Bruce Treadmill Test (Protocol): Assessing Heart Function

This protocol helps doctors assess heart health by having patients walk on a treadmill. As speed and incline increase, it measures physical fitness and detects potential cardiac issues.

Bruce Treadmill Test Protocol PDF assessment form for cardiac stress testing.
BTT

Bruce Treadmill Test (Protocol)

The Bruce Treadmill Test is a common exam for evaluating cardiac health and fitness. In this multistage protocol, patients walk on a treadmill as speed and incline rise every three minutes. It's essential for diagnosing coronary artery disease and checking how well the heart handles physical stress.

Category

Physical health
Diagnostic
Rehabilitation

Disease

Diagnostics
Assessment
Clinical Measurement

Source

(Bruce, 1963)

Author Name

Bruce, R.A. et al. (1963)

What is Bruce Treadmill Test (Protocol)

The Bruce Treadmill Test is a classic method for checking heart health and aerobic fitness. It helps doctors see how well the heart handles stress. This multistage exam involves walking on a treadmill while the speed and incline go up every three minutes. It pushes the body to maximal effort to spot hidden cardiac issues. Clinicians track heart rate, blood pressure, and perceived exertion throughout the stages. The protocol measures functional capacity using metabolic equivalents, or METs, to estimate VO2 max. The test stops when fatigue sets in or specific medical signs appear. Widely used in hospitals and sports clinics, this tool helps diagnose coronary artery disease and sets safe exercise limits. The setup is simple but tough, giving clear data on physical endurance. It is a reliable way to plan rehab or training programmes that improve long-term health outcomes.

BTT Scoring

The Bruce Treadmill Test can be scored using two main approaches: total duration and metabolic capacity. 1. Total Duration: This is the simplest metric where clinicians record the total minutes a patient stays on the treadmill. The protocol increases speed and incline every three minutes until the patient stops from fatigue. 2. Functional Capacity: Doctors use the total time to estimate VO2 max or Metabolic Equivalents (METs). Formulas convert the minutes into a value showing how well the heart uses oxygen. Higher scores indicate better cardiovascular health and endurance.

View scoring form

Advantages

Diagnostic accuracy

Enables precise identification of patient health status.

Global standards

Meets international clinical assessment requirements.

Health monitoring

Tracks patient condition changes systematically.

Reliable data

Provides consistent measurements for clinical research.

20
Minutes
20
Questions

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