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Efor testihow your heart copes with effort.

Your heart rhythm, blood pressure and symptoms are monitored while you walk on a treadmill that slowly gets faster and steeper. It shows what a resting test cannot.

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At a glance

How long
About 45 minutes
Preparation
Comfortable shoes
Results
Explained the same day
Where
In clinic

Why it might be recommended

Every test is chosen to answer a specific question. These are the most common reasons for this one.

  1. Chest pain or tightness that comes on with exertion
  2. Breathlessness on walking that seems out of proportion
  3. Checking exercise capacity before or after treatment
  4. Palpitations brought on by exercise

What happens

  1. Resting readings

    ECG stickers and a blood-pressure cuff are fitted, and your resting readings are taken.

  2. Exercise

    You walk on a treadmill. Every few minutes the speed and slope increase a little.

  3. Monitoring

    Your ECG and blood pressure are watched throughout. Say at once if you feel chest pain, dizziness or breathlessness; you can stop at any time.

  4. Recovery

    You rest while your readings settle, and then the findings are discussed with you.

How to prepare

  • Wear comfortable shoes and loose clothing you can walk in
  • Eat only a light meal in the two hours before, and avoid caffeine that day
  • Ask in advance whether to pause any medicines, such as beta-blockers. Never stop them on your own

Conditions it helps assess

Common questions

Is it safe?

For most people, yes. It is supervised throughout and stopped at once if anything is of concern. Your health is reviewed beforehand to make sure the test is suitable.

What if I can't walk on a treadmill?

Tell us when you book. Other ways of testing the heart under stress can be arranged by referral.

How hard do I need to push?

As far as you comfortably can. The aim is to reach a target heart rate or bring on your usual symptoms safely, not to exhaust you.

Not sure this is the test you need?

You do not have to decide alone. Book a consultation or send a question on WhatsApp. Tests are chosen once your symptoms and history have been reviewed.

This page explains what the test involves. It is not medical advice for your situation. If you have sudden or severe chest pain, fainting or breathlessness, seek emergency care immediately.

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