A TMT is undertaken to determine the effects of exercise on the heart as this allows the doctor to detect any abnormal heart rhythms and subsequently diagnose the presence of coronary artery disease. It involves walking on a treadmill, while its speed or inclination may be altered to assess the reaction of the patient’s heart. The steps involved in conducting an accurate TMT are: Your blood pressure, ECG, and heart rate will be monitored before, during the test. You then will be made to walk on a treadmill, first slowly and then gradually the speed and inclination will be increased. After the test, you will be asked to lie down and your heart rate, blood pressure, and ECG will be monitored for 3-5 minutes. Preparations for TMT: Do not eat or drink 2 hours prior to your test.