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Treadmill Test

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Overview


Treadmill test (TMT) or Stress Test


Treadmill test (TMT) or exercise stress test is one of the commonest forms of stress tests used to induce provokable myocardial ischemia for diagnostic evaluation of coronary artery disease. Other forms of stress test are dobutamine stress echocardiography and adenosine stress test. In treadmill exercise test, the subject walks on a treadmill as per the protocol of the test. One of the commonest protocol used is known as Bruce protocol. Every stage of Bruce protocol consists of three minutes. The starting speed is 1.7 miles per hour (mph) and the gradient is 10%. 0.7-08 mph increment in speed and 2% increment in gradient is given for each consecutive stage. Usual Bruce protocol has upto 7 stages, but most often when it is done in a post myocardial infarction patient, upto 10 minutes of exercise is taken as sufficient.

The heart rate and blood pressure are monitored continuously along with 12 lead ECG with computerised ST and arrhythmia detection algorithms. Test is stopped if the subject develops limiting angina, syncope, breathlessness, fatigue or when the target heart rate is achieved. Significant ST depression of 3 or more millimeters is also an indication for termination. Occasionally the test has to be terminated because of serious cardiac arrhythmia. A defibrillator and qualified personal and equipment for resuscitation should be available during the test.

Significant ST depression developing at lower workloads (less than 5 MET) especially if associated with typical symptoms is highly suggestive of inducible ischemia. Downsloping ST depression is most significant while horizontal ST depression is of lesser significance. Upsloping ST depression of least significance. ST depression more than 5 minutes into recovery is also highly significant. The leads in which ST depression occurs do not indicate the region of ischemia usually. But if ST elevation occurs, it is supposed to be indicative. ST elevation occurring in leads with Q waves indicate viable myocardium in the infarcted territory.

Treadmill Test offers info on Treadmill  India, Test  India, Treadmill Test India, Stress Test  India

[Peak exercise ECG tracing showing significant horizontal ST depression in inferior and lateral leads.]


The list of of Health Check up and screening Hospitals in India is as follows : -


Apollo Hospitals Bangalore Apollo Hospitals, Bangalore, India
Apollo Hospital Chennai Apollo Hospital, Chennai, India
Apollo Hospitals Hyderabad Apollo Hospitals, Hyderabad, India
Apollo Hospitals Delhi Indraprastha Apollo Hospital, Delhi, India
Apollo Hospitals Kolkata Apollo Gleneagles Hospital, Kolkata, India
Apollo Hospital, Goa, India Apollo Hospital, Goa, India
Wockhardt Hospital Bangalore India Wockhardt Hospital, Bangalore India
Wockhardt Hospital hyderabad, India Wockhardt Hospital, hyderabad, India
Wockhardt Hospital Mumbai, India Wockhardt Hospital, Mumbai, India
Wockhardt Hospital and Kidney Institute, Kolkata, India Wockhardt Hospital and Kidney Institute, Kolkata, India
Fortis Hospital, Delhi, India Fortis Hospital, Delhi, India
Fortis Hospital Mohali, India Fortis Hospital, Mohali, India
Fortis Hospital Noida, India Fortis Hospital, Noida, India
Escorts Heart Institute Hospital, Delhi, India Escorts Heart Institute Hospital, Delhi, India
Manipal Hospital, Bangalore, India Manipal Hospital, Bangalore, India
MIOT Hospital, Chennai, India MIOT Hospital, Chennai, India
Narayana Hrudayalaya Heart Hospital, Bangalore, India Narayana Hrudayalaya Heart Hospital, Bangalore, India
Sparsh Hospital, Bangalore, India Sparsh Hospital, Bangalore, India
Narayana Cancer Hospital, Bangalore, India Narayana Cancer Hospital, Bangalore, India
Artemis Hospital, Gurgaon ( Delhi ) , India Artemis Hospital, Gurgaon ( Delhi ) , India
Max Super Specialty hospital,  Delhi, India Max Super Specialty hospital, Delhi, India
Max Devki Devi Heart and Vascular  hospital,  Delhi, India Max Devki Devi Heart and Vascular hospital, Delhi, India
Max Health Check Centre, Delhi, India Max Health Check Centre, Delhi, India
BGS Global Hospital Bangalore, India BGS Global Hospital, Bangalore, India
BGS Global Hospital Chennai, India BGS Global Hospital, Chennai, India
BGS Global Hospital Hyderabad, India BGS Global Hospital, Hyderabad, India


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