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Any Test To Confirm Need For Angiography After Positive TMT? No History Of Heart Disease. ECG Normal
Daer Dr,
is there any test to confirm the need of Angiography after a positive TMT?
--- Generally if TMT is positive,Angiography is recommended despite ECG, Echo cardiograph, Lipid profile being OK and no family history of Heart disease.
My question is therefore that is there any test between TMT and Angiography to save people frpm the pain of invasive Angiography?
- e.g. Can there be some dye which has flourescence for Laser whjch can scan the Arteries?!
Thanking you<
is there any test to confirm the need of Angiography after a positive TMT?
--- Generally if TMT is positive,Angiography is recommended despite ECG, Echo cardiograph, Lipid profile being OK and no family history of Heart disease.
My question is therefore that is there any test between TMT and Angiography to save people frpm the pain of invasive Angiography?
- e.g. Can there be some dye which has flourescence for Laser whjch can scan the Arteries?!
Thanking you<
Thu, 20 Jun 2013
Hi friend,
Welcome to Health Care Magic
If TMT (Treadmill Exercise ECG) suggests ischemia, it is an indication for further work up – because at times, there may be false positive or false negatives. The next step is TMT with thallium isotope. It is the ideal non-ivasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle.
If there is a suggestion, the next step is to see the ANATOMY (structure) – CT angio is non-invasive study for the anatomy. If positive, one will need catheterisation, anyway.
Catheterisation and coronary angiography is the only way to directly ‘see’ the block, if any – and its location, extent, severity and so on. Coronary arteriography is invasive but it is the gold standard for this.
Take care
Wishing speedy recovery
God bless
Good luck
Welcome to Health Care Magic
If TMT (Treadmill Exercise ECG) suggests ischemia, it is an indication for further work up – because at times, there may be false positive or false negatives. The next step is TMT with thallium isotope. It is the ideal non-ivasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle.
If there is a suggestion, the next step is to see the ANATOMY (structure) – CT angio is non-invasive study for the anatomy. If positive, one will need catheterisation, anyway.
Catheterisation and coronary angiography is the only way to directly ‘see’ the block, if any – and its location, extent, severity and so on. Coronary arteriography is invasive but it is the gold standard for this.
Take care
Wishing speedy recovery
God bless
Good luck
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