This test involves moving you on a treadmill while monitoring your electrical activity (ECG) and blood pressure. The treadmill is used to evaluate the effects of heart stress. Physical effort will allow the doctor to diagnose the presence or absence of coronary artery disease or detect abnormal heart rhythms (arrhythmias).
During the test, the speed and inclination of the treadmill increases, so the doctor will appreciate how your heart responds to different levels of effort.The ECG exercise test is very commonly used for the diagnosis of ischemic coronary artery disease. However, there are some situations in which the ECG exercise test can not be achieved because the patient can not perform physical exercise or already has ECG abnormalities in stand by, which does not allow the interpretation of ECG changes in the effort.
In these situations, it is recommended to perform a different type of test to diagnose or exclude Ischemic Coronary Artery Disease, such as: Cardiac Stress Ultrasound, Stress Myocardial Scintigraphy, Coronary Tomography or Cardiac Magnetic Resonance (MR). In our clinic is a Cardiac Stress Magnetic Resonance (MR) , which is a new investigation in Romania, but very used in the developed countries. It is harmless, painless, does not irradiate, and can accurately rule out or exclude Ischemic Coronary Artery Disease. It provides information on the structure and function of the heart both at rest and under stress.
We recommend discussing with your doctor if it is appropriate for you to perform a Cardiac Stress Test.
How does the ECG exercise test work?
Investigation is painless, non-invasive and simple to perform, lasting about 30 minutes. Before the test, you will be evaluated by the cardiologist for possible contraindications (unstable angina, manifest cardiac failure, eventual ECG alterations that make interpretation impossible, increase blood pressure, etc.).
Your doctor will explain the procedure, he/she will ask you about your medical history and answer any questions you have about the investigation. You will be asked to sign a consent form.
You will be asked to remove all your clothes from the superior part of the body and remain with your chest naked. We will stick adhesive electrodes on the chest to record the ECG. For men with increased chest hair, we may need to remove hair in the areas where we need to place the electrodes.
You will be urged to go on the treadmill slowly, then faster and faster. The speed and inclination of the treadmill increases at certain time intervals. It is advisable to try to move on as long as the result depends on effort.
It is very important to tell your doctor if symptoms such as chest pain, dizziness, abnormal breathing difficulties or extreme fatigue occur. If a problem occurs, the doctor will immediately stop the test. Blood pressure, heart rate and electrocardiogram (EKG) will be monitored before, during and after the test.
Instructions for you
The effort test can be performed at any time of the day without the need for prior training. However, before doing so, at least two hours before, it is recommended that you do not smoke, drink coffee or eat. If you are taking a medical treatment, take all the usual medications, except those recommended by your doctor to stop them before the test. It is also advisable to wear casual clothes and sport footwear before submitting to the investigation.
Do not eat or drink two hours before the test. Take all your usual medications except those recommended by your doctor to stop them before the test. Wear comfortable clothing and footwear that is suitable for walking or running. There are no restrictions after the test.
Because patients represent our rationale for being, we provide them personalized care as long as they are needed.