MTWA

Microvolt T- wave alternans is a non-invasive test to identify people at risk for an arrthymia that can cause sudden cardiac death. Most people who suffer cardiac arrest have a pre-identifiable electrical disorder that puts them at risk. MTWA test requires elevation of your heart rate and rhythm via an EKG while walking on a treadmill for a short time.

Pre and post instructions

Pre instructions:

  • Do not eat or drink anything for 2 to 3 hours before the test. Diabetic patients may have a snack 2 to 3 hours before the test and take half of your normal insulin dose.
  • DO NOT TAKE ANY BETA BLOCKERS CALCIUM CHANNEL BLOCKERS 48 HOURS PRIOR TO THE TEST. Medication list.
  • You may take your other medications the morning of your test.
  • Do not use any body lotions or creams the day of the test.
  • Wear comfortable walking shoes and a tee shirt.

Post procedure:

  • The test will take approximately 40 minutes to complete.
  • There are no special post instructions.
  • You will be scheduled for a follow-up visit approximately 1 week later to receive the results.
  • Consent form for MTWA

What to expect:

Dr Aldrich will be on the premises during the test.
A technologist will prepare you for the test. They will prep the skin with a mild abrasive and then apply 14 electrodes, take your blood pressure, and take EKG readings. Using a low level exercise or a chemical stress test, the technologist will attempt to get your heart rate between 100 to 110 beats per minute for 2 1/2 minute. Once that has been achieved then the technologist will slowly increase your heart rate to 110 to 120 beats per minute for 1 1/2 minute.
Aldrich Cardiovascular Institute
Call for an appointment:  941-359-8900