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What Does This TMT Report Indicate?

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Posted on Wed, 1 Jun 2016
Question: I got my tmt done today ,
Final impression says -
TMT IS MILDLY POSITIVE FOR REVERSIBLE MYOCARDIAL ISCHAMEIA
WHT LINE OF TEST OR TREATMENT SHLD I FOLLOW
SUMMARY SAYS - 》1 MM ST DEPRESSION SEEN IN 2,3,AVF , V4- V6 AT PEAK EXCERSISE
THE PATIENT EXCERCISED ACCORDING TO THE XXXXXXX FOR 10.19 MINS, ACHIEVING A WORK LEVEL OF XXXXXXX METS: 12.20
THE RESTING HEART RATE OF 88 BPH XXXXXXX TO A MAXIMAL HEART RATE OF 155 BPH .THIS VALUE REPRESENTS 87% OF THE MAXIMAL , AGE PREDICTED HEART RATE .THE RESTING BLOOD PRESSURE OF 140/90 MM hg, XXXXXXX to the maximum blood pressure of 160/95mm hg .The Excercise was stopped due to target heart rate achieved ...
doctor
Answered by Dr. Priyank Mody (7 hours later)
Brief Answer:
CT coronary angiogram or repeat TMT after 3 months for any change .

Detailed Answer:
Hello, I am Dr. Mody and I would be addressing your concern.
Now your stress test showed some ecg signs which are pointing towards a heart issue , however I would like to reassure you that the chances occurred during the end stage of the TMT , which may be a false positive change particularly if you are not used to regular workouts . All the other parameters during stress test are withen nomral range
So if you don't have any risk factors like hypertension, diabetes, smoking , obesity .
The next test to rule out any cardiac problem is to do a CT coronary angiogram, where they see the heart arteries in a CT scan , similar to angiography but less invasive and safe .
Another alternative is to do a repeat TMT after 3 tp 6 months and to see if any change occurs as compared to the present one .

So if you don't have any risk factors it's safe to wait .
Hoping I could help resolve your query.
Regards Dr Priyank Mody, Cardiologist, XXXXXXX
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Priyank Mody

Cardiologist

Practicing since :2009

Answered : 918 Questions

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What Does This TMT Report Indicate?

Brief Answer: CT coronary angiogram or repeat TMT after 3 months for any change . Detailed Answer: Hello, I am Dr. Mody and I would be addressing your concern. Now your stress test showed some ecg signs which are pointing towards a heart issue , however I would like to reassure you that the chances occurred during the end stage of the TMT , which may be a false positive change particularly if you are not used to regular workouts . All the other parameters during stress test are withen nomral range So if you don't have any risk factors like hypertension, diabetes, smoking , obesity . The next test to rule out any cardiac problem is to do a CT coronary angiogram, where they see the heart arteries in a CT scan , similar to angiography but less invasive and safe . Another alternative is to do a repeat TMT after 3 tp 6 months and to see if any change occurs as compared to the present one . So if you don't have any risk factors it's safe to wait . Hoping I could help resolve your query. Regards Dr Priyank Mody, Cardiologist, XXXXXXX