{"id":757,"date":"2025-11-17T07:34:29","date_gmt":"2025-11-17T07:34:29","guid":{"rendered":"https:\/\/kardio.pro\/?p=757"},"modified":"2026-01-08T17:28:50","modified_gmt":"2026-01-08T17:28:50","slug":"stress-ekg-test-your-heart-health-under-stress","status":"publish","type":"post","link":"https:\/\/kardio.pro\/en\/stress-ekg-test-your-heart-health-under-stress\/","title":{"rendered":"Stress ECG: test your heart health under stress"},"content":{"rendered":"
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Stress ECG: test your heart health under stress<\/h1>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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The exercise ECG, also known as ergometry, is a key diagnostic procedure in cardiology to check your heart's response to physical exertion. While a resting ECG only provides a snapshot of cardiac activity during relaxation, the Stress ECG<\/b> to see how your cardiovascular system reacts when it is challenged. In our practice, PD Dr. Raphael Bruno carries out this important test under continuous medical supervision in order to reliably detect circulatory disorders, arrhythmias or abnormal blood pressure.<\/p>

The stress ECG: the detailed procedure in our practice<\/b><\/p>

We want you to feel safe and well informed throughout the examination. A Stress ECG<\/b> (ergometry) follows a standardized and monitored procedure.<\/p>

Preparation for the test<\/p>

Good preparation helps to achieve meaningful results. The following table gives you an overview.<\/p>

Preparation step<\/p><\/td>

Recommendation<\/p><\/td>

Why is this important?<\/p><\/td><\/tr>

Clothing<\/b><\/b><\/p><\/td>

Bring comfortable sportswear and sports shoes.<\/p><\/td>

They should be able to move and exert themselves freely without being restricted by clothing.<\/p><\/td><\/tr>

Food & drink<\/b><\/b><\/p><\/td>

Do not eat a large meal approx. 2 hours before the test.<\/p><\/td>

A full stomach can put additional strain on the cardiovascular system and lead to discomfort.<\/p><\/td><\/tr>

Medication<\/b><\/b><\/p><\/td>

Take your medication as usual, unless your doctor has explicitly ordered otherwise.<\/p><\/td>

Medications such as beta blockers in particular influence the heart rate and must be taken into account in the evaluation.<\/p><\/td><\/tr>

State of health<\/b><\/b><\/p><\/td>

Only carry out the test if you feel healthy. If you have an acute infection (fever, cold), the appointment must be postponed.<\/p><\/td>

Exercise during an infection can be dangerous and damage the heart (risk of myocarditis).<\/p><\/td><\/tr><\/tbody><\/table>

The procedure<\/b><\/b><\/p>

  1. Preparation:<\/b> First, ECG electrodes are placed on your chest and back and a blood pressure cuff is attached to your upper arm. We record a resting ECG and measure your blood pressure in a sitting position as baseline values.<\/li>
  2. The load phase:<\/b> You sit on a bicycle ergometer. The test begins with a very low load level (e.g. 25 or 50 watts). The load is gradually increased every two minutes.<\/li>
  3. Monitoring:<\/b> During the entire time, your ECG, heart rate and blood pressure will be continuously monitored. We will regularly ask you how you are feeling and about any symptoms such as chest pain, shortness of breath or dizziness.<\/li>
  4. Abort:<\/b> The test is terminated if you have reached your exercise limit, if previously defined termination criteria (e.g. certain ECG changes) occur or if you wish to terminate the test due to symptoms.<\/li>
  5. The recovery phase:<\/b> After the end of the exercise, you remain seated on the bike for a few minutes. We will continue to record your ECG and blood pressure to see how quickly your cardiovascular system returns to normal.<\/li><\/ol>

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    Evaluation of the stress ECG: What your cardiologist looks for<\/b><\/p>

    The evaluation of a stress ECG is complex and requires the experience of a cardiologist. Dr. Raphael Bruno assesses not just a single value, but the overall picture from various parameters.<\/p>

    The most important criteria are:<\/b><\/b><\/p>