TMT

Treadmill Procedure Test (TMT) in Hyderabad

A healthy heart plays a crucial role in keeping the body’s organs functioning smoothly. The major factors that affect heart health include increased stress among individuals and changes in their lifestyles and diets. Exercise ECG (electrocardiogram) or treadmill test (TMT), also called a stress test, is a test which is used to monitor the functioning of the heart in people who have diabetes, are at risk for heart disease, have a history of heart disease, or have undergone a procedure related to the heart.

The treadmill test (TMT) or cardiac stress test is used to determine how far your heart can go before abnormal heart rhythms or reduced blood flow to the heart muscle occur. Doctors use it to observe your heart’s response to being pushed to a certain extent. Walking on a treadmill gradually becomes more difficult as the difficulty level is increased. Heart health is gauged by monitoring ECG, heart rate, and blood pressure throughout the process. CARE Hospitals offers cutting-edge equipment and expert lab personnel to perform treadmill testing efficiently.

TMT is done for

• The assessment of patients with chest pain, prognosis and severity of disease, screening for latent CAD, and evaluation of therapy. 

• Early detection of labile hypertension. 

• Patients with CHF, Arrhythmias, Coronary Heart Disease, and Valvular Disease are evaluated for their function and therapy.

At CARE Hospitals, the TMT Test and procedures performed include-

Preparation For the TMT Test-

• Fasting for 3-4 hours is recommended.

• Before conducting the test, the patient’s consent must be obtained.

• Prior to the investigation, the patient’s blood pressure is monitored.

• A clean-shaven chest is necessary for TMT investigation on male patients.

• The TMT Investigation requires loose clothing/ gowns.

• Attendants are required for TMT testing.

Procedure For the TMT Test-

Pre Procedure:

• In order to prepare for a stress test, you should avoid eating, drinking, or smoking at least three hours before the test.

• Your doctor will advise you on whether to continue taking any regular medications, but if you are taking any heart medications, they will likely need to be changed or stopped before the test.

• To walk comfortably on a treadmill, you should wear loose, comfortable clothing. Make sure you do not wear metallic jewellery, belts, or ornaments. 

• In order to undergo the test, male patients must shave off excess chest hair before they arrive.

During Procedure:

• About 30 minutes is usually required for the test. 

• Remove ornaments, a purse, a belt, etc. as well as change into a hospital gown.

• Make sure your mobile device is in silent mode. 

• The technician will perform the procedure by cleaning the chest area, applying the gel, and then placing the electrodes.

• You will be periodically checked on how you feel by the technician, while your BP and ECG are being monitored. Either you will be too tired or the ECG will reveal anomalies to end the test.

• As you rest for four minutes, we will re-record both your blood pressure and your ECG.

• Each electrode will be gently removed by the technician, and the excess gel on the chest will be wiped away with cotton and tissues.

Post Procedure: 

• There may be some symptoms such as dizziness, a rapid heartbeat, or trouble breathing for a few patients, but they will subside. 

• After the procedure, the technician will issue a report within 15 minutes.

How is a TMT conducted?

The technician will take your blood pressure and ECG before you begin exercising so that they can measure your heart rate. You will then walk on a treadmill to burn calories. During this period, the rate of activity and difficulty level will gradually increase. Laboratory staff will ask you how you’re feeling at regular intervals.

Please let your doctor know if you are experiencing chest or arm discomfort, dizziness, shortness of breath, lightheadedness, or any other unusual symptoms. During a treadmill stress test, it is considered normal for your blood pressure, heart rate, breathing rate, and sweating to increase. A member of the lab staff will also monitor your ECG continuously to see if anything indicates that the test should be stopped. After the test, you will walk for a few minutes more until you have cooled down. As soon as your ECG, blood pressure, and heart rate have normalised, the laboratory staff will continue monitoring them.

What happens during the treadmill exercise stress test?

During a Treadmill Exercise Stress Test (TMT), a healthcare professional monitors your heart's response to physical exertion. Here's a concise overview:

• Preparation: Your medical history is reviewed, electrodes are placed on your chest and limbs for EKG monitoring, and baseline vital signs are recorded.
• Exercise: You walk or run on a treadmill that gradually increases speed and incline, simulating physical stress.
• Monitoring: Throughout the test, your heart rate, blood pressure, and EKG are continuously monitored. You'll be asked about any symptoms.
• Target Heart Rate: The goal is to reach a predetermined target heart rate based on your age and health.
• Termination: The test ends when you reach your target heart rate or if you develop symptoms requiring cessation.
• Cool Down: A cool-down period follows, with reduced treadmill intensity to lower your heart rate.
• Post-Test: Data is evaluated to assess heart function during exercise, aiding in diagnosing or ruling out cardiovascular conditions.

CARE Hospitals Support

At CARE Hospitals, treatment protocols are of international standards, and the staff is highly trained and multidisciplinary. In addition to minimally invasive procedures, we strive to provide our patients with complete end-to-end care and assistance, including shorter recovery periods and hospital stays. CARE Hospital Department of Cardiology has been known for superior patient care, technological advancements, and minimally invasive, advanced, and modern surgical methods. Our comprehensive approach includes a TMT test procedure to ensure accurate diagnosis, positive treatment outcomes, and the best patient care.

FAQs

1. What are the indications for a TMT?

A TMT may be recommended if you have symptoms like chest pain, shortness of breath, or palpitations, especially during physical activity. It can help diagnose or rule out heart-related issues.

2. Are there any contraindications or risks associated with a TMT?

TMT is generally safe, but it may not be suitable for everyone. People with certain medical conditions like severe hypertension, a recent heart attack, or significant heart valve issues may not be good candidates for this test. There is a slight risk of experiencing heart-related symptoms during the test, but healthcare professionals are prepared to respond.

3. How long does a TMT typically last?

A TMT usually lasts about 10 to 15 minutes, but the exact duration can vary depending on your target heart rate and how your body responds to the exercise.