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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Ischemia

sir,
I am NIDDM and sugar is under control. During 2004 TMT result was + for Ischeamia, during 2006 & 2008 it was -ve for inducible ischeamia and now again it is + for Ischeamia (test was terminated due to angina at 3rd stage). Dr can you please explain this what is this and why these different results?
Tue, 24 Feb 2015
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Orthopaedic Surgeon,  's  Response
Thank you for the question.TMT induced ischemia may mean there is coronary artery blockade of varying levels.Irrespective of past results and also since you are diabetic, I would suggest you to have coronary angiography/ Ct-guided angiography, an echo cardiogram for further assessment.Consult an interventional cardiologist for line of action and management.Also get your lipid profile,liver function and kidney function tests.These will determine the course of action.Blocks less than 70% are managed conservatively and greater than &)% require stenting.Since you do not have angina in regular activity and block , one may anticipate borderline situation and hopefully can be managed conservatively with some more medicines. But screening is a must, just in case intervention may be preventive in long run
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Suggest Treatment For Ischemia

Thank you for the question.TMT induced ischemia may mean there is coronary artery blockade of varying levels.Irrespective of past results and also since you are diabetic, I would suggest you to have coronary angiography/ Ct-guided angiography, an echo cardiogram for further assessment.Consult an interventional cardiologist for line of action and management.Also get your lipid profile,liver function and kidney function tests.These will determine the course of action.Blocks less than 70% are managed conservatively and greater than &)% require stenting.Since you do not have angina in regular activity and block , one may anticipate borderline situation and hopefully can be managed conservatively with some more medicines. But screening is a must, just in case intervention may be preventive in long run