Tread Mill Test (TMT)

Exercise Stress Testing & Myocardial Perfusion Assessment

The Treadmill Stress Test (TMT), also known as an Exercise Stress Test, evaluates how well your heart functions under physical exertion. By placing controlled demand on the cardiovascular system, the test helps identify coronary artery disease, exercise-induced arrhythmias, and ischemia not visible during resting ECG.

Testing Protocol & Monitoring Parameters

• Standardized Bruce Protocol: Progressive increment of treadmill speed and inclination every 3 minutes while monitoring cardiovascular response.

• Continuous 12-Lead ECG Monitoring: Real-time tracking of ST-segment changes, T-wave alterations, and ventricular arrhythmias.

• Blood Pressure & Heart Rate Response: Continuous blood pressure measurement at each stage and throughout the recovery phase.

• Target Heart Rate Achievement: Evaluation of cardiopulmonary endurance and age-adjusted target heart rate response.

Patient Preparation Guidelines

Patients should wear comfortable, loose clothing and supportive walking or running shoes. Avoid heavy meals, caffeine, and smoking for 3 to 4 hours prior to the test. Consult your cardiologist regarding any medication adjustments on the morning of testing.