Great question. Essentially, if you can reach 10 METS, your chances of an MI (heart attack) is very low. The Bruce protocol is typically stopped at 7 METS because if you can reach that, your chances of an MI are so slim. Here is the breakdown of speed and incline on a treadmill, with each step lasting 3 minutes (and no rest between steps):
• Stage 1: Treadmill speed is set at 1.7 mph with a 10% incline.
• Stage 2: Treadmill speed increases to 2.5 mph with a 12% incline.
• Stage 3: Treadmill speed increases to 3.4 mph with a 14% incline.
• Stage 4: Treadmill speed increases to 4.2 mph with a 16% incline.
• Stage 5: Treadmill speed increases to 5.0 mph with an 18% incline.
• Stage 6: Treadmill speed increases to 5.5 mph with a 20% incline.
• Stage 7: Treadmill speed increases to 6.0 mph with a 22% incline.
• Stage 8: Treadmill speed increases to 6.5 mph with a 24% incline.
• Stage 9: Treadmill speed increases to 7.0 mph with a 26% incline.
• Stage 10: Treadmill speed increases to 7.5 mph with a 28% incline.
• Stage 11: Treadmill speed increases to 8.0 mph with a 30% incline.
• Stage 12: Treadmill speed increases to 8.5 mph with a 32% incline.
So the important aspect is to reach the 10th stage, you need to complete all previous stages, so 7mph at 26% incline for 3 minutes before doing 7.5mph at a 28% incline. So 12 stages requires 36 minutes of walking, then running, for example. Of course, it starts at a conversational pace at 1.7mph at 10% incline. (The incline is given in percent so 10 units of incline for every 100 units of length, so this starts at 5.7 degrees of incline; doing my stairs, I would estimate as 66 units of incline for every 100 units of length, so 66% incline).
You can see that doing a sprint for 100 yards to reach HRmax is quite different than doing a stress test with a slower ramp-up. Nevertheless, reaching HRmax in your mid-70’s is not an inherent risk for having an MI, according to the AI-engine OpenEvidence provided by the Mayo Clinic. For me, I have a greater concern over tripping and falling down the stairs than having an MI :).