Unmask silent coronary artery disease
Ischaemia that is absent at rest often appears during exercise – TMT reveals these blockages, enabling early diagnosis and treatment before a heart attack occurs.
The Treadmill Test (TMT), also known as a cardiac stress test or exercise ECG, is a non‑invasive test that evaluates how your heart performs under physical stress. While resting ECG provides baseline information, some heart conditions – particularly coronary artery disease (blockages) – only become apparent during exertion. TMT monitors your heart rhythm, blood pressure, and ECG changes while you walk on a treadmill with gradually increasing speed and incline.
This test is essential for detecting ischaemia (reduced blood flow to the heart muscle), diagnosing coronary artery disease, evaluating exercise tolerance, and guiding treatment decisions in patients with known or suspected heart disease. It is also used to assess fitness for cardiac rehabilitation and to evaluate the effectiveness of anti‑anginal medications.
At Amytri Diagnostics, our TMT is performed under the supervision of experienced cardiologists and trained technicians in a fully equipped cardiac lab. Continuous monitoring of your ECG, blood pressure, and symptoms ensures your safety throughout the test. The test is stopped if you reach your target heart rate, develop symptoms, or show significant ECG changes – ensuring a safe and informative assessment.
Many heart blockages only cause symptoms during exertion. TMT helps uncover these silent conditions, enabling early intervention and preventing heart attacks.
Ischaemia that is absent at rest often appears during exercise – TMT reveals these blockages, enabling early diagnosis and treatment before a heart attack occurs.
Your exercise capacity (METs) is a powerful predictor of overall health and prognosis – TMT provides this critical information.
TMT results help tailor exercise prescriptions, medication adjustments, and surgical planning – ensuring you receive the right care at the right time.
We provide safe, accurate TMT testing under the supervision of experienced cardiologists – with continuous monitoring and comprehensive reporting.
Gradual exercise protocol (Bruce protocol) with continuous 12‑lead ECG and blood pressure monitoring – detecting ischaemia, arrhythmias, and exercise capacity.
Every TMT is supervised by an experienced cardiologist who monitors your ECG, blood pressure, and symptoms throughout the test – ensuring your safety and accurate interpretation.
Assessment of ST‑segment changes, blood pressure response, and symptom correlation – detecting ischaemia and stratifying risk.
Prognostic scoring system combining exercise time, ST‑segment changes, and angina symptoms – providing a risk assessment for future cardiac events.
Based on your TMT results, we provide personalised exercise recommendations – intensity, duration, and safety parameters for your fitness programme.
TMT is essential for cardiac clearance before major surgery and for designing post‑heart attack rehabilitation programs.
Call us, WhatsApp, or visit our centre to schedule your TMT. We will provide instructions on preparation – including medications to hold and what to wear.
Wear comfortable clothing and walking shoes. Have a light meal 2 hours before – avoid heavy meals, caffeine, and smoking. Bring a list of your medications.
Electrodes are placed on your chest for continuous ECG monitoring. You start walking at a slow pace, with speed and incline increasing every 3 minutes. Your blood pressure and symptoms are monitored continuously. The test is stopped when you reach your target heart rate, develop symptoms, or have significant ECG changes.
Your test is interpreted by a cardiologist – assessing exercise capacity, ECG changes, blood pressure response, and symptoms. A comprehensive report is provided with diagnosis, risk stratification, and recommendations.
It is a key investigation for evaluating chest pain, cardiac risk, and functional capacity in patients with or without known heart disease.
If you experience chest tightness, pressure, or pain during exercise – TMT can determine if it is cardiac in origin.
If you have two or more cardiac risk factors, TMT helps screen for silent coronary artery disease.
TMT assesses functional capacity, guides rehabilitation, and helps risk‑stratify for future events.
Cardiac clearance is essential for patients over 40 or those with risk factors undergoing major surgeries.
Whether you are starting a fitness programme or cardiac rehabilitation – TMT provides a safe, measured assessment.
These symptoms may indicate cardiac ischaemia – TMT helps identify the cause.
Dr. Abhishek oversees the TMT services at Amytri, ensuring that every test is performed safely and interpreted accurately. He works closely with cardiologists to ensure that your TMT results are clinically correlated and that appropriate management – whether lifestyle changes, medications, or further investigation – is initiated promptly.
A TMT can be a demanding test – having your partner or family member with you provides reassurance and support.
We welcome partners in the waiting area during the test and during the report discussion. They can ask questions, help remember the doctor's advice, and support you through any follow‑up care.
A TMT (exercise stress test) evaluates your heart's response to physical exertion. You walk on a treadmill with increasing speed and incline while your ECG, blood pressure, and symptoms are continuously monitored.
Wear comfortable clothing and walking shoes. Have a light meal 2 hours before – avoid heavy meals, caffeine, and smoking. Bring a list of your medications. Your doctor may advise holding certain medications (like beta‑blockers) before the test.
Yes, TMT is safe when performed under supervision. The test is stopped if you develop symptoms, significant ECG changes, or reach your target heart rate. A cardiologist is present throughout the test to ensure your safety.
The test itself takes 20–40 minutes, including preparation, exercise, and recovery monitoring. Plan for about an hour for the entire appointment.
A preliminary report is available immediately after the test. A comprehensive report with detailed interpretation and recommendations is provided within 24–48 hours.
Yes, a referral from your physician or cardiologist is required. The test should be performed based on appropriate indications and interpreted in the context of your clinical history.
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