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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do The TMT Test Result Indicate?

Hi, I m a 50 yrs old woman working as a lecturer . Recently I had go through a medical test . The results of all the tests were normal except TMT. Weight 50 KG, Height 64 , BMI:21.2, Blood Pressure: 120/70, taking medicine for acidity and migrain, I can go upto Heart rate of 170 bpm. Test Results: Biochemistry S. Cholesterol: 162 mg/dl, S. triglyceride: 95 mg/dl, H.D.L. Cholesterol:56 mg/dl, L.D.L. Cholesterol:87 mg/dl S. Creatinine:0.8 mg/dl Blood Urea : 19 mg/dl Fasting Blood Sugar: 96 mg/dl Hb:10.8g/dl ECG: low QRS Amplitudes, rest OK TMT Test: baseline ECG within normal limits,good exercise tolerance,normal BP response,no arrhythmia, horizontal ST depression /=1mm II, III, aVf &V4-V6 at peak exercise which reverted within 1 min of recovery phase,TMT POSITIVE FOR INDUCIBLE ISCHAEMIA, please tell me whether I need to take any medicine and additional tests are to be performed. Looking for your early response! Regards, R. LAHIRI
Mon, 1 Sep 2014
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Radiologist 's  Response
Hello
Thanks for writing to HCM

TMT mildly positive for inducible ischemia means there is chance of blockages in the arteries of the heart.Inducible ischemia means an inadequate supply of oxygen (via blood flow) to the heart muscle occurring with physical or emotional stress.It suggests that there is demand-supply mismatch at high demand levels for blood supply to the heart.
However,there are chances of false positive results.
You need clinical examination by a cardiologist.ECHO and angiography should be done.
Angiography will exactly assess the status of coronary arteries.

Hope I have answered your question.
Take Care
Dr.Indu Bhushan
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What Do The TMT Test Result Indicate?

Hello Thanks for writing to HCM TMT mildly positive for inducible ischemia means there is chance of blockages in the arteries of the heart.Inducible ischemia means an inadequate supply of oxygen (via blood flow) to the heart muscle occurring with physical or emotional stress.It suggests that there is demand-supply mismatch at high demand levels for blood supply to the heart. However,there are chances of false positive results. You need clinical examination by a cardiologist.ECHO and angiography should be done. Angiography will exactly assess the status of coronary arteries. Hope I have answered your question. Take Care Dr.Indu Bhushan