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What Do My Lab Test Reports Indicate?

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Posted on Mon, 9 Nov 2015
Question: my mother is 60 yrs old. Done health check up. ECG and ECHO is normal but TMT is equivocal. Doctor suggested to do CT angio coronary. Please help
doctor
Answered by Dr. Anantharamakrishnan (1 hour later)
Brief Answer:
Yes - she needs further tests

Detailed Answer:
Hi friend
Welcome to Health Care Magic

Yes, she needs to be investigated for Coronary Artery Disease.
     If TMT (Treadmill Exercise ECG) is equivocal, it is an indication for further work up. At times, there may be false positive or false negatives too. The next step is to see the function and structure.
     CT angio is non-invasive study for the ANATOMY (structure). The alternative is to undergo catheterisation and coronary angiography, which is invasive; but it is the gold standard for this.
      TMT with thallium isotope is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle.
If positive, she will need catheterisation, anyway. The aim of any investigation is to modify the treatment, based on the result.

Good luck
God bless you
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Anantharamakrishnan

Cardiologist

Practicing since :1966

Answered : 4505 Questions

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What Do My Lab Test Reports Indicate?

Brief Answer: Yes - she needs further tests Detailed Answer: Hi friend Welcome to Health Care Magic Yes, she needs to be investigated for Coronary Artery Disease. If TMT (Treadmill Exercise ECG) is equivocal, it is an indication for further work up. At times, there may be false positive or false negatives too. The next step is to see the function and structure. CT angio is non-invasive study for the ANATOMY (structure). The alternative is to undergo catheterisation and coronary angiography, which is invasive; but it is the gold standard for this. TMT with thallium isotope is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle. If positive, she will need catheterisation, anyway. The aim of any investigation is to modify the treatment, based on the result. Good luck God bless you