Complete Guide to TMT or Treadmill Test in India including Cost of TMT

Treadmill Test (TMT) Guide in India / Cost of Treadmill Test (TMT) in India

This guide written by LabsAdvisor.com aims to provide you with the relevant details about Tread Mill Test (TMT) in India. In this guide we cover the following topics:

  1. What is Treadmill Test (TMT) ?
  2. How does a Treadmill Test Work ?
  3. Significance of TMT
  4. How to Prepare for the Test?
  5. How is a Treadmill Test Performed ?
  6. How quickly will you get the Results ?
  7. Risks of The TMT Test
  8. Limitations of TMT
  9. Cost of TMT Test in India
  10. How to Book Treadmill Test (TMT) in India ?

To book now your TMT test in India, give us call on 08882668822. If you want a call back, please fill out the form given below.

 

What is Tread Mill Test (TMT) ?

Tread Mill Test, also called as Regular Stress Test, or TMT Test, determines the effect of physical stress on your heart. It is done to see how well your heart responds when you are made to exercise in a controlled environment. It is performed on OPD basis so there is no need of hospitalization for the test. Patient exercises on a Treadmill under the supervision of a physician and his/her ECG is monitored continuously. In addition, blood pressure and other symptoms are also monitored.  ECG changes detected during stress test can lead to the diagnosis of Coronary Artery disease (CAD).

Coronary Artery Disease (CAD) is the most common type of heart disease affecting millions in India. It can lead to angina and heart attack. It is the leading cause of death in both men and women. TMT is a safe and cost-effective test that indicates the presence of the disease.

How does a Treadmill Test Work ?

Patients with blockages in the heart may have minimal symptoms and an unchanged electrocardiogram (ECG) while at rest. However, when the heart is exposed to the stress of exercise the symptoms of heart disease can be unveiled. During exercise, healthy arteries of the heart dilate than an artery that has a blockage. This uneven dilation causes more blood to be delivered to heart muscle supplied by the normal artery. Whereas the heart muscle that is supplied blood by narrow artery has reduced blood flow. This reduced flow causes the involved muscle to “starve” during exercise resulting in symptoms like chest discomfort or inappropriate shortness of breath and the electrocardiogram shows characteristic abnormalities. Most commonly, a motorized treadmill is used for exercise, while some laboratories may use a stationary bicycle.

Significance of TMT

TMT is primarily used to check if your heart receives optimum oxygen and blood circulation when it needs the most i.e. when you are exercising.

TMT Test is generally is advised to you if:

  • You experience chest pain, fatigue or breathlessness while walking or running. These symptoms can be of coronary heart disease.
  • You have suffered a heart attack.The study will determine your heart condition and confirm that your heart is in a stable state, or that a new blockage is developing.
  • Even if you show up with no symptoms of heart disease but have a family history of the disease, you will be advised to undergo TMT test.
  • You are a chain smoker.
  • You are over the age of 40.
  • If you plan to start a rigorous exercise workout program. TMT will be advised to assess your heart for exercise tolerance.
Treadmill Test in Delhi
LabsAdvisor.com- Tread Mill Test in India

How to Prepare for the Test?

Before undergoing a TMT Test, you should tell your doctor in advance if you

  • Get chest pains and shortness of breath while walking or running.
  • Have stiff joints from arthritis.
  • Have diabetes. If you do not have enough insulin available in your body, your blood glucose levels can actually increase right after exercise. The doctor may give special instruction regarding the dosage of insulin before undergoing the test. He will also monitor your blood glucose level during the test.
  • Have exercise-induced Asthma. I.e. you get wheezing or a cough while exercising. Your doctor will advise accordingly.

The following are the recommendations to follow on the day of the test:

  • Do not eat or drink for three hours prior to the procedure. This reduces the chances of nausea that may happen due to strenuous exercise after a heavy meal.
  • Specific heart medicines may need to be stopped one or two days before to the test. Such instructions are generally provided when you are scheduled for the test.
  • Wear comfortable clothes and shoes that are suitable for exercise.
  • Information regarding the test will be given to you to read and you may be asked to sign a consent form.
  • You should keep approximately one hour for the entire test, including the preparation.

How is a Treadmill Test Performed ?

For a regular stress test the equipment used is a treadmill, though in some labs the stress test is conducted using a stationary bicycle. These equipment also have connections to the ECG monitor and a paper recorder, as well as a blood pressure cuff. Though the dangers of cardiac arrest during TMT tests are extremely low, as the test is conducted on patients who are suspected to have a heart condition, almost all labs are ready with emergency medication and resuscitative mechanisms.

A stress test generally takes up to 60 minutes from beginning to end. The actual exercising part of the test takes only 20 minutes. You will be brought to the test room where the technician or nurse will record your heart rate and blood pressure at rest. She will then place sticky patches that are the electrodes on your chest. These patches are attached to wires that carry the electrical activity of the heart to the monitor and recorder of the ECG machine. Before the start of the test, the ECG will record your heart activity on paper. This is what is known as the Resting ECG. More recordings will be made during the test when you are exercising on the treadmill.

The treadmill is switched on at a rather slow,also called as ‘warm-up’ speed and gradually the incline of the treadmill is increased. This is a pre-set program, which regulates the speed and incline of the treadmill over time intervals. Every three-minute interval is called a stage. During the test,your blood pressure will be recorded in every stage, but the recordings can be done more frequently if necessary.

Measurements taken during and immediately after the workout are indicators of cardiovascular fitness and how well your autonomic nervous system is functioning: how long you can continue as the treadmill’s speed and incline gradually increase; whether your blood pressure drops instead of rising; whether the heart rate increases to a level appropriate for your age and how fast it recovers when the test ends; and whether the pumping chambers of the heart develop any abnormal beats.

Your ECG is recorded both on paper and on the monitor. If you develop any sort of uneasiness, the test could be stopped before the target heart rate is achieved. Otherwise once the test has been completed, the treadmill speed and incline is gradually decreased to cool you down and then finally stopped.

You may feel a little bit of tired after the test but that is normal as body muscles were put to strenuous work.


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How quickly will you get the Results ?

The technician conducting the test will be able to give you the preliminary results before you leave the laboratory. However, the formal result may take a couple of days to complete. The results of the test may help confirm or rule out a diagnosis of heart disease.

Risks of The TMT Test

The risk of the test is minimal with only one out of a thousand patients experience problems and may require hospitalization. There is a small danger of the patient suffering a heart attack during the stress test. However, experienced medical staff is present to manage these rare complications.

Limitations of The Test

When the stress test is used for people who are at low risk for heart disease, an abnormal ECG is most often a false positive. A false positive result may call for further testing that is far more costly.

The accuracy is lower (about 50%) when patients have narrowing in a single coronary artery. It is better at picking up coronary disease if more than one artery is clogged.

Duration on the treadmill may be less due to lack of physical fitness, back problems or other unrelated disorders and hence treadmill test is not applicable for people with such conditions.When a middle-aged inactive person is done in after only three minutes on the treadmill, it may be due to his sedentary lifestyle instead of heart disease.

The efficacy of TMT is limited in determining heart conditions like atherosclerosis, which is a condition involving the thickening of the walls of the arteries. It also cannot identify Atheroma or vulnerable plaques.

Conclusion

The Tread Mill Test’s main advantages are its rapidity and low cost. It takes one-fifth of the time taken by the tests like a nuclear stress test, CT coronary angiogram or standard angiogram and is much cheaper also.

To conclude, Exercise TMT Test gives information regarding presence or absence of ischemia in suspected obstructive CAD either in general population or in special situations. It also gives a wealth of information in other cardio vascular diseases. It is cost effective and very safe. In Spite of pitfalls and limitations, TMT Testing still remains the most useful test because of its wide availability, reasonable cost, minimal risk and easy interpretation of results.

Cost of TMT Test in India

TMT Test Min. LabsAdvisor TMT Price TMT Market Price
Cost of TMT Test in Delhi

₹ 1400

₹ 3000

Cost of TMT Test in Gurgaon

₹ 1200

₹ 2480

Cost of TMT Test in Noida

₹ 1350

₹ 3090

Cost of TMT Test in Mumbai

₹ 1125

₹ 1800

Cost of TMT Test in Bengaluru/ Bangalore

₹ 875

₹ 1300

Cost of TMT Test in Chennai

₹ 1275

₹ 1500

Cost of TMT Test in Hyderabad

₹ 800

₹ 1000


Get ₹200 voucher for your first medical test booking at LabsAdvisor.com.

Click to get the code now.


How to Book Treadmill Test (TMT) in India ?

TMT test can easily be booked for you by labsadvisor.com at a lab in your preferred locality. You just need to click here www.labsadvisor.com or call +91 8882-66-88-22. You can download our Android App ‘LabsAdvisor’ from Play store to book online the test. If you want a call back, fill out the form given at the start of the article.

There are some other articles that you may find useful, listed below:

To know more about of Coronary Artery disease (CAD) you can refer to:

https://en.wikipedia.org/wiki / Coronary_artery_disease

http://www.webmd.com/heart-disease/guide/heart-disease-coronary-artery-disease


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