Angelite Nurses

Stress Testing or Exercise Testing

: Assessment of the cardiac function by ECG, blood pressure, and pulse rate during sustained exercise on a treadmill, or a stationary bicycle

: the most sensitive non-invasive test in the diagnosis of coronary artery disease for the most number of patients.

B. Purposes of the Procedure

1. Identify ischemic heart disease

2. Evaluate patients with chest pain

3. Evaluate effectiveness of therapy

4. Develop individual fitness program


C. Preparation of the Patient

1. Obtain an informed consent

2. Attempt to allay the anxiety of the patient

3. Patient should have adequate sleep the night before the test

4. Ensure that the client does not drink coffee, tea, and alcohol on the day of the test

5. Ensure that the client does not smoke nor take nitroglycerine, 2 hours before test

6. Eat a light breakfast / lunch at least 2 hours before the test

7. Wear comfortable, loose-fitting clothes that buttons in front

8. Wear low-heeled, rubber-soled pair of shoes

D. Procedure

1. Ask the client to report dizziness, chest pain, dyspnea, fatigue, or nausea if experienced during the test.

2. Continually observe the client, the vital signs, and the ECG during the test

3. Ensure ready access to emergency cardiac drugs and equipment (e.g. defibrillator)

4. Observe the client after the test and reinforce any medical instructions as required.

5. Evaluate the client’s response to procedure

Procedure During A Stress Test



Findings as Treadmill Exam