{"id":56971,"date":"2023-02-07T10:00:11","date_gmt":"2023-02-07T15:00:11","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=56971"},"modified":"2025-02-20T09:39:25","modified_gmt":"2025-02-20T14:39:25","slug":"stress-test-results","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/stress-test-results\/","title":{"rendered":"What do your stress test results mean?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">If you\u2019ve been told that you need a stress test, you probably have some concerns. That\u2019s understandable\u2014being told that you need an evaluation of how your heart works can be stressful. You can rest assured that these tests are common, especially if you have any <\/span><span style=\"font-weight: 400;\">risk factors for cardiac disease<\/span><span style=\"font-weight: 400;\">.<\/span><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Still, as you prepare for your test, you may want to know what stress tests are like, and what to expect at the doctor\u2019s office when you get the test done. You might also have questions about why you need this test, and what your stress test results will tell you about your heart and your overall health. Here, you\u2019ll learn everything you need to know about stress tests, including why this test is done and how to interpret the results of a stress test.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/singlecare.com\/blog\/signs-of-heart-problems\/\"><b>Signs of heart problems<\/b><\/a><\/p>\n<h2 id=\"what-is-a-stress-test\"><span style=\"font-weight: 400;\">What is a stress test?<\/span><b>\u00a0<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cA stress test is a non-invasive diagnostic modality primarily to identify the presence of coronary artery disease, which involves blockages of the vessels that supply blood\/oxygen to the heart,\u201d explains<\/span> <span style=\"font-weight: 400;\">Vicken Zeitjian, MD<\/span><span style=\"font-weight: 400;\">, a cardiologist in San Antonio, Texas. Stress tests can also be used to help identify other heart problems, such as<\/span> <span style=\"font-weight: 400;\">irregular heart rhythms during exercise,<\/span><span style=\"font-weight: 400;\"> or to help your physician determine what degree of exercise is safe for your body.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The purpose of a stress test\u2014sometimes referred to as an exercise stress test or a cardiac stress test\u2014is to see how your heart handles physical exertion. Physicians recommend wearing comfortable clothes and running or walking shoes to your appointment. Before your appointment, your physician will discuss any medications you regularly take, and may ask you not to take some of them in preparation for your stress test. You will likely be asked not to eat or drink <\/span><a href=\"https:\/\/www.heart.org\/-\/media\/Files\/Health-Topics\/Answers-by-Heart\/What-Is-a-Stress-Test.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">two to four hours before the test,<\/span><\/a><span style=\"font-weight: 400;\"> though drinking water will probably be allowed. The evaluation has two to three components:<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Exercise<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Electrode monitoring<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Imaging if ordered by the healthcare provider<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">The exercise test usually involves working out on a treadmill or stationary bike while your heart is monitored via an <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29763078\/\"><span style=\"font-weight: 400;\">electrocardiogram machine (ECG)<\/span><\/a><span style=\"font-weight: 400;\">. Electrodes connected to the machine will be placed on your chest. While you exercise, the machine will monitor the electrical activity in your heart and will record measurements such as your heart rate. Your provider will place a blood pressure cuff on your arm to measure your blood pressure both before and during the treadmill test.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">During the stress test, you will be asked to exercise, starting slowly at first, and gradually working more vigorously till you reach a targeted heart rate, based on your age. The exercise portion of the stress test lasts <\/span><a href=\"https:\/\/www.nhlbi.nih.gov\/health\/heart-tests\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">between 10-15 minutes<\/span><\/a><span style=\"font-weight: 400;\">. If you feel out of breath or lightheaded, you can pause the test at any time.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Physical symptoms you experience while exercising, such as shortness of breath, chest pressure, and exhaustion, will also be recorded. After the test is over, your provider will continue to monitor your heart and take your blood pressure once more. Echocardiograms and nuclear imaging tests may also be used. These tests are used in addition to ECGs and can provide detailed images of the inside of your heart and your arteries. Echocardiogram or nuclear images are obtained before and immediately after exercise to look for signs of inadequate blood flow.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If exercise is not safe for you, then you can take<\/span> <span style=\"font-weight: 400;\">medications that will simulate what happens in the heart during exercise<\/span><span style=\"font-weight: 400;\">, <a href=\"https:\/\/linktr.ee\/dr_vicken_zeitjian\">Dr. Zeitjian<\/a> says. This is called a pharmacological stress test, and typically involves an intravenous drug that increases your heart rate or expands your blood vessels to simulate the stress from exercise.<\/span><\/p>\n<h2 id=\"what-does-a-stress-test-show\"><span style=\"font-weight: 400;\">What does a stress test show?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cA stress test is helpful to assess a patient&#8217;s heart and\/or lung function, as to their endurance and development of symptoms,\u201d explains <a href=\"https:\/\/uofmhealthwest.org\/about\/get-to-know-us\/um-health-west-leadership-team\/ronald-grifka-president\/\">Ronald Grifka,<\/a> MD, President and Chief Clinical Quality Officer for the University of Michigan Health-West<\/span><span style=\"font-weight: 400;\">. The main purpose of a stress test is to:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Guide treatment for heart issues<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Evaluate the results of a cardiac procedure<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Demonstrate the severity of a heart condition\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Show if your heart is capable of responding to the demands of exercise<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">A stress test can \u201chelp determine if a person should participate in certain types of physical activities, or if certain activities should be avoided,\u201d says Dr. Grifka.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0A stress test can help to diagnose or further access:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Coronary artery disease, which can involve significant blockages in your heart that could lead to heart attack<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Heart rhythm problems, known as arrhythmias<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Heart failure<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lung conditions, like <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/copd-treatment-and-medications\"><span style=\"font-weight: 400;\">chronic obstructive pulmonary disease<\/span><\/a><span style=\"font-weight: 400;\"> (COPD) and <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/asthma-treatment-and-medications\"><span style=\"font-weight: 400;\">asthma<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pulmonary hypertension<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">While stress tests can usually help identify major blockages, there are certain limitations. For example, they are not as helpful when it comes to identifying more minor blockages. \u201cSmaller blockages do not usually interfere with blood flow and therefore may not be visible on the stress test,\u201d explains <\/span><a href=\"https:\/\/www.northwell.edu\/find-care\/find-a-doctor\/cardiology\/dr-michael-goyfman-md-11377411\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Michael Goyfman, MD,<\/span><\/a><span style=\"font-weight: 400;\"> chief of cardiology and director of echocardiography at Long Island Jewish Forest Hills in New York. Like all diagnostic tests,<\/span> <a href=\"https:\/\/www.health.harvard.edu\/heart-disease\/cardiac-exercise-stress-testing-what-it-can-and-cannot-tell-you\"><span style=\"font-weight: 400;\">stress tests aren\u2019t 100% accurate<\/span><\/a><span style=\"font-weight: 400;\">. After the results of your stress test are determined, you may need additional follow-up testing.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\t\t<div class=\"singlecare-dynamic-newsletter-wrapper sin-newsletter-wrapper\">\n\t\t\t<span class=\"heading\">Get our heart health newsletter<\/span>\n\t\t\t<form class=\"form-wrapper\" data-newsletter-form=\"1\" data-subsource=\"Heart Health Newsletter\">\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<label for=\"dynamic-email\">Email<\/label>\n\t\t\t\t\t<input type=\"email\" id=\"dynamic-email\" class=\"email\" required>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<input class=\"submit-form-btn\" type=\"submit\" value=\"Click to sign up\">\n\t\t\t\t<\/div>\n\t\t\t<\/form>\n\t\t\t<p class=\"success-message\" aria-live=\"polite\"><\/p>\n\t\t<\/div>\n\t<\/span><\/p>\n<h2 id=\"when-to-get-a-stress-test\"><span style=\"font-weight: 400;\">When to get a stress test<\/span><b>\u00a0<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Stress tests are recommended to diagnose cardiac conditions, to help prevent heart attacks by identifying critical blockages, and to evaluate the heart\u2019s fitness for surgery.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">People with heart-related symptoms will often be referred for stress tests. \u201cA person may be referred for a stress test if they are having symptoms that may be concerning for coronary artery disease or if they have heart failure,\u201d says Dr. Zeitjian. \u201cThe main symptom we look for is called angina, which includes shortness of breath, chest pain, or lightheadedness with exertional activities.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Additionally, patients with known multiple heart blockages may get stress tests to see which blockages are the most advanced, and to help decide which ones require intervention first, Dr. Goyfman says.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Even if you don\u2019t have a known heart condition or upcoming surgery, you might be given a stress test if you have an underlying condition or previous health history that puts you at high risk of developing a serious cardiac disorder. People who are more likely to need a stress test include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">People with diabetes, high cholesterol, or high blood pressure<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">People who have a family history of <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/news\/heart-disease-statistics\/\"><span style=\"font-weight: 400;\">heart disease<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">People who\u2019ve had previous heart surgeries<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Older individuals who are starting a new exercise program<\/span><\/li>\n<\/ul>\n<h2 id=\"stress-test-results\"><span style=\"font-weight: 400;\">Stress test results<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The results of a stress test provide an abundance of useful clinical information, says Dr. Grifka. \u201cIt determines how rapidly a person&#8217;s heart rate and blood pressure increase with exercise, and to what level of maximum heart rate and blood pressure are achieved,\u201d he explains. Additionally, stress tests check the heart rate and blood pressure response during the \u201ccool down\u201d period of exercise, after your stress test is done, Dr. Grifka says.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Importantly, stress test results can alert your medical team to any potential severe blockages in your heart or other heart conditions that you might not be aware of. After your healthcare provider reads your stress test results, further testing may be necessary to get a more complete picture of your heart health.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Your test results will vary based on which equipment was used. For example, all stress tests have an ECG component, but some people also use echocardiograms or nuclear tests. Here\u2019s what to know about each of these tests:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Electrocardiograms (EKG):<\/b><span style=\"font-weight: 400;\"> This test measures the electrical activity in the heart. It can determine if blood is moving freely through your arteries and if any blockages may be present. It can also diagnose heart structure abnormalities, heart damage, and <\/span><a href=\"https:\/\/my.clevelandclinic.org\/health\/diagnostics\/16953-electrocardiogram-ekg\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">heart rhythm problems<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Echocardiograms:<\/b><span style=\"font-weight: 400;\"> This test uses ultrasound images (sound waves) to view the inside of your heart. <\/span><a href=\"https:\/\/my.clevelandclinic.org\/health\/diagnostics\/16947-echocardiogram\"><span style=\"font-weight: 400;\">Echocardiograms<\/span><\/a><span style=\"font-weight: 400;\"> can help diagnose<\/span> <a href=\"https:\/\/my.clevelandclinic.org\/health\/diagnostics\/16983-exercise-stress-echocardiogram\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">coronary artery disease,<\/span><\/a><span style=\"font-weight: 400;\"> heart failure, cardiomyopathy, and heart valve conditions.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Nuclear tests:<\/b><span style=\"font-weight: 400;\"> During this test, your healthcare provider injects a small amount of radioactive substance (called a \u201ctracer\u201d) into your bloodstream. A special camera is then used to take images as the tracer moves through the structures of your heart.<\/span> <a href=\"https:\/\/my.clevelandclinic.org\/health\/diagnostics\/17276-nuclear-cardiac-stress-test\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">These images can help determine<\/span><\/a><span style=\"font-weight: 400;\"> if there are any blockages in your arteries, how well your blood is moving, how well your heart is pumping blood, and whether you have any heart damage.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">After you are finished with your stress test, a report will be generated. Stress test results are categorized as either \u201cnormal\u201d or \u201cabnormal.\u201d This report will list the various factors the test was looking at, along with the results of these tests. These factors usually include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Electrocardiogram, echocardiogram, and nuclear test results\u2014before you exercise (baseline) and during exercise<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Your baseline heart rate, which is your heart rate when you are resting<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Your baseline blood pressure, which is your blood pressure when you are resting<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Your heart rate during exercise, which will show your provider how your heart handles exertion<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Your blood pressure during exercise, which will also show your provider how your heart handles exertion<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Your heart rhythm<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Any symptoms you experienced during exercise, which will help your healthcare provider determine what type of exercise is right for your body and your heart<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u00a0The report will come with medical advice from your provider.<\/span><\/p>\n<h3 id=\"by-age\"><span style=\"font-weight: 400;\">By age<\/span><b>\u00a0<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Age is a major factor in interpreting stress test results. It impacts what\u2019s considered a normal heart rate. Your maximum heart rate is determined by subtracting your age from 220. So for example, a 20-year-old would have a maximum heart rate of 200, with a target heart rate (85% of max) of 170. For a 70-year-old, the maximum heart rate decreases to 150, with a target heart rate of 128.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Additionally, the likelihood of having an abnormal stress test result increases as you get older as more cholesterol and calcium build up in your blood vessels. \u201cWhen the blockages become greater than 70%-80%, then we start to see blood flow limitations which is when symptoms begin and when the stress testing becomes positive,\u201d explains Dr. Zeitjian.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cAge comes into play when we are deciding what to do with the results of the stress test,\u201d Dr. Zeitjian says. For example, a 90-year-old with an abnormal test may not have an invasive surgery like coronary bypass surgery, as the risks of the surgery may outweigh the benefits, Dr. Zeitjian suggests. However, for a younger person, these more invasive surgeries are more appropriate.\u00a0<\/span><\/p>\n<h3 id=\"abnormal-results\"><span style=\"font-weight: 400;\">Abnormal results<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The results of your stress tests will be reviewed and interpreted by your cardiologist. Normal stress test results mean that no serious blockages were detected by the testing equipment. \u201cAbnormal results may mean that there are significant blockages of the coronary arteries which may be accounting for the angina symptoms or heart failure,\u201d says Dr. Zeitjian<\/span>.<\/p>\n<p><span style=\"font-weight: 400;\">Specifically, an \u201cabnormal\u201d result predicts that one or more of your coronary arteries is 70% or more blocked, whereas a \u201cnormal\u201d result predicts that none of your arteries are experiencing a blockage of 70% or more<\/span><b>.<\/b><b>\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">If you receive abnormal stress test results, there will be certain steps that will follow. First, you may need additional testing to understand what is causing your condition. For example, if you got a basic screening test with an EKG, more sophisticated imaging tests, such as nuclear stress tests or echocardiogram assessment might be recommended, says Dr. Goyfman. In addition to any further testing, your healthcare provider may also recommend heart medication or treatments to manage your blood pressure or cholesterol. Or, certain medical procedures, like cardiac catheterization may be necessary.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Finally, it will be vital that you live a heart-healthy lifestyle. Steps that can help reduce stress on the heart <\/span><a href=\"https:\/\/health.gov\/myhealthfinder\/health-conditions\/heart-health\/keep-your-heart-healthy\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">include<\/span><\/a><span style=\"font-weight: 400;\">:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Staying physically active<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Eating a <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/heart-healthy-diet\/\"><span style=\"font-weight: 400;\">healthy diet<\/span><\/a><span style=\"font-weight: 400;\"> with plenty of fruits, veggies, whole grains, and fiber<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Maintaining a healthy weight<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/blog\/what-happens-when-you-quit-smoking\/\"><span style=\"font-weight: 400;\">Quitting smoking<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Limiting alcohol intake<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Managing your <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/5-surprising-ways-stress-affects-your-body\/\"><span style=\"font-weight: 400;\">stress levels<\/span><\/a><\/li>\n<\/ul>\n<h2 id=\"the-bottom-line\"><span style=\"font-weight: 400;\">The bottom line\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The results of your stress test will give you and your medical team valuable information about the health of your heart. If your test results are abnormal, indicating that there is reduced blood flow to your heart, you may feel distressed. Keep in mind that although this may not be the result you wanted, you are now armed with the information you need to make positive steps toward better health.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>If you\u2019ve been told that you need a stress test, you probably have some concerns. That\u2019s understandable\u2014being told that you need an evaluation of how your heart works can be stressful. You can rest assured that these tests are common, especially if you have any risk factors for cardiac disease.\u00a0 Still, as you prepare for [&hellip;]<\/p>\n","protected":false},"author":85,"featured_media":56844,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[729,737],"coauthors":[20899],"class_list":["post-56971","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-doctor-visits","tag-heart-health","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>What your stress test results mean<\/title>\n<meta name=\"description\" content=\"Stress test results give your healthcare provider information about the health of your heart. 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