Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
176 Doctors are Online

Suggest treatment for myocardial ischaemia

User rating for this question
Very Good
Answered by

Cardiologist
Practicing since : 1998
Answered : 1306 Questions
Question
I have undergone a routine complete health check up. while all tests are fine, my TMT test shows positive for inducible myocardial ischaemia. The report says: Good effort tolerance, normal HR and BP response, No Angina, ST-T changes mainly in lateral leads at peak exercise.Estd work load was 10.3 mets, maximum HR achieved 162bpm (87% of THR).

Lipid profile:
S Cholesterol (oxidase method) 118mg/dl; S Triglyceride(GPO-PAP) is 55mg/dl; S VLDL is 11 mg/dl; S HDL Cholestrol(direct method) is 29.7 mg/dl; S LDL is 77.3 mg/dl; Ratio Cholestrol/HDL is 4 and ratio od LDL/HDL is 2.6

Please advise if it is serious or could be a false positive. there is no history of heart diseases in my family. My blood pressure, sugar, liver, kidney, thyroid, urine tests are all fine.
Posted Tue, 19 Aug 2014 in Hypertension and Heart Disease
 
 
Answered by Dr. Sukhvinder Singh 6 hours later
Brief Answer:
please see below.

Detailed Answer:
Dear sir
1. If you can upload the ecgs of tmt , it would be great. I will be able to throw more light on issue .
2. If you had no chest discomfort or undue shortness of breath during the test, then with good exercise capacity, chances of test being false positive increase but can not be presumed so. In such a case we advise imaging based stress test like stress ECHO or stress thallium to our patients. These tests are helpful in filtering out false positive tmt tests.
Hope that helps.
Feel free to discuss further.
Sincerely
Sukhvinder
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+

The user accepted the expert's answer

Ask a Cardiologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor