Preparing for your test
Fasting, medicines, what to bring and how much time to allow. Find your test and get ready with confidence.
Each test has its own preparation. We confirm the instructions when we book your appointment, and you can check them here at any time.
If your procedure is an interventional one (cardiac catheterization, angioplasty or others), contact our interventional cardiology team for your instructions.
This is a translation for information purposes. The Spanish version is the official one.
When a preparation asks you to stop a medicine, confirm it first with the doctor who prescribed it.
Non-invasive cardiology
For every test in this service
Bring
- Doctor's order.
- Copy of your ID and your health insurance card.
- Authorization from your health insurer.
Keep in mind
- Only one companion is allowed, and please do not bring children.
- Do not bring jewelry or valuables.
Holter heart rhythm monitor
- Come freshly showered. If you have chest hair, shave or remove it.
- If you have a pacemaker, bring your pacemaker ID card.
Document MM040103-R2
Ambulatory blood pressure monitor
- Come freshly showered.
Document MM040104-R2
Transthoracic echocardiogramFasting: No preparation needed
- You will be asked to remove metal objects such as chains, keys, earrings and coins.
Document MM040105S
Transesophageal echocardiogramFasting: 6 hours, no water
- Arrive 10 minutes early to complete paperwork.
- Come with one adult companion.
- You can ask for sedation so the test is not uncomfortable. It has an extra cost not covered by your health insurer: ask for the price when you book.
- If you choose sedation: after the test you cannot leave alone, drive or sign important documents.
- If you choose sedation: wear comfortable clothes (T-shirt and sweatpants), no makeup, no high heels and no nail polish, not even clear.
- Tell us about any allergies or reactions to anesthetics, and whether you have dental resins, prosthetics or whitening, so we can use a mouth guard.
Document MM040106-R2
Cardiovascular exercise stress testFasting: No food for 5 hours and no drinks for 3 hours
- Do not eat solid food (bread, arepa, eggs, meat, chicken) for 5 hours before, or drink liquids (water, juice, herbal tea, aguapanela) for 3 hours before.
- If your appointment is between 9:00 and 11:30 a.m., you may have a drink, such as herbal tea or juice without milk, up to 3 hours before.
- If you take any of these medicines, the protocol asks you to stop it 48 hours before: aminophylline, metoprolol (Betaloc, Lopresor), carvedilol (Dilatrend), bisoprolol (Concor), propranolol or sotalol. Calcium channel blockers (verapamil, diltiazem, amlodipine, nifedipine or nimodipine) are stopped 72 hours before. Check with your doctor first.
- Men should shave their chest.
- Wear sneakers and loose clothes for exercise.
- Tell us if you have any condition that keeps you from exercising, such as knee, hip, back or muscle problems.
- Come with only one adult. Do not bring children or teenagers, or a companion with physical limitations.
- Arrive 30 minutes before your appointment to complete the paperwork.
Video in Spanish. Document MM040109-R2
Stress echocardiogram with exercise or medicationFasting: 5 hours, no food or drinks
- Bring your medical records or previous heart test results.
- Bring the list or prescriptions of the medicines you take.
- Avoid caffeine for 24 hours before: coffee, tea, sodas (even decaf), chocolate and some painkillers that contain it.
- If you take beta blockers (such as metoprolol, propranolol, carvedilol or bisoprolol) or calcium channel blockers (such as verapamil, diltiazem, amlodipine or nifedipine), ask your doctor whether to stop them. The protocol asks to stop them 48 and 72 hours before, respectively, only if there is no contraindication.
- Wear comfortable shoes and loose clothes for exercise. Your chest should be clean; men should shave their chest.
- Come with an adult who can make decisions and sign the consent form.
Tilt table testFasting: 6 hours
- Come with an adult.
- Remove any nail polish.
- Bring a spare set of clothes for the lower body: underwear and trousers or a skirt.
- Do not drive any kind of vehicle for 5 hours after the test.
- Arrive 30 minutes before your appointment to complete the paperwork.
Document MM040110-R2
Full abdominal ultrasoundFasting: 6 to 8 hours
- Avoid large meals, alcohol and fizzy drinks before the test.
- If your doctor also asked to examine your bladder, pelvis or prostate, come with a full bladder: drink water beforehand as instructed.
- Wear comfortable clothes that make it easy to uncover your abdomen.
- During the scan you may be asked to change position or to breathe in and hold your breath.
- If you do not follow the preparation, the scan may be of lower quality and need to be rescheduled.
Document MM040116-R2
Renal artery duplex ultrasoundFasting: 8 hours
- Do not eat vegetables or foods that cause gas.
- Do not drink dark drinks, such as coffee or cola, for 24 hours before.
- Do not smoke before the test.
Document MM040112-R6
Nuclear medicine
For every test in this service
Bring
- Doctor's order.
- Authorization for the procedure.
- Copy of your ID.
- If you might be pregnant, a blood pregnancy test (beta hCG).
Keep in mind
- Do not come with children or pregnant women.
- Do not bring jewelry or valuables.
- If you have flu symptoms on the day (cough, fever, sneezing or feeling unwell), let us know and reschedule.
- Nuclear medicine studies take place at our main location, Calle 19 No. 1-44, Barrio Blanco.
After the injection
- Drink at least 6 glasses of water from the time of the injection until your imaging appointment.
- For 24 hours after the injection, stay away from children under 15 and pregnant women.
- If you are breastfeeding, tell the technologist so you receive protection guidance for your baby.
- Keep drinking fluids after the study to clear the radiopharmaceutical faster.
Myocardial perfusion at rest and after stressFasting: 6 hoursAllow: 4 hours
- If you take any of these medicines, the protocol asks you to stop it 48 hours before: aminophylline, metoprolol (Betaloc, Lopresor), carvedilol (Dilatrend), bisoprolol (Concor), propranolol, sotalol, verapamil (Isoptin), amlodipine (Norvasc) or diltiazem. Confirm with your doctor first.
- Avoid dark drinks and chocolate for 48 hours before: tea, coffee and dark sodas such as cola.
- Wear comfortable clothes for exercise: sneakers, sweatpants or shorts.
- Bring copies of previous studies: cardiac catheterizations, echocardiograms, stress tests or Holter.
- Only one companion is allowed.
Document MM040326-R2
Myocardial perfusion at restFasting: No preparation neededAllow: 2 hours
- Bring copies of previous studies: cardiac catheterizations, echocardiograms, stress tests or Holter.
- Only one companion is allowed.
Document MM040326-R3
Radionuclide ventriculographyFasting: No fasting neededAllow: 1 hour
No special instructions besides the general ones.
Document MM040331-R1
Thyroid scanFasting: No fasting neededAllow: 1 hour
- If you take antithyroid medicines (methimazole, Tapazol or propylthiouracil), the protocol asks you to stop them 10 days before. Confirm with your doctor.
- If you take thyroid hormone (Eutirox, Tirostat, levothyroxine, Eltroxin or Tiroxin), the protocol asks you to stop it 15 days before. Confirm with your doctor.
- You must not have dyed your hair in the last month.
- You must not have had a study with iodinated contrast in the last month.
Document MM040308-R1
Parathyroid scanFasting: No fasting neededAllow: 3 hours
- You must not have had a study with iodinated contrast the day before.
Document MM040309-R1
Salivary gland scanFasting: 4 hoursAllow: 1 hour
- Bring a lemon.
- You must not have had a study with iodinated contrast the day before.
Document MM040310-R1
Gastroesophageal reflux scanFasting: Adults: 6 hoursAllow: 1 hour
- Adults: bring 1 liter of orange juice.
- Babies 0 to 3 months: fast for 3 hours. Bring a bottle of formula; if breastfed, bring 1 ounce of breast milk in a bottle and come with the mother.
- Children 4 months to 5 years: fast for 6 hours. Bring a bottle of formula; if breastfed, bring 1 ounce of breast milk in a bottle and come with the mother.
- Children 5 to 10 years: fast for 6 hours. Bring 500 ml of oat drink or a juice they like.
- Stop your anti-reflux medicine 24 hours before, if your doctor approves.
- You must not have had a study with iodinated contrast the day before.
Document MM040313-R1
Esophageal transit scanFasting: Adults: 6 hoursAllow: 1 hour
- Adults: bring 1 liter of orange juice.
- Babies 0 to 3 months: fast for 3 hours. Bring a bottle of formula; if breastfed, bring 1 ounce of breast milk in a bottle and come with the mother.
- Children 4 months to 5 years: fast for 6 hours. Bring a bottle of formula; if breastfed, bring 1 ounce of breast milk in a bottle and come with the mother.
- Children 5 to 10 years: fast for 6 hours. Bring 500 ml of oat drink or a juice they like.
- Stop your anti-reflux medicine 24 hours before, if your doctor approves.
- You must not have had a study with iodinated contrast the day before.
Document MM040312-R1
Gastric emptying, liquid phaseFasting: Adults: 6 hoursAllow: 5 hours
- Adults: bring 1 liter of orange juice.
- Babies 0 to 3 months: fast for 3 hours. Bring a bottle of formula; if breastfed, bring 1 ounce of breast milk in a bottle and come with the mother.
- Children 4 months to 5 years: fast for 6 hours. Bring a bottle of formula; if breastfed, bring 1 ounce of breast milk in a bottle and come with the mother.
- Children 5 to 10 years: fast for 6 hours. Bring 500 ml of oat drink or a juice they like.
- Stop your anti-reflux medicine 24 hours before, if your doctor approves.
- You must not have had a study with iodinated contrast the day before.
Document MM040314-R1
Gastric emptying, solid phaseFasting: Adults: 6 hours. Children: 4 hoursAllow: 5 hours
- Bring 2 slices of toast, 2 peeled hard-boiled eggs, jam and butter.
- Stop your anti-reflux medicine 24 hours before, if your doctor approves.
- You must not have had a study with iodinated contrast the day before.
Document MM040314-R2
Ectopic gastric mucosa scanFasting: Adults: 6 hours. Babies 0 to 6 months: 3 hoursAllow: 2 hours
- You must not have had a study with iodinated contrast the day before.
Document MM040311-R1
Gastrointestinal bleeding scanFasting: 6 hoursAllow: 4 hours
- You must not have had a study with iodinated contrast the day before.
Document MM040315-R1
Hepatobiliary scanFasting: 4 hoursAllow: 3 hours
- For newborns with suspected biliary atresia, the doctor prescribes phenobarbital for the days before the study. Follow the prescription exactly.
- You must not have had a study with iodinated contrast the day before.
Document MM040317-R1
Liver and spleen scanFasting: No fasting neededAllow: 1 hour
- You must not have had a contrast study the day before.
Document MM040316-R1
Hemangioma scan (pyrophosphate)Fasting: 6 hoursAllow: 4 hours
- You must not have had a study with iodinated contrast the day before.
Document MM040318-R1
Renogram and glomerular filtration rateAllow: 2 hours
- Drink plenty of fluids from the day before, and 4 glasses of water 1 hour before the study. You may urinate.
- Do not have any study with radiographic contrast in the 24 hours before, as it can interfere with kidney function.
- Children under 3: bring a catheter (we will tell you the size), 500 cc saline solution, a microdrip set and a disposable diaper, and ask for instructions to keep the child awake the night before.
Document MM040322-R1
Renal cortical scan (DMSA)Fasting: No fasting neededAllow: 3 hours
- You must not have had a study with iodinated contrast the day before.
- If the patient is under 5, ask for instructions to keep the child awake the night before so they arrive sleepy.
Document MM040319-R1
Radionuclide cystographyFasting: No fasting neededAllow: 1 hour
- Do not have any study with radiographic contrast in the 24 hours before, as it can interfere with kidney function.
- Bring a Nelaton urinary catheter (we will tell you the size), 500 cc saline solution and a macrodrip set.
- If the patient is under 5, ask for instructions to keep the child awake the night before so they arrive sleepy.
Document MM040327-R1
Testicular perfusion scanFasting: No fasting neededAllow: 1 hour
No special instructions besides the general ones.
Document MM040325-R1
Bone scanFasting: No fasting neededAllow: 4 hours
- You must not have had a study with iodinated contrast the day before.
Document MM040320-R1
Lung perfusion and ventilation scanFasting: No fasting neededAllow: 1 hour
- You must not have had a contrast study the day before.
Document MM040321-R1
Lung perfusion scanFasting: No fasting neededAllow: 1 hour
- You must not have had a study with iodinated contrast the day before.
Document MM040321-R2
Brain SPECTFasting: No fasting neededAllow: 2 hours
No special instructions besides the general ones.
Document MM040324-R1
Radionuclide cisternographyFasting: 4 hoursAllow: 6 hours; images may continue up to 24 hours later
- Do not have any study with radiographic contrast in the 24 hours before, as it can interfere with kidney function.
Document MM040329-R1
Radionuclide dacryocystographyFasting: No fasting neededAllow: 2 hours
No special instructions besides the general ones.
Document MM040328-R1
Lymph node scan (lymphoscintigraphy)Fasting: No fasting neededAllow: 3 hours
No special instructions besides the general ones.
Document MM040333S
Radium-223 therapyAllow: 1 hour
- Do not have any study with radiographic contrast in the 24 hours before, as it can interfere with kidney function.
Document MM040334-R1
Outpatient clinic
Body composition analysis by bioimpedanceFasting: No food for 2 to 3 hours and no water for 45 minutes
- Drink fluids as usual the day before, so your body water and lean mass results do not come out lower.
- Do not eat or exercise for 2 to 3 hours before the test.
- Do not drink water for 45 minutes before, as it can be measured as fat.
- Do not drink alcohol or too much coffee.
- Avoid the sauna or a shower before the test, as they change your body temperature and hydration.
- Do not put cream or lotion on your hands or feet, as they affect the measurement.
- Use the restroom before the test.
- For the measurement you will take off your socks, because your hands and feet must touch the electrodes well. Also remove heavy objects, as their weight is counted as fat.
- Before the measurement you will stand for at least 5 minutes, so your blood spreads evenly.
Tell us before the test if:
- You are pregnant: the test is not recommended, because changes in body fluids alter the result.
- You have a pacemaker: the test is only done with your doctor's prior authorization and informed consent.
- You have an amputation: the test needs contact with all the sensors.
- You have breast or metal implants: they can change the result. Your first measurement is used as a reference for the next ones.
- You are on your period: body water changes and can alter the result.
Document MM030105-R1
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