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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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My TMT Is Positive, Can Online Doctor Please Explain This ?

Dear Sir, My ETT report is like this: 45 years old,height is 177 cm and weight is 77 Kg; total exercise period was 9.01 minutes and achieved 93% of maximum predicted heart rate with a calculated workload of 10.00 METS. There was no significan respiratory , cardiac or neurological symptom related to exercise. Exercise was terminated due to fatigue and achievement of target heart rate. resting blood pressure and response to exercise was normal. resting ECG is normal. Exercise ECG: horizontal ST depression during exercise. Max. ST level is -1.90 mm in V6; exercise stage 2 4:29 and stage 4. Max HR: 164 bpm; Maximum BP: 150/90 Maximum workload: 10.00 METs. In recovery stage 1; ST level = -0.05 and BP: 130/80 Conclusion: good exercise capacity no arrhythmia good inotropic & chronotropic response to exercise. TMT is positive for ECG evidence of provocable myocardial ischaemia. My other reports: blood sugar is normal HDL-cholesterol is 0.67 mmol/L LDL-cholesterol is 1.71 mmol/L Total cholesterol is 3.55 mmol/L Triglyceride is 2.57 mmol/L Glucose (F) is 5.65 mmol/L Dear Sir, could you please advice me what can I do now? Could also please tell me whether my TMT is borderline positive or significantly positive. For your kind information, I am taking medicine now fenofibrate 200 mg per day, bete-locker and calcium chanel blocker. With best regards, D. M. Shafiqul Islam, Ph.D.
Thu, 23 Jun 2011
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Physical Therapist or Physiotherapist 's  Response
welcome to health care magic, you should consult a cardiologist who may suggest you an angiography, for further evaluation of any blockage.
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My TMT Is Positive, Can Online Doctor Please Explain This ?

welcome to health care magic, you should consult a cardiologist who may suggest you an angiography, for further evaluation of any blockage.