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TMT report, hypertension noted. TMT is positive for reversible myocardial isocheim. What does this report mean?

hello sir, may i ask abt my mom s tmt report ? conclusions of report is :- Fair exercise tolerance; achieved 108% APMHR and work load of 7.7 METS, Chronotropic responce normal, normal BP responce, no significant arrythmia is seen, no chest pain/ Hypotension noted, ST changes seen during exercise and recovery period, conclusion: TMT is positive for reversible myocardical ischemia . Pls suggest and guide what to do. Regards Gunjan Jain
Asked On : Sun, 26 Aug 2012
Answers:  1 Views:  213
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Internal Medicine Specialist 's  Response
Jan 2013
Thanks for sharing your query.
108% achievement at 7.7 mets indicates low exercise tolerance that means at 7.7 mets patient is getting 108% achievement (minimum 85% achievement is required in TMT)
Altough whole TMT is uneventful but positive means ST segment down slopping in defined leads.
You should go for 2 D echo and coronary angiography for detail analysis of heart arteries.
All the best,
Dr. Mayank Bhargava
Answered: Sun, 26 Aug 2012
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