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TMT Test Cost
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|Click to view labs, updated price & book appointment||Market Price||Discounted price starting from|
|TMT Test Price in Delhi||₹ 2,500||₹ 1,320|
|TMT Test Price in Gurgaon||₹ 4,000||₹ 1,320|
|TMT Test Price in Noida||₹ 2,500||₹ 1,320|
|TMT Test Price in Mumbai||₹ 2,500||₹ 1,440|
|TMT Test Price in Pune||₹ 1,500||₹ 1,155|
|TMT Test Price in Bangalore||₹ 3,000||₹ 1,040|
|TMT Test Price in Chennai||₹ 3,000||₹ 1,245|
|TMT Test Price in Hyderabad||₹ 1,000||₹ 800|
|TMT Test Price in other Cities||₹ 4,000||₹ 800|
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As it is important to know the procedure and risk of TMT test, we have written a detailed article below which you may find useful.
Topics covered in the article:
- What is Treadmill Test (TMT)?
- How does a TMT Test work?
- Why is a TMT Test done?
- What preparation is required prior the Test?
- How is a Treadmill Test performed?
- How quickly will you get the results?
- Are there any risks of The TMT Test?
- What are the limitations of TMT Test?
What is Treadmill Test (TMT)?
Tread Mill 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 are 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.
Why is a TMT Test done?
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.
What preparation is required prior 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 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. This equipment also has 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 ‘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 at 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 at 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.
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.
Are there any 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, the experienced medical staff is present to manage these rare complications.
What are the limitations of TMT 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 narrowed 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.
TMT Test Pros & Cons
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 about other cardiovascular 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.
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