• Do not eat or drink anything except water for four hours before the test.
• Ask your doctor what medications should be taken on the day of your test. If you use an inhaler for breathing, bring it to the test. If you are diabetic, ask your physician how to adjust your medications the day of your test.
• Wear comfortable clothes and soft-soled shoes suitable for walking.
• Do not bring valuables

Ten small areas of your chest are cleaned, and small sticky electrode patches are attached to these areas. Men may expect to have their chest partially shaved to help the electrodes stick. The electrodes are attached to an electrocardiograph (ECG) monitor that charts your heart’s electrical activity during the test.

Your blood pressure and ECG recording will be taken before, during and after exercise. You will begin to exercise by walking on a treadmill or pedaling a stationary cycle. The degree of difficulty will gradually increase. You will be asked to exercise very hard until you are exhausted.

At regular intervals, the lab personnel will ask how you are feeling. Please tell them if you feel chest, arm or jaw pain or discomfort; shortness of breath; dizziness; lightheadedness; or any other unusual symptoms. It is normal for your heart rate, blood pressure, breathing rate and perspiration to increase during the test. The lab personnel will watch for any symptoms or changes on the ECG monitor that suggest the test should be stopped.

After the test you will walk or pedal slowly for a couple of minutes to cool down. Your heart rate, blood pressure and ECG will continue to be monitored until the levels are returning to normal.

Although the appointment lasts about 60 minutes, the actual exercise time is usually between 7 and 12 minutes.

Ask your doctor if you have any questions about the exercise stress test.

• Find a Cleveland Clinic Heart Center doctor who performs this test