Exercise Stress Test

What is a stress test?
Coronary arteries are the vessels that supply oxygen-rich blood to the heart muscle. Stress testing is used to detect the presence of blockages in these arteries, known as coronary artery disease (CAD).The stress test involves walking on a treadmill, at progressively increasing speed, while having electrocardiogram (EKG) and blood pressure monitoring performed.

How do I prepare for a stress test?

• Please wear a comfortable two-piece outfit and supportive exercise shoes.
• You may have a light meal prior to your test. (i.e. soup and a half sandwich, or juice and toast, etc.)
• Do not use nicotine products or consume caffeine for four hours prior to your test.
• Continue taking your medications.

What will happen on the day of the exam?
The total time for this procedure is approximately 60 minutes. Stress testing is a painless, non-invasive procedure that involves little risk. The risks associated with this procedure include abnormal blood pressure response, irregular heart beat, and in very rare instances, a heart attack. You will be asked to sign a consent form before the procedure begins.

You will then be asked to undress from the waist up and given a hospital gown to wear. A technologist will place electrodes on your chest for EKG monitoring. The EKG records the pattern and rate of your heartbeat during the procedure.

You will begin walking on a treadmill. The treadmill moves slowly at first, gradually increasing speed and incline until your heart is beating rapidly. The test is stopped when you are unable to continue walking because of chest discomfort, breathing difficulty, leg fatigue, or any other symptoms that make it difficult or unpleasant to continue. It will also be stopped if the EKG and blood pressure monitor show changes that are of concern.

If you have a medical condition that prevents you from exercising, your heart rate can be increased with medication instead of exercise. This kind of stress testing is called a Persantine Myocardial Perfusion study.

In some cases, the cardiologist present during your procedure may be able to discuss test results with you before you leave. Written results of your test will be available to your physician within 5 to 7 work days. The information gained from stress testing will enable your physician to determine whether any additional tests are necessary and to plan treatment if necessary. Please follow up with your referring physician.

After the procedure, you may resume your normal activities.

Reducing your Risk for Heart Disease

• Don't smoke
• Have your blood pressure checked regularly
• Reduce your intake of fats and cholesterol
• Maintain your ideal weight
• Exercise regularly according to your physician's guidelines

Inquiries
Our goal is to provide you with excellent care. If you have any questions or comments, please contact:

Jan Duval, RN
Coordinator, Heart Station
847-723-5480