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What Do The Attached Treadmill Test Results Indicate?
Question: Hi Sir, My father who is 68 years old, has gone for for tread mill test. results says as below; Can u pls clarify on the seriousness of this issue..
Summary: Chest pain: None; Arrhythmias: None; ST Changes: Depression downsloping.
Overall Impression: Positive Stress Test suggestive of Ischemia.
Conclusion: BASELINE ECG: SINUS RYTHM
1mm Horizontal ST Depression seen in inferolateal leads
from stage 2 of exercise which reverted to baseline by 5 mins of recovery
IMP: TMT POSITIVE FOR INDUCIBLE ISCHEMA
Prognosis:
Duke Treadmill score: 4
Risk category: Moderate
Summary: Chest pain: None; Arrhythmias: None; ST Changes: Depression downsloping.
Overall Impression: Positive Stress Test suggestive of Ischemia.
Conclusion: BASELINE ECG: SINUS RYTHM
1mm Horizontal ST Depression seen in inferolateal leads
from stage 2 of exercise which reverted to baseline by 5 mins of recovery
IMP: TMT POSITIVE FOR INDUCIBLE ISCHEMA
Prognosis:
Duke Treadmill score: 4
Risk category: Moderate
Brief Answer:
TMT Finding are concerning and needs further evaluation
Detailed Answer:
Hello
After going through the medical details provided by you I understand your concern for your father's health and I would like to tell you that TMT is basically a test to put the heart under work stress during which the demand of oxygen of heart muscles is increased and then we assess how well is the blood supply to heart muscles as blood is the carrier of oxygen.
Now when the passage for Blood to muscles is clear the demand is met properly but when there is some blockage in that path the supply get reduced due to which ischemia or lack of blood/ oxygen supply to muscles occur which are then represented on ecg as ST changes.
In your father case those are down sloping ST depression which are considered quite specific to ischemia due to some blockage in vessels. Now the next step to confirm this is to undergo Angiography.
The features are no doubt concerning and they needs to be evaluated further.
I hope this information will clear all your doubts.
Kind Regards
Dr Bhanu Partap
TMT Finding are concerning and needs further evaluation
Detailed Answer:
Hello
After going through the medical details provided by you I understand your concern for your father's health and I would like to tell you that TMT is basically a test to put the heart under work stress during which the demand of oxygen of heart muscles is increased and then we assess how well is the blood supply to heart muscles as blood is the carrier of oxygen.
Now when the passage for Blood to muscles is clear the demand is met properly but when there is some blockage in that path the supply get reduced due to which ischemia or lack of blood/ oxygen supply to muscles occur which are then represented on ecg as ST changes.
In your father case those are down sloping ST depression which are considered quite specific to ischemia due to some blockage in vessels. Now the next step to confirm this is to undergo Angiography.
The features are no doubt concerning and they needs to be evaluated further.
I hope this information will clear all your doubts.
Kind Regards
Dr Bhanu Partap
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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