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Nuclear Medicine
Persantine Stress Test

This procedure is done after a set of pictures have been taken with your heart at rest. For patients who are unable to exercise adequately on the treadmill, the drug Persantine may be given to produce an effect on the heart similar to exercise.

During the test, you will be lying on a stretcher. A line of normal saline will be connected to your IV. The drug Persantine will be infused through your IV. The Persantine is infused over 4 minutes. Two minutes after this infusion you will be given another injection of the radioactive tracer.

Sparrow Radiology Services: Nuclear Medicine

In some cases the cardiologist will have you perform hand squeezing exercises to help get more accurate test results. You will wait 30 – 90 minutes after this test at which time you will go for another set of pictures. It is important to avoid caffeinated and decaffeinated products for 24 hours prior to your exam. The exam will be rescheduled if you do not follow this request.

What is Persantine?

Persantine is a coronary vasodilator that is used as a diagnostic agent in nuclear stress testing. Persantine works by increasing the blood vessel circumference of the coronary arteries (arteries that feed the heart) in order to increase blood flow to the heart.

Persantine causes a 20% increase in heart rate and a mild but significant decrease in systolic and diastolic blood pressure. Persantine is metabolized in the liver. The amount of Persantine you will be given is based on your body weight. Side effects include chest pain/pressure, dizziness, headache, nausea, shortness of breath, or a warm and flushed feeling. Some patients experience a burning or stinging sensation at their IV site because Persantine is more acidic than your blood. Persantine is contraindicated in patients who have a hypersensitivity to this drug. Persantine can also cause bronchospasms, so your doctor may order a different test for you if you have certain lung conditions. If you do develop side effects to Persantine the cardiologist can use a drug called aminophylline to reverse your side effects.

Download Persantine Nuclear Stress Test (Adobe PDF document)

Sparrow Health System
Last modified on: 12/11/2008 2:14:35 PM
Sparrow Health System • Lansing, Michigan