A MUGA scan is usually performed at
a clinic, test center or hospital. Your doctor may
order either a rest or an exercise MUGA scan.
Rest MUGA Scan
Several electrodes
(small sticky patches) are placed on your chest and
connected to an ECG, which records the electrical activity
of your heart.
An intravenous (IV) line is
then inserted into a vein in your arm, and the radioactive
tracer is injected into the line. (Sometimes, the tracer
may be injected directly into the vein).
Next,
you lie flat on a special table under a large scanning
camera. During imaging, the camera
moves slowly in an arc over the front of your chest,
taking pictures of your heart from multiple angles.
Remain still while the pictures are being taken.
Exercise MUGA Scan
In some cases, you may undergo an exercise
scan in addition to a rest scan. The exercise scan allows
doctors to learn how well your heart works when it is
made to beat faster and harder.
Exercise MUGA Scan
The rest and exercise images are compared
side by side on a monitor screen. This allows doctors
to determine the size, pumping strength, and wall motion
of the ventricles during both rest and exercise.
During the exercise portion of the test,
you are asked to lie on a table equipped with pedals.
As you pedal, images are taken with the scanning camera.
Pedaling is easy at first, then it gets harder.
The exercise scan is particularly useful
in diagnosing coronary heart disease. Normally, all
areas of the left ventricle pump harder during exercise.
If an area of the ventricle does not pump as well as
it should during exercise, it may not be receiving enough
blood because of a narrowed or blocked artery.
The exercise scan can also help diagnose
heart failure, cardiomyopathy, and valve disease. If
the ventricle cannot pump harder with exercise, this
may be a sign that it is weakened.