Exercise Treadmill Stress Test in Baytown
An exercise treadmill stress test evaluates how well your heart responds to increased physical demand.
At Houston Cardiovascular Institute, Dr. Shehzad Sami performs this non-invasive procedure to assess blood flow, identify arrhythmias, and detect signs of coronary artery disease in patients from Baytown, Mont Belvieu, and Dayton, TX.
What Is an Exercise Treadmill Stress Test?
An exercise treadmill stress test—also called a cardiac stress test—monitors cardiovascular performance during controlled physical exertion. Patients walk on a motorized treadmill while connected to an electrocardiogram (ECG). The test measures heart rate, blood pressure, electrical activity, and symptoms under increasing workload. This allows clinicians to detect abnormal cardiac responses that may not appear at rest.

Benefits of a Treadmill Stress Test
A treadmill stress test provides clinically relevant information for diagnosis and management of cardiovascular disease. It is frequently used as a first-line test in patients with suspected ischemic heart disease.
Clinical benefits include:
- Identifying exercise-induced myocardial ischemia
- Correlating chest pain with ECG changes or exertional symptoms
- Estimating functional capacity and exercise tolerance
- Assessing the efficacy of previous interventions (e.g., stents, bypass)
- Guiding treatment decisions in patients with stable angina or multiple risk factors
This test is non-invasive, requires no sedation, and is completed in a short outpatient visit.
Who Should Get an Exercise Treadmill Stress Test?
A treadmill stress test is appropriate for patients with symptoms, risk factors, or known cardiac disease.
Indications may include:
- Exertional chest discomfort or dyspnea
- Unexplained fatigue or dizziness during physical activity
- Evaluation before surgery or initiating an exercise program
- Risk stratification in patients with hypertension, diabetes, or hyperlipidemia
- Surveillance in individuals with a history of coronary artery disease
Before recommending the test, Dr. Sami performs a clinical assessment to determine appropriateness based on current guidelines.
Get in touch with our practice today to book an appointment.
How the Treadmill Stress Test Is Performed
The procedure begins with placing ECG electrodes on the chest. A baseline ECG and blood pressure reading are taken at rest. The patient then walks on a treadmill using a graded protocol (commonly the Bruce or modified Bruce protocol) that increases the speed and incline every few minutes.
Key procedural elements:
- Continuous ECG monitoring throughout the test
- Blood pressure readings at regular intervals
- Patient observation for symptoms such as angina, palpitations, or leg fatigue
- Test termination upon reaching target heart rate, onset of significant symptoms, or diagnostic findings
After exercise, patients are monitored during recovery until vital signs normalize.
Recovery and Interpretation of Results
Most patients experience no significant post-test symptoms and may resume normal activities immediately. Results are typically interpreted on the same day.
Key outcome measures include:
- Presence of ST-segment changes
- Development of arrhythmias
- Achievement of target heart rate
- Hemodynamic response under load
- Symptom correlation
If results are abnormal or inconclusive, Dr. Sami may recommend additional tests such as myocardial perfusion imaging, echocardiography, or coronary angiography.
Cost and Insurance Coverage
The cost of an exercise treadmill stress test depends on insurance benefits and clinical indication. Medicare and most commercial insurance providers offer coverage when the test is medically necessary.
Houston Cardiovascular Institute will assist with benefit verification and provide an estimate of out-of-pocket costs before scheduling.
Why Choose Houston Cardiovascular Institute
Houston Cardiovascular Institute delivers high-level cardiac diagnostics in a focused, physician-led setting.
All treadmill stress tests are supervised by Dr. Shehzad Sami, a board-certified interventional cardiologist with advanced training from the Texas Heart Institute and UT Health Science Center. His expertise assures accurate interpretation, timely results, and appropriate next steps based on clinical need.
The practice combines modern, non-invasive testing with personalized care for patients in Baytown, Mont Belvieu, and Dayton. With a strong foundation in evidence-based medicine and direct physician involvement, Houston Cardiovascular Institute is a trusted destination for cardiovascular evaluation and early disease detection.
Book Your Heart Stress Test with Confidence
Early detection can make a significant difference in managing heart disease. If you’re experiencing chest discomfort, shortness of breath, or need cardiac clearance, a treadmill stress test offers valuable insight.
Call 281‑839‑7949 or schedule an appointment online for expert cardiac testing in Baytown with Dr. Shehzad Sami.
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