Diagnostic Testing Instructions

Coronary Calcium Scores

A coronary calcium score can help predict the likelihood that you have blockages building up in the arteries of your heart. As these blockages develop, they become mildly calcified, and that calcium can be seen on a special x-ray done in a CT scanner.

This test is not for everyone, but for men older than 45 and women older than 55 it can help asses your risk of coronary disease and potentially heart attacks depending upon the score. A score of zero is very predictive of extremely low risk, and a score above 100 identifies patients at increasing risk who will benefit from aggressive risk factor modification, and possible lipid lowering medications.

The modern CT scanner can obtain these images with very low radiation exposure, and the cost is coming down although it is not currently covered by insurance.

For the cardiologists at Virginia Heart, we find coronary calcium scoring very useful in helping to determine which patients need to be on certain risk reducing medication such as statins and aspirin.  If you have questions about coronary calcium scores, ask your Virginia Heart cardiologist for more information.

General Instructions

Please complete the New Patient Forms online and submit them electronically before your first visit. Be sure to bring the referral form from your primary physician and other items necessary for your first office visit.

  • Instructions for all cardiovascular tests will be given to you prior to the test. Generally:
  • Do not use any powder, lotion or perfume on the day of your visit
  • Women should wear a two-piece outfit
  • Friends/family will need to wait outside of the testing area

Stress Tests, either Echocardiographic Stress Testing or ECG Stress Testing Instructions

 Exercise Treadmill Stress Test Patient Instruction

  • Exercise Stress Test
  • Stress Echocardiogram

Nuclear stress testing, also known as Myocardial Perfusion Imaging (MPI),Instructions

Specific instructions will be mailed to you prior to your scheduled appointment.  Either an exercise or pharmacologic MPI test may be performed. Please click on the link below to preview the test's instructions.

Sleep Study Instructions 

Specific instructions will be provided to you prior to your scheduled appointment.  Please click on the link below to preview the test's instructions.

Sleep Study Instructions

Durable Medical Equipment Instructions 

Please click on the link below to learn more about durable medical equipment and schedule an appointment.

Durable Medical Equipment


If you are unable to make any scheduled test, please let us know 24 hours in advance by calling our main scheduling number at 703-621-4501.

Missing a scheduled stress test, echocardiogram, or other diagnostic test may result in a $150 charge; for a missed sleep study or nuclear (MPI) stress test, $200; and for all other missed appointments, $35.