A technician will prepare your chest with an abrasive lotion and then place sticky patches on your chest. These patches will be attached to the wires of the ECG machine. Before exercising, an electrocardiogram will be done with you lying down and standing up. You will be instructed on how to step onto the treadmill and how to hold onto the rails to maintain your balance while you are on the treadmill.
A blood pressure cuff will be placed on your arm and a blood pressure reading will be taken before you start and about every 3 minutes until you have completed the test. A cardiologist, an exercise physiologist, a physician assistant (PA) or a nurse practitioner (NP), along with an ECG technician will be with you throughout the test. You will begin by walking slowly on the treadmill. The speed and incline of the treadmill may increase every 3 minutes. You will be asked to report any discomfort such as chest pain, chest pressure or shortness of breath.