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Cardiac Stress Test

What Is Cardiac Stress Test?  

A Cardiac Stress Test is a diagnostic procedure to record the heart's electrical activity while it is under the stress of increased physical demand. This is also known as an exercise tolerance test.

Parts of the Body Involved:

Chest, Arms and Legs

Reasons for Procedure:

A cardiac stress test is used to assess the heart muscle's response to the need for additional oxygen, which occurs during increased physical activity.

What to Expect

Prior to Procedure

Your doctor will likely do the following:

  • Physical exam

  • Resting electrocardiogram (ECG, EKG) – a test that records the heart's activity by measuring electrical currents through the heart muscle

  • Review of medications; some should not be taken before testing

In the time leading up to your procedure:

  • Do not eat or drink products with caffeine for 12-24 hours before testing

  • Do not eat or drink anything except water for 4 hours before testing

  • Do not smoke for several hours before testing

  • Wear comfortable clothing and walking shoes

  • Bring a list of your current medications to the test

  • If you have diabetes, bring your glucose monitor to the test

During Procedure

Continuous ECG and intermittent blood pressure monitoring

Anesthesia

None

Description of the Procedure

The technician checks your blood pressure, attaches electrocardiogram electrodes (small adhesive patches with wires that connect to an ECG machine) to your chest and arms, and performs a resting ECG.

The cardiac stress test is done either on a treadmill (most common) or a stationary bike. You slowly start walking or riding. At 2- or 3-minute intervals, the technician increases the speed and elevation or resistance, in order to make the exercise more strenuous. The technician closely monitors the ECG and your symptoms to assess the status or your heart. Try to exercise until you are exhausted or you have reached the target heart rate.

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