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. TREADMILL TESTING
  A Treadmill Test is a useful procedure, which has been utilized by physicians for the past 40 years or so. This procedure can be safely performed in an office or hospital setting.

. What is a Treadmill Test?

The object of the test is to raise the heart rate. This stresses the heart so that any potential ischemia (lack of blood flow to a particular area of the heart) can be brought on by the exercise itself. The heart at rest requires considerably less blood than the heart with exercise. The exercise done during the test can show any reduction in blood flow caused by a narrowed artery. The procedure itself usually takes about 45 minutes to complete.

. What will I have to do?

The test is accomplished by walking on a moving belt at a gradually increasing speed and slope for a pre-determined period of time. The object is to walk until a target (desired) heart rate is reached. As a general rule, the patient's EKG is monitored continuously before, during and for six or eight minutes after the exercise stops.

Practically, the treadmill study takes into account the patient's age, the patient's lifestyle and activity level.

. How can walking tell you my arteries are narrow?

The EKG taken before, during and after exercise will usually show changes with the increasing heart rate if narrowed arteries are present. This test is around 70% accurate in men and probably 50% accurate in women for rather complicated reasons.

. Is the test safe?

The study is quite safe and carries with it a very low risk of complications (less than 0.1%). The complication rate is less than one would encounter if he/she were walking fairly briskly up a small hill. A physician and a technician are present for the duration of the procedure.

. What should I wear? Can I eat?

We ask that you wear loose clothing and comfortable shoes. We prefer that you not have any food and minimal fluids prior to the procedure. You will be able to take your medicines the morning of the test unless otherwise instructed.

. When will I get the results?

Your cardiologist will either discuss your results after the test or an appointment will be made to discuss your results soon thereafter. Our staff will give you more detailed instructions at the time of scheduling.
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