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Exercise Tolerance Testing

For Patients

Available at New Plymouth, Rotorua and Palmerston North clinics
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An Exercise Tolerance Test (ETT) is a non-invasive testing method of detecting heart disease which may otherwise not be evident without exercise.

A resting ECG is done before exercise. The patient will be asked to complete exercise on a treadmill, while their ECG, heart rate and blood pressure are recorded.
Exercise Tolerance Tests must have a referral from a GP or Specialist and must have a recent ECG (within 3 months) – this can be provided by your GP or at our clinic for a nominal fee. Patients must be 16 years or older.

Sleep Study Tests Available

Level 2 Sleep Study

Conducted in the comfort of your home, this study measures breathing, oxygen levels, heart rate, brain activity, and muscle activity, helping diagnose sleep disorders and determine effective treatment strategies.

Level 3 Sleep Study

A home-based study which is focused on detecting Obstructive Sleep Apnoea (OSA) or Sleep Disordered Breathing (SDB)

Level 4 Sleep Study

Level four is the most basic type of sleep study, looking at oxygen saturation levels during sleep.

How the Process Works

Sleep Assessment
Text: During the 30-minute consultation, our sleep clinicians will discuss the sleep-related issues you’re experiencing. After you complete the Epworth Sleepiness Scale questionnaire, we’ll provide you with a sleep monitor to conduct a Level 3 sleep study. This study will offer detailed diagnostic insights to help identify sleep apnoea and determine its severity.
Treatment
Treatment options might include:
  • CPAP (Positive Airway Pressure) therapy
  • Nasal EPAP
  • Referral to an ENT surgeon
  • Weight management
Long term therapy and support
CPAP therapy can be challenging, but a comfortable mask and quality equipment make a big difference. As a ResMed preferred supplier, X stocks a full range of CPAP products and offers mask fittings to help you find the right fit.
We provide extra support, including rental packages (short or long-term), ongoing monitoring, annual data checks, and reviews. Disability allowance support may be available for those on limited incomes.

Exercise Tolerance Test FAQ’s

Why do you need an exercise tolerance test?

The exercise tolerance test is most commonly used to investigate chest pain or angina symptoms, to help diagnose any underlying coronary artery disease (blocked arteries), or to exclude ischemia heart disease. The procedure may be used to assess cardiovascular fitness.

What are the risks of an exercise tolerance test?

For the exercise component, you may encounter some side effects such as:

• Shortness of breath

• Minor chest discomfort

• Dizziness

• Palpitations; and

• Muscle fatigue

If these symptoms are a concern, the test will be stopped.

Serious complications such as heart attack, and life-threatening heart rhythm disturbances are rare (less than 1%).

You will be monitored closely by the medical team during your test. You may need to wait for some time after the test before driving if you feel unwell or require monitoring.

What can you expect during an exercise tolerance test?

Electrode dots are placed on your skin. Chest hair may need to be shaved off a small area. You will be asked to lie down on the examination bench.

You will then need to walk on the treadmill to increase the stress on your heart. The treadmill will increase in speed and slope every few minutes, to achieve your maximal workload. At that point, the treadmill will be stopped, and you can then return to the examination bench to recover.

Any abnormalities of the blood pressure or ECG tracings will be recorded. You should also report any symptoms you experience to the supervising staff. You may ask to stop the test at anytime.

What should you do during an exercise tolerance test?

An exercise tolerance test is approximately 30 – 45 minutes in duration.

You will be required to wear clothing and footwear suitable for exercise. The procedure will require you to remove the clothing from your upper body. A gown will be provided for you to change into.

What should you not do before an exercise tolerance test?

Do not drink beverages containing caffeine 3 hours before your test (including Tea/Coffee/Cola/Energy drinks).

You should avoid a heavy meal for at least 3 hours before your test.

Do not smoke 3 hours before the test.

If your medications include beta blockers and selected calcium channel blockers, these are to be stopped 24 hours before your test unless otherwise advised by the doctor. Please discuss this with your doctor, or call the clinic if you are unsure.

What happens after an exercise tolerance test?

The results of the exercise tolerance test will be made available to your referring medical practitioner who will contact you to discuss your results.

Exercise Tolerance Testing

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