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Sress test report, ECG, stress ST depression in inferior and Anterior leads, good tolerance, no angina, normal haemodynamic response, stress test positive for reversible inducible ischemia

What does this Stress test report below given means? Achieved 94% of the resting ECG shows evidence of Prexcitation syndrome with stress ST depression in inferior and Anterior leads, good tolerance, no angina, normal haemodynamic response, stress test positive for reversible inducible ischemia , (false positive due to prexcitation syndrome). After stress test I went for CT coronory angiography, every thing came out normal. (No colestrol, no calcium, blood pressure normal, no diabities) Please guide me, what necessary step should be taken.
Asked On : Tue, 22 May 2012
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Cardiologist 's  Response
Hi Jeet,
By false positive TMT means that though TMT changes suggestive of coronary artery disease but your coronaries are normal(thereby the changes in TMT has occurred because of some other cause). Apparently, on your resting EKG there is evidence of pre excitation syndrome (a condition of electrical conduction tissue of heart). Personally, I would not have done TMT but done thallium studies. To conclude, coronaries are 100% normal the gold standard cardiologist take as regular coronary angiography or some will be satisfied with normal CT Angio for coronaries. Good effort tolerance and no angina point towards normal coronary arteries but to call a test false positive you ought to be more stringent and less than 100% surety in the matters of heart is not acceptable.

With Best Wishes

Dr Anil Grover
Cardiologist
Answered: Tue, 22 May 2012
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