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An exercise stress test is used to determine how well your heart responds when it is working overtime. You will be asked to exercise — typically on a treadmill — while being hooked up to an electrocardiogram (EKG) machine during the test. This allows your doctor to keep an eye on your heart rate. Exercise stress testing is also known as an exercise test or a treadmill test. A stress test is used primarily to support your doctor in determining exercise, and to check if you receive sufficient oxygen and adequate blood flow.

It can be done for people who have had chest pains or other symptoms of coronary heart disease (also called coronary artery disease). An exercise stress test may also be used to determine your level of health, particularly if you are beginning a new exercise program. This allows your doctor to determine how much exercise you can safely handle. If you are over 40 years old and a smoker, or if you have other risk factors for heart disease, you should consult your doctor to see if an exercise stress test is appropriate for you.

Stress tests are generally regarded as safe, particularly when performed in a controlled environment under the supervision of a trained medical professional. However, because your doctor will screen you for problems beforehand, your chances of experiencing these reactions during the test are low. People who are at high risk of these complications, such as those with advanced coronary heart disease, are rarely asked to participate in the test.

Your doctor will perform a physical exam and ask about your entire medical history before your test. Inform your doctor about your symptoms, particularly any chest pains or shortness of breath. You should also inform your doctor if you have any conditions or symptoms that make exercise difficult, such as stiff joints from arthritis. Finally, if you have diabetes, inform your doctor because exercise affects blood sugar levels. If you have diabetes, your doctor may want to monitor your blood glucose levels while you exercise.

Dress in loose, comfortable clothing on the day of the test. It's best to wear something light and breathable. Wear comfortable shoes, such as athletic sneakers. You will be given details on how to prepare for the same by your doctor. These directions may include three hours before the test to refrain from eating, smoking, or drinking caffeinated drinks; and stoppage of some drugs.

· Notify yourself on the Day of the Test of any chest pain or other complexities.

· Report any chest pains or other complications you notice on the day of the test.

· You should only stop taking medications if your doctor instructs you to do so.

To assist you in taking good care of your heart, we will send you information on managing high blood pressure, cholesterol, nutrition, and other topics.

You will be hooked up to the EKG machine before you begin exercising. Under your clothes, several sticky pads will be attached to your skin. Before you begin exercising, your doctor or nurse will check your heart rate and breathing. To test the strength of your lungs, your doctor may have you breathe into a tube. You'll begin by slowly walking on a treadmill. As the test progresses, the treadmill's speed and grade will be increased.

If you have any problems, such as chest pains, weakness, or fatigue, you can request the test be stopped. You will be able to stop exercising once your doctor is satisfied with your results. Your heart rate and breathing will be monitored for a short time after that. Following the test, you will be given water and instructed to rest. If your blood pressure rises during the test, your attending nurse may keep an eye on it. Your doctor will go over the results with you a few days after the test. The test may reveal abnormal heart rhythms or other symptoms of coronary artery disease, such as blocked arteries.

One of NBC’s most-watched prime-time programs (besides football) “The Biggest Loser” is top ranked and has fans glued to the TV each week; routing for their favorite contestant to shed the most lb.’s.  But with participants losing double-digit numbers each week, and being succumbed to five to six hours of grueling exercise each day, many ask, “is this show safe?” Everyone has their opinion, but let’s lay down the facts so you can make yours.