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If You Can’t Walk on a Treadmill, Your Risk of a Cardiac Death is Higher

David Mokotoff, MD
Curated Newsletters
3 min readMar 4, 2025

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Courtesy of Wikimedia Commons Images

A new study says that if you can’t walk on a treadmill for a cardiac stress test, your future risk of cardiac death is higher. The most remarkable thing about this study is that it is not new. I have known this for decades, and although I retired from private practice ten years ago, I recall this data from the 1990s.

If your doctor suspects you might have blocked heart arteries, known as coronary heart or artery disease (CHD, CAD), they will often order a treadmill stress test. This test places you on a treadmill to see how far you can walk and what happens to your symptoms, heart rate, electrocardiogram, and blood pressure. It may be done by itself, or combined with a small safe injection of radioactive material to follow blood flow to the heart.

Let me cut to the chase. If you can’t walk on a slowly moving treadmill, you are significantly unconditioned, and that places you at a higher risk of dying of heart disease. A sedentary lifestyle is a risk factor for heart problems. Thus, an inability to walk on a treadmill alone is valuable information. There are other…

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David Mokotoff, MD
David Mokotoff, MD

Written by David Mokotoff, MD

David Mokotoff is a top and boosted writer. He is a retired MD, passionate about health, medicine, gardening, and food, https://tinyurl.com/y7bjoqkd