individuals with severe heart disease.
  • Heart attack (myocardial infarction). Although very rare, it's possible that a nuclear stress test could cause a heart attack.
  • Flushing sensation or chest pain. These symptoms can occur when you are given a medication to stress your heart if you're unable to exercise adequately. These symptoms are usually brief, but tell your doctor if you experience them.
References
  1. Toth PP, et al. Cardiovascular disease. In: Rakel RE. Textbook of Family Medicine. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/books/page.do?eid=4-u1.0-B978-1-4377-1160-8..10047-8--s0095&isbn=978-1-4377-1160-8&sid=1213849808&uniqId=285136248-6#4-u1.0-B978-1-4377-1160-8..10047-8--s0095. Accessed Nov. 1, 2011.
  2. Weiner DA. Advantages and limitations of different stress testing modalities. http://www.uptodate.com/home/index.html. Accessed Nov. 1, 2011.
  3. Stress testing. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/stress/stress_whatis.html. Accessed Nov. 1, 2011.
  4. Nuclear heart scan. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/nscan/nscan_all.html. Accessed Nov. 1, 2011.
  5. Yanowitz FG. Performance of exercise ECG testing. http://www.uptodate.com/home/index.html. Accessed Nov. 1, 2011.
  6. Papaioannou GI, et al. Exercise radionuclide myocardial perfusion imaging in the diagnosis and prognosis of coronary heart disease. http://www.uptodate.com/home/index.html. Accessed Nov. 1, 2011.
  7. Grogan M (expert opinion). Mayo Clinic, Rochester, Minn. Nov. 8, 2011.
MY00994 Dec. 8, 2011

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