Heart Rhythm & Electrical Activity

Exercise Stress ECG

An exercise stress ECG (electrocardiogram) is a diagnostic test that records the electrical activities of your heart while you are exercising. It is often called an exercise stress test.

Overview

What is an exercise stress ECG?

An exercise stress ECG determines how well your heart and blood vessels work during physical activity, such as walking on a treadmill.

 

As your heart works harder during exercise, this non-invasive test can help detect problems that may not be apparent while you are resting. It records how fast your heart is beating, as well as its rhythm and timing.

 

An exercise stress ECG is different from an exercise stress echocardiogram, which is an ultrasound of the heart while exercising. An exercise stress echocardiogram can show your cardiologist if a specific artery in the heart is problematic, while an exercise stress ECG diagnoses a more general abnormality.


During the test

What to expect during an exercise stress ECG

1
You will be asked to undress to your waist. Females will be provided with a gown for privacy.
2
The technician will place ECG electrodes, usually small metal discs, on your chest. These connect to an ECG machine.
3
Before you start exercising, your cardiac physiologist will record your blood pressure, pulse, and your heart’s electrical activity in a resting phase.
4
You will be asked to walk on a treadmill or ride a stationary bike for a period of time determined by the doctor performing the test who will take into account your physical capabilities. The gradient and speed will gradually increase to make your heart work harder. Say something immediately if you feel unwell, have chest pains or feel that you need to stop.
5
Once you have stopped exercising, you will have time to cool down and recover.

How do I make an appointment with Advara HeartCare

If you have a referral from your GP, you can book a Stress ECG appointment with Advara HeartCare.

Advara HeartCare is Australia’s largest cardiology provider, with centres in or around most major metropolitan areas and select regional locations. Click below to find Stress ECG services near Sydney, Melbourne, Brisbane, Perth or Adelaide. 

A stress ECG shows how your heart responds to exercise.

What to Expect
Exercise Stress ECG

Before your appointment

How to prepare for a Stress ECG

There is a little preparation required for a Stress ECG. Here’s what you need to know before your appointment.
Eat & Drink 

You may be asked to avoid eating a heavy meal, caffeine, or smoking for a few hours before your test. Follow any specific instructions provided by your doctor or the clinic.

What to Wear

Wear comfortable clothing and supportive walking or running shoes, as you’ll be exercising on a treadmill during the test.

What to Bring

Bring your referral letter, Medicare card, a list of your current medications, and any previous cardiac test results if requested.

Appointment Duration

A Stress ECG appointment usually takes 30–45 minutes, including preparation, the exercise test, and recovery. You can usually return to your normal activities afterwards unless advised otherwise. 

FAQs

Frequently Asked Questions

Visit our FAQ section for answers to more common questions about Advara HeartCare, the heart tests we provide and how to access our services.

How do I prepare for my test?
Some heart medications can affect the accuracy of the test. Consult your doctor about whether you should stop taking them beforehand. Don’t stop taking medications without talking to your doctor first.
  • Bring a list of your current medications.
  • Wear a two-piece outfit and comfortable footwear that’s suitable for exercising.
  • Do not wear talc, body lotion or neck chains.
  • Have only a light meal beforehand.
  • Do not consume caffeine, alcohol or nicotine for 2 hours before the test.
  • You will need to undress to the waist. Females will be provided with a gown for privacy.
  • Men may require a part of their chest to be shaved.
  • Electrodes will be placed on your chest.
  • Sometimes a gown is worn over the electrodes.
  • You will be supervised by an experienced doctor and cardiac technician.
  • Your blood pressure, pulse rate and electrocardiogram will be monitored.
  • The test will be stopped when the doctor feels it is appropriate.
  • You will be monitored for 5 minutes after completing the exercise.
  • You’ll be provided with water and a towel.
  • You will be asked to remain seated in reception for a further 10 minutes to ensure you are fully recovered before leaving the medical centre.
  • Normal activities can be resumed.
  • One of our cardiologists will review the results and provide a full report back to your referring doctor.
  • One of our cardiologists will review the results and provide a full report back to your referring doctor, who will contact you for the next steps.
The results of your test will be provided to your referring doctor who will explain the results to you.
Complications and side effects are rare but can include: dizziness or fainting abnormal heart rhythm development of heart failure or heart pain A full list of potential complications and side effects will be provided to you at your appointment. This test is non-invasive and experienced medical staff are in attendance throughout your test to manage any complications. Please discuss any concerns with your doctor or the testing team before starting the test.
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