Exercise stress test
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Exercise stress test

Treadmill exercise test under continuous medical supervision, to assess the heart's behaviour during exercise.

What is it?

The exercise stress test involves recording the electrocardiogram, heart rate and blood pressure during physical exercise of progressive intensity, usually on a treadmill. Some cardiac abnormalities indeed only appear during exertion, when the heart is under demand. This examination is an essential tool in cardiology: it helps look for insufficient blood supply to the heart muscle, investigate chest pain or breathlessness on exertion, assess physical capacity, unmask certain rhythm disorders and guide the return to sporting activity. The procedure is simple: fitted with electrodes and a blood pressure cuff, the patient walks on a treadmill whose speed and incline increase in stages, under the constant supervision of a physician. The exertion is tailored to each person and stopped as soon as the necessary information has been gathered or at the patient's request. At Clinique Pasteur Tunis, the exercise stress test is performed in a secure environment, with continuous monitoring and the permanent presence of a trained medical team, with all treatment resources immediately available on site.
Exercise stress test

When is it indicated?

Chest pain on exertion to be investigated

When discomfort in the chest appears while walking or climbing stairs, this test reproduces the exertion under supervision to check that the heart is working properly.

Unusual breathlessness during exercise

If you get out of breath faster than before during usual activities, the examination helps determine whether the heart is the cause.

Evaluation after cardiac treatment or an intervention

After the start of a treatment or an intervention on the heart, the test confirms that it can once again withstand exertion in good conditions.

Search for rhythm disorders triggered by exertion

Some palpitations only appear during exercise; the test makes it possible to provoke them in a secure setting in order to record and analyse them.

Assessment before returning to sporting activity

Before getting back into sport, especially after a long break or a health problem, the test verifies that the heart is ready to keep up.

Assessment of functional capacity

The examination objectively measures the level of exertion you can provide, a useful benchmark for tracking your physical condition and adapting your activities.

Preparation

1Bring sportswear and comfortable shoes
2Avoid a heavy meal in the 3 hours before the examination
3Avoid coffee, tobacco and intense exertion just before the test
4Bring the list of your medications (some may be suspended on the physician's instructions)

Procedure

1

Placement of the electrodes and recording of a resting ECG

2

Measurement of baseline blood pressure

3

Walking on a treadmill with progressive increase in speed and incline

4

Continuous monitoring of the ECG, heart rate and blood pressure

5

Supervised recovery phase after stopping the exertion

6

Immediate analysis of the tracings by the cardiologist

Duration

30 to 45 minutes in total, including 10 to 15 minutes of exertion

Results

The results are available immediately after the examination. The cardiologist analyses the heart's response to exertion, draws the diagnostic conclusions and, if necessary, suggests additional examinations or an adjustment of treatment.

Risks and side effects

Examination supervised by continuous medical monitoring from start to finish
Transient muscle fatigue or breathlessness related to the exertion
Serious incidents very rare, with the team and treatment equipment immediately available

These risks remain rare. Your physician will inform you in detail before the examination.

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Contact us to schedule your examination or request a quote.

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At a glance

Duration: 30 to 45 minutes in total, including 10 to 15 minutes of exertion
Preparation: Required
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