Reference Index - Medical Tests

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Exercise stress test



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Alternative Names:


How the test is performed:

You will walk on a treadmill or pedal on an exercise bicycle while the electrical activity of your heart is measured with an electrocardiogram (ECG ), and blood pressure readings are taken. This will measure your heart's reaction to your body's increased need for oxygen.

The test continues until:

  • You reach a target heart rate
  • You develop complications such as chest pain or an exaggerated rise or drop in blood pressure

You will continue to be monitored for 10 - 15 minutes after exercising, or until your heart rate returns to baseline.

How to prepare for the test:
  • You should continue all medications unless instructed otherwise (several types of medications are often avoided before an exercise stress test).

Tell your doctor if you are taking sildenafil citrate (Viagra) and have taken a dose within the past 24 hours. This is necessary because nitroglycerin, which is sometimes given during a stress test to relieve chest pain, should not be given to a person who has recently taken Viagra. The combination can cause a serious drop in blood pressure.

How the test will feel:



You will start walking on a treadmill or pedaling a stationary bicycle. The pace and incline of the treadmill (or the pedaling resistance) will gradually be increased.

Rarely, people experience the following during the test:

Why the test is performed:

An exercise test is most often done to evaluate for coronary artery disease.

Reasons why an exercise stress test may be performed include:

  • You are having chest pain (to evaluate for coronary artery disease -- narrowing of the arteries that feed the heart muscle)
  • Your angina is becoming more severe or is occurring more often
  • You have had a heart attack
  • You have had angioplasty or heart bypass surgery
  • To identify heart rhythm changes that may occur during exercise
  • To evaluate the significance of a heart valve program (such as aortic valve stenosis or mitral valve stenosis )

There may be other reasons why your health care provider requests this test.

Normal Values:

Normally, heart rate increases in proportion to the workload. Your endurance levels should be appropriate for your age and conditioning level.

What abnormal results mean:

Abnormal results may indicate:

What the risks are:


Persons who are likely to have such complications are usually already known to have weak hearts, so they are not given this test.

Special considerations:

A stress test is less accurate in young or middle-aged women with symptoms that are not typical of heart disease.



Review Date: 6/21/2010

