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    The inauguration of the NKTI-Baxter Peritoneal Dialysis (PD) Center of Excellence was held last February 23, 2021 at the NKTI. The center is a two-storey warehouse for PD dialysis solutions and accessories. Facilities include areas for patient training and clinical management as well as a queuing system to make the process of claiming these lifesaving fluids more efficient for PD patients.
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Stress Echocardiography (Stress Echo)
 
Description:
Echocardiography uses sound waves to produce an image of the heart and to see how it is functioning. Stress echocardiography (or stress echo) compares the heart’s function during exercise to its function at rest, and is used to more accurately determine the presence or absence of blockages within the heart arteries. The test can show if certain areas of the heart muscle are not getting enough oxygen-rich blood. If the doctor want to have a stress echocardiogram, the patient will have the same test as Treadmill Exercise Test, except that when the heart rate reaches a certain number patient will be asked to step off of the treadmill and lie down. At the same time, this diagnostic test records both the resting and post exercise echocardiogram.

Patient who is unable to walk or too sick to exercise will be subjected to a chemical stress test ( Dobutamine Stress Echocardiography) using a drug called Dobutamine Hcl instead of plain Stress Echocardiography.
 
Preparation/What to Expect:
Patient is instructed to not eat, drink anything containing caffeine or alcohol (for at least two hours) or smoke before taking the test.

Continue all medications unless instructed otherwise.

The stress echo is similar in many ways to the Stress Test and 2D Echocardiography

  • Prior to the test, the Cardiologist will explain the procedure in detail, including possible complications and side effects. The Nurse Technologist in turn will request patient to sign the Written Consent.

  • Initially a Resting 2D Echocardiography will be obtained and recorded. Electrodes are placed on the chest to record an electrocardiogram (EKG) which monitors the heart's rate and rhythm. The sonographer positions patient on the left side and a sound-wave transducer will be placed on several areas of his your chest. To facilitate movement on the skin, a small amount of gel is placed on the transducer, to help get clearer pictures. The gel may feel cold, but this will not harm the skin.

  • Afterwhich, patient is prepared for Treadmill Exercise Test.

  • Immediately after the exercise, the sonographer/technician will take the post exercise echocardiogram. Patient is requested to breathe in and out (or not to hold his breath) during the test.


Most stress echo tests take about 60 minutes, but a dobutamine stress echo takes longer.