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Doctor insights on: Treadmill Stress Test Interpretation

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What is a treadmill stress test used for?

What is a treadmill stress test used for?

Ischemia: Exercise ECG stress testing is a first line diagnostic test used to detect ischemia (significant coronary blockages) & is sometimes combined with echo or nuclear imaging. ...Read more

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Dr. Heidi Fowler
3,099 doctors shared insights

Stress (Definition)

Stress affects most people in some way. Acute (sudden, short-term) stress leads to rapid changes throughout the body. Almost all body systems (the heart and blood vessels, immune system, lungs, digestive system, sensory organs, and brain) gear up to meet perceived danger. These stress responses could prove beneficial in a critical, life-or-death situation. Over time, however, repeated stressful situations put a strain on the body that may contribute to physical and psychological problems. Chronic (long-term) stress can have real health consequences and should be addressed like any other health concern. Fortunately, research is showing that lifestyle changes and stress-reduction techniques can help people learn ...Read more


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Abnormal treadmill stress test, what to do?

Abnormal treadmill stress test, what to do?

Abnormal stress test: If you have an abnormal test, you need to discuss it with your doctor and ask the meaning of the test and what additional steps if any need to be taken. Do you need a diet, exercise, medications etc. When you have a test the dr. Who ordered it is responsible to follow up with you or help you get follow up. ...Read more

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What is a treadmill stress test used to detect?

What is a treadmill stress test used to detect?

Diagnosis: To diagnosis underlying coronary artery disease in one with suggestive symptoms or to evaluate the efficacy of medical therapy in one with known coronary artery disease. ...Read more

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Possible reasons for abnormal treadmill stress test?

Possible reasons for abnormal treadmill stress test?

Depends: depends upon the abnormality and the person being tested. 10% or more treadmills with be "abnormal" but nothing being wrong with the person. this may be due to resting ECG properties, a person's habitus or other history (blood pressure). Of course the reason we are concerned is that in the higher risk person, an abnormal stress test may indicate blockages in the coronary arteries. ...Read more

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I have abnormal treadmill stress test, what does this mean?

I have abnormal treadmill stress test, what does this mean?

Stress test: Abnormal stress test suggests that the heart muscle may be getting insufficient blood flow during exercise. This finding needs to be further investigated and if necessary treated. ...Read more

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In general, how long should it take to get the results of a treadmill stress test?

In general, how long should it take to get the results of a treadmill stress test?

Most tests: Should have results available immediately (1-2 hours) if you wait. All should be finalized within 1 work day. You should get a call and your doctor should have a report within 2 work days. ...Read more

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What is the sestamibi treadmill stress test?

What is the sestamibi treadmill stress test?

Nuclear study: This is a nuclear medicine test that tells your physician about your heart function. A small amount of nuclear tracer is given right after/during running on a treadmill followed by a scan. This is compared to a similar scan performed at a separate time under resting conditions. Any decreased area of tracer uptake in the heart during stress compared to rest indicates a possible artery block. ...Read more

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Doctors! what actually is the purpose of a treadmill stress test?

Doctors! what actually is the purpose of a treadmill stress test?

Treadmill test: This test evaluates the physiologic response to exercise. It gives an indication of aerobic capacity, heart function and heart muscle perfusion. It also demonstrates heart rhythm at exercise and rest as well as some indication of lung function. ...Read more

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Is it possible for someone with vulnerable (soft) plaques to have a negative treadmill stress test, but still be in danger?

Is it possible for someone with vulnerable (soft) plaques to have a negative treadmill stress test, but still be in danger?

Yes: It's entirely possible - this is, in fact,the explanation for how someone can have a normal stress test and then have a heart attack hours, days, or weeks later: presumably there is no serious blockage at the moment of the stress test, but they rupture a plaque and occlude the vessel at a later time. This is a sad reality. We have no "crystal balls" to predict the future. ...Read more

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What exactly does it mean if someone fails a treadmill stress test during a resting period?

Stress test: We monitor the ECG during exercise and during recovery, a 'positive' test can appear in either phase. The implication is there is an abnormality in heart blood flow present. ...Read more

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Can i request of the technician that when i take a cardiac treadmill stress test that the platform be on a horizontal level rather than an incline?

Can i request of the technician that when i take a cardiac treadmill stress test that the platform be on a horizontal level rather than an incline?

Less accurate test: The "bruce" protocol stress test was designed to increase the incline and speed every 3 minutes. A horizontal test may not stress the heart enough, before the participant has to stop. Sometimes signs of heart disease do not show until the higher levels, thus a non-standardized test might miss heart disease, thus being less reliable. You can discuss other types of stress testing with your doctor. ...Read more

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What's the least % of artery blockage that a treadmill stress test can be sensitive to?

What's the least % of artery blockage that a treadmill stress test can be sensitive to?

50%: Please remember that this is a statistical data -- so realistically in active coronary arteritis (inflammatory or unstable plaques), the reactive response or spasm can cause ECG changes and/or symptoms with any degree of luminal (phenobarbital) narrowing. ...Read more

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How accurately can heart problems be ruled out when you have a stress test or a treadmill test?

How accurately can heart problems be ruled out when you have a stress test or a treadmill test?

Stress tests: Are designed to determine if hemodynamically significant coronary blockages are present (greater than 70%) but don't tell us if CAD is present. A coronary calcium screening does that. ...Read more

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Cardiology:Can people have a normal heart even though they reach the maximum heart rate on an treadmill stress test quickly?

Cardiology:Can people have a normal heart even though they reach the maximum heart rate on an treadmill stress test quickly?

Yes: If you reach your target quickly it means you are not conditioned. You need to exercise more and build up your endurance. Marathon runners never reach their "target." ...Read more

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Someone takes a cardiac treadmill stress test and experiences tachycardia which is then identified by an cardiologist as a benign tachycardia.Problem?

Someone takes a cardiac treadmill stress test and experiences tachycardia which is then identified by an cardiologist as a benign tachycardia.Problem?

Difficult to say: Based on the information provided, it's difficult to answer your questions. As while a tachycardia may be benign - as in not life-threatening - it doesn't mean that it won't cause symptoms like palpitations or lightheadedness. It may even further evaluation and possibly even medications to control. If it is sinus tachycardia, which is expected to be found on a stress test, then I wouldn't worry ...Read more

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My cardiologist did a regular treadmill stress test on me which was normal, so was resting EKG and chst xray why do i hear stress test is not gd women?

My cardiologist did a regular treadmill stress test on me which was normal, so was resting EKG and chst xray why do i hear stress test is not gd women?

Stress test ok: The problem with the stress test in women is that there are more false positive which means the test can be positive even though you do not have disease thus "falsely positive". However on the flip side, if the test is negative then it has about an 80% predictive value meaning if it is negative then about 80% of the time you do not have disease which is about the same value as in males. You are ok ...Read more

Dr. Marvin Ott
3 doctors shared insights

Stress Test (Definition)

A stress test is a cardiac test which can include walking on a treadmill and monitoring your heart while you are walking. They can also inject you with a nuclear material and do a more comprehensive scan on your heart to check for blockage. They can also do a chemical stress test which omits the need to ...Read more