Exercise Tolerance Test (ETT) London

An Exercise Tolerance Test, also known as an Exercise ECG or Stress Test, is a key diagnostic procedure to evaluate individuals with known or suspected heart conditions. It checks your heart’s functioning during a physical activity – walking on a treadmill or cycling on an exercise bike.

Exercise Tolerance Test (ETT)

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What is an Exercise Tolerance Test (ETT)?

An exercise tolerance test (ETT) is a type of ECG test that is used to assess the electrical activity of your heart during physical activity. Often called an exercise ECG or a stress test, an ETT test measures your heart rate, rhythm and the electrical activity, while you are exerting yourself.

How is an Exercise ECG Performed?

During an Exercise Tolerance Test, small adhesive electrodes are attached to the patient’s chest and connected to an ECG monitor. The patient is asked to walk on a treadmill or pedal a stationary bicycle while his heart activity is monitored. The test begins with a low-intensity exercise and gradually increases in difficulty. Throughout the test, vital signs, such as heart rate, blood pressure, and electrocardiogram (ECG) readings, are recorded at frequent intervals.

Interpreting the Exercise Tolerance Test

Your test results are carefully reviewed to evaluate how your heart responds to exercise. Key aspects that are considered include:

Heart Rate Response

Monitoring how the heart rate increases during exercise helps determine how well your heart meets increased physical demands.

Changes in ECG

The ECG results are analysed for irregular heart rhythms or specific changes, such as ST-segment abnormalities, which may suggest reduced blood flow to the heart muscle.

Blood Pressure Changes

Changes in blood pressure during Exerise ECG determine how well your circulatory system adapts to physical activity.

Reported Symptoms

Any symptoms you experience during the test, including chest discomfort, breathlessness, dizziness, or fatigue, are monitored alongside the clinical data.

Why is Exercise Tolerance Testing Important?

A cardiac Exercise Tolerance Test plays a key role in assessing overall heart health. It is commonly used in cardiology for the following reasons:

Analysis of Physical Fitness

By measuring how well your heart responds to exercise, the test provides valuable insight into your ability to tolerate physical activity.

Detect Heart Valve Disease

A cardiac stress ECG helps evaluate the functioning of heart valves during physical activity and identify any restricted blood flow and valve leakage that may not be evident when the heart is at rest. 

Identify Coronary Artery Disease

This cardio fitness test helps identify narrowed or blocked coronary arteries that can restrict blood flow to the heart. Long-term Coronary Artery Disease can potentially cause chest pain (Angina), stroke, or heart attack. 

Understand the Effect of Ongoing Treatment

ETT test Results are also used to check the effectiveness of current medication by monitoring how well your heart functions in physical exertion.

Risk Assessment

The Stress EKG helps clinicians identify the risk of future cardiac issues, particularly in individuals with existing heart disease.

Book a Private Exercise Tolerance Test in London

Book your Stress ECG in London with The National Heart Clinic for quick, reliable, and professional cardiac screening. Our Harley Street Clinic offers same-day bookings, advanced ECG, and personalised results reviewed by our specialist ETT consultants.

Faqs

A cardiac Exercise stress test is non-invasive and generally very safe. Some people may experience mild effects such as fatigue, dizziness, or shortness of breath during exercise, but these usually resolve quickly once the test ends. 

Avoiding caffeine is recommended before a heart stress test as it can cause the heart rate and blood pressure to rise, which can reduce the test accuracy. 

A normal result shows adequate blood supply to the heart during exertion and indicates reduced risk of heart disease.

Yes, stress testing can be safely performed in pregnancy, even in late gestation, when necessary and under the supervision of a specialist.

A private Exercise Stress Test in London usually costs between £350 and £500, depending on the clinical facilities, specialist review, and diagnostic reporting.

Book an Appointment Online

Schedule a consultation online with the best Harley Street Cardiologists and get access to expert opinion, efficient diagnostics, and a personalised approach to your heart care.

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