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Ischemic heart disease, abnormal TMT - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
User :   i am 51. i was physically very fit till on 8th aug i had a severe breathing problem while i was playing badminton under hectic exertion. i felt like i will loose breath. but some how i i regained my breadth. on test my ecg was normal. later in TMT test, ST-T depression of 1 to 1.5 mm, no hypotension, no s3-s4 sound and recvoery to baseline in one mniute. my THR was 143 and i went upto 150 bpm. doctors detected doctor diagnosed 'mild reversible myocardial ischemia. do i need to undergo angioplasty or simple medicine and lifestyle change can manage the problem. I develope breathlessness after exertion. Thanks
Doctor :   Hi
User :   may i get advice on my above heart problem
Doctor :   Yes
Doctor :   Your TMT is abnoraml
Doctor :   and you had symptoms
Doctor :   So go for angioplasy
Doctor :   Then find out if there is any obstruction in heaRT VESSELS
Doctor :   OK
User :   can some other non invasive test help me
Doctor :   If they are stenos es/ tight, then cardiologist will advice u to have a stent in stenosed blood vessel
Doctor :   U already had non invasive test
User :   i am taking metolar xr 25 for last 15 days. may i continue with this or i had to reduce it.
Doctor :   You dont need medicine now
Doctor :   it does not hurt if u take it
Doctor :   But u need angiogram
Doctor :   Take aspirin
Doctor :   Take cholesterol pill even if ur cholesterol is normal
User :   but if myocardial ischemia is very mild and reversible , can medicine not treat it?
Doctor :   Yes
Doctor :   We can manage conservatively
Doctor :   But u dont know whether it is mild or severe
Doctor :   U need to see the vessel with eyes
User :   it it possible that it is not MI but during heavy exertion while playing some other injury has taken place in the heart. if yes how can we find it?
Doctor :   That is donr by angiogram
Doctor :   If u r not going for angiogram
Doctor :   take aspirin , cholesterol pill, cardace
Doctor :   Ok
Doctor :   Are u following my advice
Doctor :   If it is my heart, I will go for angiogram
User :   yes please
User :   will thalium stress test help to to diagnose better
Doctor :   and then take steps according the size of obstructiopn
Doctor :   I Hope You have followed my advice
User :   thank you doctor.
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