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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Meanings Of The Result For My TMT Test & What Should I Do Now ?

My age is 46, weight is 76 Kg and have high blood pressure . I am a man. Resting blood pressure and response to exercise was normal. My resting ECG is normal however exercise ECG, there was horizontal ST depression during exercise, which became minimal downsloping ST depression in recovery phase. There was no anhythmia during exercise. Impression: TMT is positive for ECG evidence of provocable myocardial ischaemia. What are the meanings of the result for my TMT test? What should I do now ? Please advise me.
Tue, 14 Jun 2011
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General & Family Physician 's  Response
REALLY YOUR IN GOOD PHYSICAL CONDITION SINCE YOU HAVE NO BP, NO DIABETES&HAVE DONE GOOD BY GETTING TMT,WHICH ALTHOUGH INDICATED ST DEPRESSION,CHANCESS OF GETTING HEART ATTACT ISSOME WHAT LESS UNLESS U R BP IS WITH IN NORMAL LIMITS,THE MAIN CULPRIT THAT DAMAGES NORAML BLOOD VESCLE(CORONARY,TUNICA INTIMA)PART,GET DONE 1)LIPID PROFILE 2)C-REACTIVE PROTEIN LEVEL& SWICH ON TO RICEBRAIN OIL IF POSIBEL,TAKE OMEGA-3 FATTY ACIDS&ZINC,SELENIUM,CHROMIUM,FOLIC ACID,PYRADIXINE(HOMOCYSTINE LEVELLOWRING AGENTS)EAT LESS NONVEG FOOD EXCEPT FISH.FOLLOW WHAT CARDIOLOGIST SAYS BUT NOTHING TO PANIC.
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Cardiac Surgeon Dr. F. Sadruddin Shariff's  Response
your TMT is positive for inducible Ischemia, you must undergo Coronary angiogram, and seek expert advise, please do not waste time pondering over TMT.
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Orthopaedic Surgeon Dr. Aashish Raghu's  Response
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Good Day
It means that you have significant CAD or atherosclerosis of the coronary arteries supplying your heart. If prone to exertion you have a chance of heart attacks. You need to do radical lifestyle changes, and drug treatment as well. No junk food. Eat plenty of fresh fruits and vegetables including green leafy vegetables. You also need to take the drugs for accompanying lipid disorders, Diabetes, Hypertension which are risk factors for a heart attack. You may need to do an angiogram to confirm the blockage in your heart. Eat healthy. Exercise ONLY as per the Cardiologist's advice.
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What Are The Meanings Of The Result For My TMT Test & What Should I Do Now ?

REALLY YOUR IN GOOD PHYSICAL CONDITION SINCE YOU HAVE NO BP, NO DIABETES&HAVE DONE GOOD BY GETTING TMT,WHICH ALTHOUGH INDICATED ST DEPRESSION,CHANCESS OF GETTING HEART ATTACT ISSOME WHAT LESS UNLESS U R BP IS WITH IN NORMAL LIMITS,THE MAIN CULPRIT THAT DAMAGES NORAML BLOOD VESCLE(CORONARY,TUNICA INTIMA)PART,GET DONE 1)LIPID PROFILE 2)C-REACTIVE PROTEIN LEVEL& SWICH ON TO RICEBRAIN OIL IF POSIBEL,TAKE OMEGA-3 FATTY ACIDS&ZINC,SELENIUM,CHROMIUM,FOLIC ACID,PYRADIXINE(HOMOCYSTINE LEVELLOWRING AGENTS)EAT LESS NONVEG FOOD EXCEPT FISH.FOLLOW WHAT CARDIOLOGIST SAYS BUT NOTHING TO PANIC.