Multigated Cardiac Study
(MUGA)
What is a MUGA?
This test provides information about the strength of your
heart muscle. It is used to evaluate how much blood your heart is able
to eject with each beat. This test is also called a Gated Blood Pool Study.
Special pictures are taken of your heart using a radioactive tracer that
is injected through a vein in your arm.
Indications:
Your physician may order this test to evaluate symptoms
such as:
# Shortness of breath
# Inability to sleep on your back without
experiencing severe shortness of breath
# Fatigue
This test is also important to evaluate the heart function
of cancer patients before beginning chemotherapy, since some cancer medications
may cause a decrease in the strength of your heart muscle.
What can I expect during the procedure?
First you will be given a medication called PYP in a vein
in your arm. This medication will be allowed to circulate for 20 minutes
so that it can be absorbed into your red blood cells. Next you will be
given an injection of a radioactive tracer which binds with the PYP and
allows us to see the blood passing through your heart. You will then be
asked to lie flat on an imaging table with the camera above your chest.
The camera will take three separate pictures, and they are analyzed and
stored on a computer for the cardiologist to read.
This test will be interpreted by a cardiologist with special
training in nuclear studies. The physician will study the pictures to
evaluate the motion of the walls of the heart muscle as it pumps blood
to the rest of your body. The most important part of this evaluation is
the ejection fraction. This is the percentage of blood that your left
ventricle ejects with every contraction, and it is a very good indicator
of the strength of the heart muscle.
Test Preparation:
No special preparation is required for this examination.
The medications used will not affect your ability to drive. This test
will take approximately thirty to forty-five minutes.
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