Diagnostic Tests and Procedures

How to access our tests and procedures

You will need a referral letter from your GP or medical practitioner to access this service. Your doctor will fax your referral letter to us. Once we receive it, we will send you a confirmation letter of your appointment or confirmation that you have been added to the waitlist.

Some tests and procedures will need a referral from a Cardiologist. Your GP will be able to advise you on which test is most appropriate for you and if a Cardiologist referral is needed. We accept referrals from private and public Cardiologists.

Your appointment
We are located on level 1 of the Bendigo Hospital. Please arrive 10 minutes earlier than your scheduled appointment. At times there may be a wait. Please advise our friendly reception staff if you have been waiting for more than 30 minutes.
Please read your appointment letter carefully for any medication instructions and call us on 5454 8017 if you are unsure.

What to bring

Please bring the following every time you visit our clinic
• Medicare card
• Health Care Card and/or concession care (if you have one)
• Private health insurance card (if applicable)
• Your medications or an updated current list

You may choose to bring one support person to assist you.

Our tests

Bendigo Health provides the following cardiac tests. Please click on the link for more information.

Exercise stress test 

Exercise stress echocardiogram

Dobutamine stress echo 

Transthoracic echocardiogram

Electrocardiogram 

Holter monitoring 

Event monitoring

An event monitor records the heart’s activity and rhythm for a period for 48 hours and is attached to a series of sticky dots (electrodes) which are positioned across the chest attached to a small portable recorder. During the monitoring period, the equipment must stay connected to the body and cannot get wet, therefore, patients cannot shower, bath or swim during this time and are worn while sleeping. Monitors are fitted by a Cardiac Technologist and take around 20 minutes to connect and must be returned to the department after 48 hours. Event monitoring is used to investigate symptoms such as palpitations, fainting and dizziness and patient are asked to push a button to record or monitor the incident. Usually an ECG is completed before an Event Monitor is positioned onto the patient.

Ambulatory blood pressure monitoring 

This measures blood pressure in patients who might have variable blood pressure. The portable blood pressure machine, worn in a pouch around your neck, has a cuff attached and is fitted by our Cardiac Technologist, to your upper arm. It takes approximately 10 to 20 minutes to fit. The machine is programed to inflate the cuff, take your blood pressure and release the air in cuff over a 24-hour period throughout the day and night. The machine’s computer stores the readings and a report is written and sent to your Doctor.  You should wear loose fitting clothes, especially around the upper arm. You are not required to undress fully. If possible, please wear a blouse or shirt which buttons at the front - this allows easier fitting of the equipment. The Technician will ask you to keep a diary recording symptoms you might experience while wearing the blood pressure machine. While the monitor is being worn, the device must be kept dry so no showering can occur. Both the diary and the machine will need to be returned the next business day to Diagnostic Cardiology, Level 1 at Bendigo Health. There is a cost associated with this test. Please speak to our friendly staff.

Pacemaker/ICD checks 

Electroencephalograph

 

Resources

St Vincents Private Hospital Melbourne

What happens during a Stress Echo test?

Henry Ford Allegiance Health

What is an exercise test? 

Victor Chang Cardiac Institute

What happens during a stress test?

British Heart Foundation

Your guide to a CT Angiogram heart disease test  

Your guide to ICD and pacemaker implantation 

Your guide to Echo (echocardiogram) 

Heart Research Australia videos

The Road Ahead: Coronary Angiogram 

 

Head of Department

Dr Hima Fernando

Bendigo Hospital

Access via Mercy Street

Location

100 Barnard Street, Bendigo, VIC, 3550

Phone

03 5454 8017

Fax

(03) 5454 8020

How to refer your patient for a diagnostic test

For Stress Echocardiogram referrals, please use this form.

For all other referrals, please use this form.

The above forms or BPAC are our preferred referral pathways.

Please ensure you provide all clinical information required to triage your referral:

  • Indication for test requested
  • Detailed description of symptoms, any precipitating factors, how often they occur and typical duration
  • Past history
  • Exercise ability (essential for stress testing referrals)
  • List all current medications and whether any of these should be stopped prior to the test
  • If referring for a stress test, please include a recent ECG tracing.
  • Referrals not containing all the information required for triage may be rejected and you will be requested in writing to re-submit your referral with the required information. 
  • Please fax referral form and accompanying documents to (03) 5454 8020.

Priorities

Our service is experiencing a period of high demand. Referrals will be triaged according to clinical need for your patient’s condition.

Please check the patient meets the indications and eligibility criteria for the test on Murray HealthPathways and MBS Online prior to submitting your referral. Referrals that do not meet these criteria will be rejected.

Bendigo Health along with all Victorian public hospitals assess new referrals against the Victorian Government Statewide Referral Criteria for Specialist Clinics.

Patients will not be provided with an appointment or placed on a waiting list unless a complete referral compliant with the Statewide Referral Criteria for Cardiology Clinics has been received.

Referral management

Referrals will be triaged in turn by a Cardiologist. To ensure appropriate and timely triage, include all demographic and clinical details as well as relevant investigation results.

The patient and GP will be advised if the referral has been waitlisted.

If you have concerns about the timeframe of the appointment, or the patient’s condition has changed or deteriorated, please send an updated referral with additional information. Patients requiring urgent assessment should be sent to the Emergency Department.

Our diagnostic testing includes:

For full eligibility and indications please go to Murray HealthPathways and MBS Online (Click on the links to review item numbers and eligibility criteria)

Stress Echocardiogram

  • Please review IR 0.1: indications and requirements of use

Dobutamine Stress Echocardiogram

Exercise ECG

Transthoracic Echocardiogram (TTE)

Electrocardiogram 

Holter Monitoring (or Event monitoring)

Ambulatory Blood Pressure Monitoring

Electroencephalogram (EEG)

Sleep Deprived Electroencephalogram

Please note patient’s requiring surgical intervention (PPM/ICD/Coronary Angiogram/DCR) must be referred by a Cardiologist.

Resources

Interpreting services can be provided free of charge by the hospital. Please let us know if your patient may need an interpreter and which language they speak.

Minimum information for referrals to non-admitted specialist services

Statewide Referral Criteria for Specialist Clinics- Cardiology

Murray HealthPathways

Heart Foundation Website

Head of Department

Dr Hima Fernando

Bendigo Hospital

Access via Mercy Street

Location

100 Barnard Street, Bendigo, VIC, 3550

Phone

03 5454 8017

Fax

(03) 5454 8020