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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Or Explain The Reports Of TMT

Doctor my TMT report as follows.
- Excercise time 7.30 min. on Bruce protocal
BP,HR,R Wave rsponce- Normal
Chest pain/ Arrythmia- None
Cord, defects- None
ST-T changes;- about 0.8-1.00 mm horizentol
ST segment dpression occured in lerads II, IIi , avF, V4, V5, V6 - ONSET- peak excersise ( HR 124/ min )
OFFSETT 5.00 min of recovery
TMT positive for inducible ischemie

Please advice me.
Thanks
R.K.Tiwari
LUCKNOW
YYYY@YYYY
Mon, 1 Sep 2014
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Pulmonologist,  's  Response
Thanks for your question on HCM. TMT is the test in which we are looking at heart in stress and how ii behaves in stress. Main concern is ST T changes. Weather elevation or depression. Anything more than 1mm is significant. You are having ST T changes upto 1 mm which upper limit of normal but important in your case in involved leads II, III AvF V4 V5 V6. this suggest inferolateral wall involvement. This quite large area of heart. And why to take chance. Go for angiography and confirm the things.
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Suggest Or Explain The Reports Of TMT

Thanks for your question on HCM. TMT is the test in which we are looking at heart in stress and how ii behaves in stress. Main concern is ST T changes. Weather elevation or depression. Anything more than 1mm is significant. You are having ST T changes upto 1 mm which upper limit of normal but important in your case in involved leads II, III AvF V4 V5 V6. this suggest inferolateral wall involvement. This quite large area of heart. And why to take chance. Go for angiography and confirm the things.