Preparation

Service from the heart, for the heart

Preparation Details

(Preparation 1hr, Procedure 30 min – Allow approx 2-3 hrs)
The patient must have nothing to eat or drink for at least six hours before procedure. Anticoagulants (warfarin, dabigatran) are almost always stopped a number of days before the procedure, in consultation with the treating cardiologist.

However, anti-platelet drugs such as aspirin, clopidogrel or prasugrel are usually continued for the procedure, as stenting is usually not done if are not currently taking anti-platelet drugs. If taking diabetic medication, your patient will need to bring their tablets and insulin with them. However your patient will need to withhold all medication on the morning of their procedure. In the case of metformin (Diabex or Diaformin), this is stopped 24 hours before and 48 hours after procedure.

 

In-hospital Services:

•  Coronary Angiography & Angioplasty
•  Coronary Artery Bypass Surgery
•  Heart Valve Repairs & Replacement
•  Transoesophageal Echocardiography
•  Right heart study
•  Pacemakers

 

Our specialists have affiliations with the following hospitals:


Public Hospitals:

Private Hospitals:

Preparation Details

(Approximately 30 minutes duration)

Why do I need this test?
The stress echocardiogram is used to detect any heart disease that may otherwise not be apparent without exercise. Your doctor may recommend this test for the following reasons:

  • Chest pain, shortness of breath, dizziness or light-headedness
  • Suspect coronary artery disease (CAD), where narrowed or blocked blood vessels can lead to poor oxygenation and blood flow to the heart

What can I expect during the test?

  1. The test takes roughly 30 minutes
  2. An ECG and ultrasound is performed prior to exercise
  3. You will exercise on the treadmill, where your ECG, heart rate and blood pressure is constantly monitored
  4. Once you have reached the target heart rate, you will be quickly moved to the echocardiogram bed
  5. An ultrasound is performed, and the pre- and post-exercise images are compared for any abnormalities

What are the risks of the test?
•   The test will be stopped if you have chest pain, become very tired or very short of breath.
•   Rare risks of the test (less than 1%) include an abnormal heartbeat, build-up of fluid in the lungs, chest pain or heart attack. Death as a result of this test is extremely rare.

How do I prepare for the test?
It is very important that you adhere to the following preparation:

  • No heavy meals 2 hours before the test
  • No caffeine such as tea, coffee or chocolate on the day (water is fine)
  • Wear comfortable shoes and two-piece clothing for walking on the treadmill
  • Certain medications for your heart and blood pressure need to be stopped

STOP THESE MEDICATIONS 48 HOURS BEFORE THE TEST

Beta-blockers: These drugs lower blood pressure, regulate heart rate and improve heart function

Generic name
Atenolol, Bisoprolol, Carvedilol, Flecinide, Ivabradine, Labetolol, Metoprolol, Nebivolol, Oxprenolol, Pindolol, Propanolol & Sotalol

Brand name
Anselol, Atehexal, Felodipine, Noten, Tenormin, Bicor, Dilatrend, Kredex, Tambacor, Coralan, Presolol, Trandate, Betaloc, Lopresor, Metohexal, Metolol, Metrol, Minax, Toprol-XL, Nebilate, Corbeton, Barbloc, Visken, Deralin, Inderal, Cardol, Solavert, Sotab, Sotacor & Sotahexal

Calcium Channel Blockers: These drugs lower blood pressure and prevent chest pain

Generic name
Diltiazem, Verapamil

Brand name
Auscard, Cardizem, Coras, Diltahexal, Dilzem, Vascocardol, Anpec, Cordilox, Isoptin, Vercaps, Verhexal

Disclaimer: Please stop the above medications UNLESS your referring doctor has told you otherwise. If you are unsure, you may ask your referring doctor and then let us know.

Preparation Details

(Approximately 1 hr duration)

  • Patients are required not to eat 1hr prior to the test, however patients can drink water.
  • Beta blockers and calcium channel blockers are to be stopped 48hrs prior to the test.
  • The dobutamine stress echocardiogram test takes approximately 1 hour, including preparation and recovery time.

What is Dobutamine Stress Echocardiography ?

A dobutamine (stress) echo combines a normal echo with a drug (dobutamine) which has similar effects to exercise on the heart and circulation. This is an alternative way of stressing the heart for people who are unable to exercise on a treadmill. Dobutamine is an adrenaline-like medicine that makes your heart pump harder and faster like exercise does. We use dobutamine instead of treadmill exercise in people with poor health, joint problems, poor circulation in their legs, lung problems or the elderly. The test is performed while you lay on a couch on your left side. ECG electrodes are attached to your chest to monitor the electrical activity of your heart during the test. A blood pressure cuff is applied to your arm to monitor your blood pressure and automatically inflates every few minutes throughout the study. An intravenous (IV) will be placed in your arm and dobutamine will be given to you through this IV. Initially you will feel nothing at the start, but it is normal for you to feel your heart beat harder and faster with higher doses of the drug. Sometimes the dobutamine may cause some chest discomfort, nausea or shortness of breath. Throughout the study, your heart will be continuously imaged with ultrasound. It is important that you tell us if you feel anything uncomfortable or unusual during the test.

To prepare for this test, you must not eat or drink for one hour prior to the test. Medicines which are Beta blockers & Calcium channel blockers need to be stopped 48 hours prior to the test. The dobutamine stress echo test takes approximately 1 hour, including preparation and recovery time.

What happens afterwards?

When the test is over, the dobutamine is stopped and your heart beat soon returns to normal. The IV is then removed from your arm and you will be able to go home. You may feel a little tired after the test, but you should soon feel normal again. If you have any problems after the test or if you have any questions, please call your doctor. The results will be discussed with you after the test. Any ongoing treatment will also be discussed and the need for any further follow up. Your referring doctor and local GP will also get the results.

Are there any risk?

There are no known risks from the clinical use of ultrasound for scanning. The dobutamine (stress) test is very safe and widely used in patients with chest pain or patients with symptoms that limit their ability to exercise. A small number of patients may experience flushing of the face and / or minor palpitations, both of which go away very quickly once the test is stopped. You may also notice symptoms that you would otherwise have developed during normal exercise, such as chest pain, breathlessness, or dizzy spells, which usually go away once the test is stopped.

Dobutamine (stress) echo is widely used in patients with suspected or existing coronary artery disease. There is a very small risk of serious side effects such as heart attack or stroke in these patients. Fortunately, serious side effects are very rare.

Please notify the doctor immediately if you are:

  • Pregnant or think that you may be pregnant (there is a risk of injury to the foetus from dobutamine)
  • Lactating or breastfeeding allergic or sensitive to medications or latex. Like any medical procedure, coronary angioplasty occasionally causes complications. However, in skilled hands these are rare. The doctor performing the investigation will discuss this with you before the test.

AVAILABLE AT THE FOLLOWING LOCATIONS


THOMASTOWN
WHEELERS HILL

Preparation Details

(Approximately 30 – 60 minutes duration)

Why do I need this test?
The echocardiogram uses sound waves to produce images of your heart. This will provide information about its size, shape, capacity, and if there are abnormalities. Your doctor may recommend this test for the following reasons:

  • If you experience chest pain, shortness of breath, palpitations or dizziness.
  • You have a family history or are at risk of heart conditions.

What can I expect during the test?

  1. The test takes 30 minutes to 1 hour
  2. You will need to remove your clothes above your waist, put on a gown and lie on the bed
  3. Your skin will be cleaned with some rough paper and alcohol wipes
  4. Electrodes are placed on your chest to monitor your heart
  5. Gel is applied, and a probe is moved around your chest to take a number of images of your heart
  6. You may be asked to hold your breathe or lie on your side for a short period of time

What are the risks of the test?
There are no known risks of side effects of this test

How do I prepare for the test?

  • For Men, some hair on your chest may need to be shaved by the technician to help electrodes stick to the skin
  • For women, wear two-piece clothing so the top half can easily be removed

Preparation Details

Test preparation for Coronary CT – please follow instructions

  1. PRE-MEDICATION REGIMEN – AIM: HR Equal to or less then 60 bpm
  • Metoprolol 50-100 mg night before and 8am morning of CTCA prescribed by referrer
    OR
  • Chronic beta blocker / calcium channel therapy to heart rate Equal to or less then 60 bpm
  1. Other preparation
  • Take ALL normal morning medications except metformin
  • Fast for 4 hours if possible prior to CTCA
  • No caffeine, coffee, tea, energy drinks for 24 hours prior to CTCA
  • No Cialis, Viagra, Levitra or similar for 36 hours prior to CTCA

What is a CT Scan of the Coronary Arteries (CTCA)? 

The blood vessels that supply blood to the heart are the coronary arteries (CA). Previously the only accurate way of accessing these was by a conventional coronary angiogram. This is an invasive test which requires hospital admission and a contrast injection through a large needle in an artery in your groin.

Today the coronary arteries for most people can now be accessed using ultra-fast computed tomography (CT) scanners. The benefit is that a CTCA is a less invasive test that involves a contrast injection through a vein in the arm. It is quicker, has less potential complications and has been shown to be as accurate as a conventional coronary angiogram.

What are the Risks? 

As with any medical procedure there are some risks associated with the scan:

  • Radiation: X-rays are used during the scan. We are proud to use the lowest dose CT scanner. The typical dose is around 0.5mSv – 2mSv depending on the size of the patient and the technique used. At the lower dose this amount of radiation is about 1/4 of the amount of background radiation that you receive ina year from natural sources such as cosmic rays. This dose is S – 20 times LESS than the dose from some other CT scanners.
  • Contrast Reaction: Very rarely people experience an allergic reaction to the contrast (dye). This usually manifests as an itchy rash which settles down by itself. Asthmatic patients may experience worsening of their asthma shortly after the injection. Patients with kidney failure require a cautious contrast injection as contrast can (usually temporarily) worsen kidney function. There is a 1 in 250 000 chance of a life threatening (anaphylactic) reaction.
  • Contrast leakage: Very rarely the contrast goes into the tissues under the skin in your arm rather than into the vein. This can cause bruising, swelling andmild  This usually resolves by itself. We will perform a test injection using saline to help prevent this from happening. In addition, a member of staff will be with you to watch the injection.

What to Expect

  • You will change into a gown and have your blood pressure and heart rate monitored. You will be assessed by a radiologist or cardiologist. You may require additional medication.
  • You will have a cannula (plastic needle) inserted in the vein near your elbow and ECG leads placed on your chest.
  • You may be given GTN (Nitrolingual spray) under the tongue just before the scan to relax your coronary arteries helping us to obtain the best images possible. This may give you a mild headache.
  • You may notice a warm sensation and a metallic taste during the contrast injection. This is normal.
  • For some scans. you need to hold your breath for up to 15 seconds and to lie flat for about 5-10 minutes.
  • Although the scan time is fast – 1/4 second the process is more time consuming. Allow up to 2 hours.
  • Allow for post procedure care and monitoring for a short period of time after the completion of the examination. The effects of beta-blockers should wear off after half a day but please consider organising someone else to provide transport home.

Results 

  • Your referrer will be notified directly of any urgent/ unexpected findings on the day of examination. Routinely test results will take 2-3 days.
  • If you have any questions about the test please discuss this with your referring doctor. Also, there are radiographers and radiologists on hand atHeartscan Australia who will be able to address any of your concerns.

AVAILABLE AT THE FOLLOWING LOCATIONS


BERWICK

Preparation Details

(Approximately 15 minutes duration)

Why do I need this test?
The Holter monitor is used to detect any abnormal heart rhythm over 24 hours. This is different to a regular ECG that only records at one point in time. Your doctor may recommend this test if you have the following symptoms:

  • Dizziness or fainting
  • Arrhythmias, e.g. palpitations, heart racing, skipping a beat, irregular heartbeat
  • Shortness of breath
  • Chest pain

What can I expect during the test?

  1. The test takes roughly 15 minutes
  2. The technician will lightly scrub your skin with rough paper, and wipe the area with alcohol
  3. 4-5 electrodes will be attached to your skin, which are connected by wires to the monitor
  4. The monitor will sit in a pouch underneath your clothes
  5. Go about your normal routine. Any work involving machinery where the wires can get caught or the monitor can get wet must be avoided
  6. Record all symptoms using the event button on the monitor and record in the diary provided
  7. After 24 hours, remove the monitor and place with diary back into pouch and return

What are the risks of the test?
The abrasion and sterilization of your skin may sting a little and leave red patches. This is normal and will take a couple of days to disappear. Some patients with extra sensitive skin may develop small blisters from the gel used on the electrodes. This is rare and will heal quickly.

How do I prepare for the test?

  • You cannot shower while wearing the monitor
  • For men, some hair on your chest may need to be shaved by the technician to help electrodes stick to the skin
  • Please bring along a $50 security deposit in either cash or card (in case the monitor is returned late or has been damaged). This will be refunded to you after 24 hours once the monitor is returned

Preparation Details

No Preparation Required. (Approximately 15 minutes duration)

Ambulatory blood pressure monitoring (ABPM) involves measuring your blood pressure for 24 hours as you go about doing your daily routine and when asleep. You wear a device that measures your blood pressure at regular intervals. The information is recorded on a chip in the device and allows the doctor to get a detailed picture of blood pressure variation in a normal environment. You will not be able to shower in the 24 hours with the monitor attached. No preparation. (Approximately 15 minutes)

Preparation Details

(Approximately 15 minutes duration)

Why do I need this test?
The ECG is a non-invasive test that detects any abnormalities by measuring the heart’s electrical activity. Your doctor may recommend this test for the following reasons:

  • If you are experiencing symptoms such as chest pain, shortness of breath or palpitations
  • To investigate any suspected heart disease

What can I expect during the test?

  1. The test takes up to 15 minutes
  2. You will need to remove your clothes above your waist and lie on the bed
  3. Your skin will be prepared with some rough paper and alcohol wipe
  4. 12 electrodes are placed on the skin that are connected to the ECG machine
  5. You will be asked to lie still and breathe normally
  6. 2 or 3 readings will be taken

What are the risks of the test?
The abrasion and sterilization of your skin may sting a little and leave red patches. This is normal and will take a couple of days to disappear. Some patients with extra sensitive skin may develop small blisters from the gel used on the electrodes. This is rare and will heal quickly.

How do I prepare for the test?

  • For men, some hair on your chest may need to be shaved by the technician to help electrodes stick to the skin
  • For women, wear two-piece clothing so the top half can easily be removed

Preparation Details

No Preparation Required. (Up to 30 minutes duration)

All of our cardiologists are highly trained in cardiac disease diagnosis and treatment. They have also undertaken advanced training in sub specialties within cardiology. Some have completed PhD degrees and/or have obtained experience from renowned specialized cardiac institutions.

To view a brief profile on each of our Cardiologist’s, please select from the “Specialists” menu tab

Preparation Details

(Approximately 30 minutes duration)
If possible the patient should not take Ventolin, Asmol, Bricanyl, Bretaris, Brezhaer for 4 hours, Spiriva, Atrovent, Onbrez for 6 hours and Pulmicort, Serevent, Symbicort, Seretide, Flixotide, Oxis, Alvesco, Salmeterol, Beclomethasone, Flutiform, Breo ‐ Ellipta for 12 hours before the test. Patients should not smoke 6 hours beforehand.

Lung Function Test is a Spirometry Test involving breathing into a mouthpiece, which is connected to a machine via some tubing. You will be required to breathe in and out as deeply as possible, and then as fast and as forcefully as possible. The test may make you feel temporarily short of breath. To measure diffusion capacity (Gas Transfer), you breathe a harmless gas for a very short time. The concentration of the gas in the air you breathe out is measured. The difference in the amount of gas inhaled and exhaled measures how effectively gas travels from the lungs into the blood.

AVAILABLE AT THE FOLLOWING LOCATIONS


WHEELERS HILL
PAKENHAM
ST ALBANS
WERRIBEE
THOMASTOWN

Preparation Details

(Approximately 30 minutes duration)

Why do I need this test?
This test is used to monitor your breathing, heart rate, and body movements while you sleep. Your doctor may recommend this test for the following reasons:

  • Witnessed apnoea or choking
  • Regular fatigue, sleepiness or loud snoring
  • Cardiovascular risk factors such as a high BMI or high blood pressure

What can I expect during the test?

  1. This test takes roughly 15-30 minutes
  2. The monitor is fitted around your chest, over your clothes
  3. Electrodes are attached on your face, neck, chest and dominant leg
  4. Clear plastic tubing is connected to your nose
  5. An oximeter clip is placed on your finger to measure oxygen levels
  6. You are required to go home and sleep with the monitor on
  7. In the morning, fill out the questionnaire provided.
  8. Carefully remove the monitor and return everything in the bag to the clinic

What are the risks of the test?
You may experience some discomfort from sleeping with the monitor on, or some slight redness or irritation from the preparation of your skin

How do I prepare for the test?

  • Do not use any cream, moisturiser or make-up
  • Wear loose comfortable sleep clothes to the appointment
  • Remove any nail polish on fingers
  • Shower at home before coming to the clinic
  • Public transport is not advised
  • Please bring a $50 security deposit (in case the monitor is returned late or has been damaged). This is refunded when the monitor is returned to the clinic

You will be required to visit the clinic on the night of your home based study, where you will be fitted with the Home Based Sleep Study unit or given instructions on how to set up the sleep study unit before bed time as well as the return of the sleep monitoring device the following morning. This appointment will take approximately 30 minutes. You will need wear the device overnight which will monitor your breathing, brain activity, heart rate and body movements using several simple sensors applied to your skin. You will need to return the monitoring device to the office from which you collected it by 9:30am the next day.

AVAILABLE AT THE FOLLOWING LOCATIONS


WHEELERS HILL
DANDENONG
PAKENHAM
ST ALBANS
WERRIBEE
THOMASTOWN

Preparation Details

No Preparation Required. (Approximately 30 minutes duration)

 

Dr Hamna Sahi – Respiratory & Sleep physician
MBBS, FRACP

Specialities: Sleep Medicine, Obstructive Sleep Apnoea (OSA), Snoring, Narcolepsy, Restless Legs Syndrome, Lung Cancer, General Respiratory Medicine, COPD, Asthma, Chronic cough, (RLS),                  Emphysema, Bronchiectasis, and Bronchoscopy.
Dr Hamna Sahi is fluent in UrduHindiPunjabi, English & is partially fluent in Arabic.

 

Dr Rajiv Sharma – Respiratory & Sleep Physician
MBBS, MD, FRACP

Specialities: OSA, Hypersomnolence, Asthma, COPD, Chronic cough, Interstitial Lung Disease.
Dr Rajiv Sharma is fluent in both English & Hindi

 

Consultations Available at:

  • Dandenong ——————— 40 Stud Rd, Dandenong 3175
  • Wheelers Hill —————— G1 (Salveo Specialist Centre), 202 Jells Rd, Wheelers Hill 3150
  • Thomastown ——————- 113 High St, Thomastown 3074
  • St Albans ———————— 2-4 Collins St, St Albans 3021
  • Werribee ———————— 245 Heaths Rd, Werribee 3030

CPAP SERVICES AVAILABLE AT
……………………………………………………………….

ST ALBANS
WHEELERS HILL

Preparation Details

No Preparation Required. (Approximately 30 – 60 minutes duration)

The CPAP Clinic
CPAP Therapy is generally recommended for patients diagnosed with moderate to severe obstructive sleep apnea (OSA).

What is Sleep Apnea? – The only way that sleep apnea can be diagnosed is by an overnight sleep study

Sleep apnea is a common disorder that causes frequent pauses in breathing during sleep. Obstructive sleep apnea (OSA) occurs when the soft tissue at the back of your throat relaxes during sleep, causing a blockage of the airways. The severity of the condition depends on how often the breathing is interrupted.

Typical symptoms of sleep apnea include: Witnessed apneas or choking, Regular loud snoring, Regular fatigue & sleepiness, Cardiovascular risk factors. (Hypertension, Diabetes, BMI > 30, other heart disease)

CPAP’s Clinics Therapy Service – We provide a timely, personalized and modern service to all our patients:

• Device trial, rental and purchasing guide
• Instructions on using CPAP products
• Phone follow-up plan to ensure patients’ comfort
• Device maintenance and trouble-shooting

Contact Darren:  0447 684 106
www.thecpapclinic.com.au

0447 684 106

AVAILABLE AT THE FOLLOWING LOCATIONS


WHEELERS HILL

THOMASTOWN

Appointments, Results & Fees

Patient Information for Diagnostic Tests

Preparation Details

(Allow approx 2-3 hrs)

Appointments
To make an appointment, please call us on 1800 202 111

For all appointments please bring:

  • your medicare card
  • your referral letter
  • medications or a medication list
  • all other relevant information, such as hospital discharge papers
Appointment Reminders

We will call you at least one day before your appointment to remind you of your appointment and to provide you with any necessary information with regard to the test.

Cancelling an appointment

Should you need to cancel your appointment please contact us at least one day in advance. We will arrange an alternative time.

Results

Your test results will be sent to your doctor as soon as possible to so as to your get prompt medical attention. Echo and Stress Echo reports are sent electronically within 24-48 hours.

Patient Fees

Most of our services are bulk billed. Privately billed patients are required to pay the fees on the day of the test or consultation, by either a credit card (Visa or MasterCard) or cash.

Private-billed services:

24 Hour BP Monitor: $80 out-of-pocket

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Want to schedule an appointment?

Call us at 1800 202 111 or 9560 7558 or fill in the appointment form...