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What Does This TMT Report Indicate?
Question: my Ecg report and echo shows normal and TMT report says " strongly positive for inducibleischemia at 86%THR and adviced for angiogram .But iam feeling comfirt and normal. what should i do.If i go for angio they may say for stunt.What is your advice sir.Kindly help.
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Brief Answer:
It would be best to undergo coronary angiography
Detailed Answer:
Hi,
Welcome to health care magic,
I have read your query and understand the concern.
If TMT (Treadmill Exercise ECG) is positive which suggests myocardial ischemia (means lack of blood supply to the particular heart musculature) particularly when there is excess load on heart (like during running on treadmill) and it is an indication for further work up.
The next step is TMT with thallium isotope. It is the ideal non-invasive way to evaluate ischemia to see whether the blood arriving at the heart muscle.
But it would be best to undergo coronary angiography (CAG) with a view for possible intervention further.
It is the only way to directly ‘see’ the block, if there any and its location, extent, severity and so on.
Although coronary angiogram is invasive, it is the gold standard in your case and as far as the STENT is concerned,your cardiologist will ask you after checking the site,size and type of obstruction in coronoary arteries after/during angiography procedure.
Routinely,cardiologist put stent (yes,after asking to person himself or his relatives) during the angiography procedure especially if there is hard n fast requirement of stent to avoid another invasive procedure subsequently.
But,yes they can NOT force you to put stent against your will.
Finally,you need to be investigated for Coronary Artery Disease by coronary angiography and regarding stent,it will be decided by the angiopdraphy report whether it is required or not.
Hope this will help you.
Regards,
It would be best to undergo coronary angiography
Detailed Answer:
Hi,
Welcome to health care magic,
I have read your query and understand the concern.
If TMT (Treadmill Exercise ECG) is positive which suggests myocardial ischemia (means lack of blood supply to the particular heart musculature) particularly when there is excess load on heart (like during running on treadmill) and it is an indication for further work up.
The next step is TMT with thallium isotope. It is the ideal non-invasive way to evaluate ischemia to see whether the blood arriving at the heart muscle.
But it would be best to undergo coronary angiography (CAG) with a view for possible intervention further.
It is the only way to directly ‘see’ the block, if there any and its location, extent, severity and so on.
Although coronary angiogram is invasive, it is the gold standard in your case and as far as the STENT is concerned,your cardiologist will ask you after checking the site,size and type of obstruction in coronoary arteries after/during angiography procedure.
Routinely,cardiologist put stent (yes,after asking to person himself or his relatives) during the angiography procedure especially if there is hard n fast requirement of stent to avoid another invasive procedure subsequently.
But,yes they can NOT force you to put stent against your will.
Finally,you need to be investigated for Coronary Artery Disease by coronary angiography and regarding stent,it will be decided by the angiopdraphy report whether it is required or not.
Hope this will help you.
Regards,
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Sonia Raina
Answered by
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