Exercise Stress Testing
The exercise stress test — also called treadmill test, is used to provide information about how the heart responds to exertion. It usually involves walking on a treadmill at increasing levels of difficulty, while your electrocardiogram, heart rate, and blood pressure are monitored.
Indications (Why do I need a Stress test)
- Determine if there is adequate blood flow to your heart during increasing levels of activity
- Evaluate the effectiveness of your heart medications to control angina and ischemia
- Determine the likelihood of having coronary heart disease and the need for further evaluation
- Check the effectiveness of procedures done to improve blood flow within the heart vessels in people with coronary heart disease
- Identify abnormal heart rhythms
- Assess the function of heart valves if they are not functioning properly
- Help you develop a safe exercise program
What Should I Wear the Day of the Stress Test?
On the day of your stress test, wear soft-soled shoes suitable for walking and comfortable clothes. Do not bring valuables.
Preparation:
- Fasting for 4 hours preferred
- Stop B-Blockers, Nitrates ( Imdur, Monodur ) as advised by your specialist
- Avoid medications for Diabetes.
- If on Insulin bring your glucose monitor along
- Avoid Caffeine
Possible adverse events related to stress testing include but is not limited to:
- Lightheadedness
- Delayed onset muscle soreness
- Tiredness, fatigue
- Leg cramps
- Shortness of breath
- Chest pain
- Heart attack (approx. 2 in 10,000 tests)
- Collapse
- Arrhythmia
- Death (approx. 1 in 10,000 tests)