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TMT tested positive for inducible ischemia. What do they mean?

Hi, I m a 36 yrs old healthy (apparently) man working with power generating company. Recently I had go through a medical test as it was mandatory to buy a term insurance. The results of all the tests were normal except TMT. Weight 65 KG, Height 175 cm, BMI:21.2, Blood Pressure: (130-115)/(95-80), not taking any medicine, Never experienced any pain or discomfort while exercising, can go upto Heart rate of 190 bpm. Test Results: CBC & ESR: Normocytic & NORMOCHROMIC Picture. Biochemistry S. Cholesterol: 160 mg/dl, S. triglyceride: 95 mg/dl, H.D.L. Cholesterol:48 mg/dl, L.D.L. Cholesterol:93 mg/dl SGOT: 28 IU/L, SGPT: 30 IU/L, GGTP: 16 IU/L Total Proteins 7.6 mg/dl, S. Albumin 4.5 mg/dl, Globulin 3.1 mg/dl Alkaline Phosphatase: 148 IU/L Bilirubin: 0.6, direct 0.3, indirect 0.3 mg/dl S. Creatinine:0.8 mg/dl Blood Urea Nitrogen: 14 mg/dl Fasting Blood Sugar: 70 mg/dl HbA1c %: 4.8 % ECG: LVH (borderline), rest OK TMT Test: ECG during baseline, standing and hyper ventilation showed no significant ST-T change. There were significant ST/T changes seen in inferolateral leads during peak exercise and early recovery. No S3, S4 crepts noticed during exercise Final Impression: • Normal chronotropic and BP response seen • test is positive for inducible ischemia • Good exercise tolerance noted • No S3, S4 crepts seen during Exercise Note: My mother was having CAD and she was died due to the same at the age of 49. Considering the above facts, please tell me whether I need to take any medicine and additional tests are to be performed. Looking for your early response! Regards, Siddhartha Ghosh
Asked On : Sun, 22 Jul 2012
Answers:  1 Views:  5025
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Internal Medicine Specialist 's  Response
Dear friend, welcome to HCM.
your stress test is positive at peak exercise, meaning that there is demand-supply mismatch at those high demand levels for blood supply to the heart. if family history is positive, you better see a cardiologist.LVH on echo may mean presence of blood pressure over long time, apart from few other causes.
an angiography may be advised.
labs are normal.
but sometimes stress tests may be misleading and need to act on overall assessments by specialists.
so, get evaluated.

take care and keep me posted.
Answered: Wed, 1 Aug 2012
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