Is Coronary Angiography Advisable For Patient With Positive TMT Result?
A coronary angiography is advisable.
Detailed Answer:
Hello!
Thank you for asking on HCM!
Based on your positive TMT results (inferio-lateral ST depression), I would advise you to perform a coronary angiography.
If you refuse to perform this examination (for any reasons), you should perform a coronary angio CT scan.
Because having a doubtful medical history and an abnormal blood lipid profile, coupled with these TMT results, you are considered at intermediate probability test for detecting coronary lesions by this imaging coronary study.
Another alternative would be a nuclear provocative cardiac stress test (CARDIOLITE).
Through coronary angio CT your attending physician could investigate your total coronary Calcium Score (investigating that way the probability of future coronary events) or visualize your coronary arteries (thus creating a satisfactory view of your coronary artery patency.
Meanwhile it is recommendable to continue the proper medication for your lipid blood profile coupled with a healthy diet and daily physical activity.
Hope to have been helpful!
Feel free to ask any other questions whenever you need!
Best wishes,
Dr. Iliri