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What Does Mild Positive TMT Test Indicate?
Question: Sir, during tmt test doctor concluded TMT is mild positive because of the reason ST-T changes to base line after 3 min of recovery. swymtomatic 1mm to 2 mm st depression. My gae is about 49 yrs and I am diabetic patient from last 4 years. NO BP, no pre symptom of heart diseaese, no back ground history of BP and heart. Pl tell me is harmful or doctor has advised me for Angiography
Brief Answer:
Do not hurry into an angiogram
Detailed Answer:
Hi! A 'mild positive'TMT test is a neither here nor there diagnosis.It basically means that you 'might' have a cardiac problem - or you might not. However since you are a middle aged diabetic which is a risk factor for coronary artery disease I'd recommend a Stress Thallium scan which should provide more accuracy to the diagnosis.Dobutamine ECHO is another useful test.If any of these indicate a problem then an invasive angiogram could be done. Please write in for more information.All the best!
Do not hurry into an angiogram
Detailed Answer:
Hi! A 'mild positive'TMT test is a neither here nor there diagnosis.It basically means that you 'might' have a cardiac problem - or you might not. However since you are a middle aged diabetic which is a risk factor for coronary artery disease I'd recommend a Stress Thallium scan which should provide more accuracy to the diagnosis.Dobutamine ECHO is another useful test.If any of these indicate a problem then an invasive angiogram could be done. Please write in for more information.All the best!
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
ECHO report as done on 28/08/14. Diagonos report are as under:
Normal left ventrical size. No regional wall motion abnormality. No aortic regurgitation. Trace mitral regurgitation. no tricuspid regurgitation, no pulmonary regurgitation. Pulmonary artery systolic pressure normal. left ventricular ejection =60% - 65%. no intercardiac clot, no vegitation, no pericardial effusion. kindly further advise.
Normal left ventrical size. No regional wall motion abnormality. No aortic regurgitation. Trace mitral regurgitation. no tricuspid regurgitation, no pulmonary regurgitation. Pulmonary artery systolic pressure normal. left ventricular ejection =60% - 65%. no intercardiac clot, no vegitation, no pericardial effusion. kindly further advise.
Brief Answer:
An angiogram does not appear indicated
Detailed Answer:
Hello once again! Your ECHO report is quite alright. There is no regional wall motion abnormality (which,if there, indicates lack of oxygen to a particular area in the heart). Your Ejection Fraction is 60-65% (this indicate the pumping ability of the heart - normally should be above 45%) which is fine too.Considering the data provided by you I feel there should be no urgency in going in for a coronary angiogram. I mentioned two non-invasive investigations for you in my earlier reply.
Those are the ones you may undertake if you want more detail on your heart function.Best of luck!
An angiogram does not appear indicated
Detailed Answer:
Hello once again! Your ECHO report is quite alright. There is no regional wall motion abnormality (which,if there, indicates lack of oxygen to a particular area in the heart). Your Ejection Fraction is 60-65% (this indicate the pumping ability of the heart - normally should be above 45%) which is fine too.Considering the data provided by you I feel there should be no urgency in going in for a coronary angiogram. I mentioned two non-invasive investigations for you in my earlier reply.
Those are the ones you may undertake if you want more detail on your heart function.Best of luck!
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
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