Pulmonary Exercise Stress Test

This test tells how much air moves in and out of your lungs when you exercise. During the test, you may be asked to walk on a treadmill or ride on a stationary bike. The test may show exactly where your breathing problems begin. They may begin in your lungs, your heart, or both. Your test results can also show a safe activity level for you.

Before the test

Allow at least 30 minutes to check in. Prepare for the test as directed. You may be told to do any of the following:

  • Have a light breakfast no less than 2 hours before the test.

  • Stop eating and drinking fluids for 2 hours before the test. If you have diabetes, ask what you may eat or drink before the test.

  • Stop smoking for at least 8 to 12 hours before the test.

  • Stop taking certain medicines before the test.

  • Not exercise the morning before the test.

  • Wear comfortable exercise clothing and walking shoes, such as tennis shoes.

  • Wear your dentures, if you have them. 

Man with wires attached to chest walking on treadmill. Wires go to machine next to treadmill. Healthcare provider is monitoring machine. Man has tube in mouth and nose pinched shut. Another healthcare provider is taking man's blood pressure.

During the test

Small pads (electrodes) placed on your upper body will check your heart rate. A device clipped to your finger will measure the amount of oxygen in your blood. You will also wear nose clips and breathe through a mouthpiece:

  • Before you start to exercise, a spirometry test may be done. This will measure the amount of air you breathe in (inhale) and breathe out (exhale) while at rest.

  • While you exercise, your heart rate, breathing, and blood pressure are checked. Exercise as long as you can. When the test is over, keep the mouthpiece in place until you are told to remove it.

  • During this test, blood samples may be taken. This is done to measure oxygen and carbon dioxide in your blood during exercise.

After the test

You can return to your normal diet, activity, and medicines. If you were told to skip medicines before the test, ask if you should take them now. Your healthcare provider will discuss the test results with you at your next visit.

Risks and complications

Like many tests, this test involves some risks. They may include:

  • Shortness of breath or wheezing

  • Rise or fall in blood pressure

  • Fainting, dizziness, or tiredness (fatigue)

  • Abnormal heartbeat or heart rate

  • Heart attack or stroke (rare)