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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Normal Lipid Profile, TMT Positive For Indelible Ischemia, Stress Test Stopped Due To Breathlessness. What Could Be Happening?

I am 35 years old female. I have normal lipid profile . My TMT is positive for indelible ischemia . I achieved 88% target heart ( 150/min) after 2.59 min in stage I of Bruce protocol. Street test was stopped because of breathlessness. Exercise limit was reached at 4.6 Mets. Significant ST depression was seen at 75% of THR. Hypertensive response was seen with peak BP of 220/144 mmHg. However, my normal BP is 110/75. Plot suggest me what is happening in my body. Nishi
Fri, 2 Nov 2012
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Cardiologist 's  Response
HI
from your TMT finding its positive for inducible ischemia it means that most probably your heart is not getting proper blood supply when demand increase as by exercise it mostly due to narrowing of arteries which supply blood to heart mostly due to blockage or may be due to some inflammation,
as in young female and no risk factor like normal rest BP and normal lipids mostly its related to inflammation related narrowing of artery
i advice to consult cardiologist and go for angiogram test and further treatment will be based on angiogram test
no need to panic but dont delay also
take care
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Normal Lipid Profile, TMT Positive For Indelible Ischemia, Stress Test Stopped Due To Breathlessness. What Could Be Happening?

HI from your TMT finding its positive for inducible ischemia it means that most probably your heart is not getting proper blood supply when demand increase as by exercise it mostly due to narrowing of arteries which supply blood to heart mostly due to blockage or may be due to some inflammation, as in young female and no risk factor like normal rest BP and normal lipids mostly its related to inflammation related narrowing of artery i advice to consult cardiologist and go for angiogram test and further treatment will be based on angiogram test no need to panic but dont delay also take care