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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chest Pain. Done TMT. Are The Results Fair? Medication Needed?

I am Male, 53 yrs of Age with 85 Kg weight and have been brisk-walking regularly for half an hour since last 10 yrs covering around 4 Kms every day. My BP remains in the range of 87 to 94(Diastolic) and 125 to 140 (Systolic). My lipid profile readings are all within range. I am not on any medication . Since last 1 year occassionally I have been getting pain on my left chest side which comes only for 2 seconds and then goes away. This happens on an average of once or twice a month. So I got my TMT done and RESULTS ARE : Exercise Duration - 8:30 minutes, Max Heart Rate 178 BPM 106% OF TARGET HEART RATE 167 BPM; Max BP 170/100 mm Hg; Max Work Load 9.53 METS; IMPRESSIONS - TMT is negative for reversible myocardial ischemia . I eat everything including fried, Carb, fruits, fibre, eggs , etc. Kindly advise - 1. Are the TMT RESULTS Fair, Good, or Very Good? 2. Do I need to start medication or still try to maintain through exercise?.3. Do I need to go for any other test to be very sure of the reason for the occassional pain on the left Chest side. - Vinod, Delhi, India
Fri, 22 Mar 2013
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Cardiologist,  's  Response
your TMT is very good, this chest pain is atypical ( non cardiac chest pain).
you are overweight - if you loose 6 kg weight , your blood pressure will down by 10 mmhg
other natural ways to control BP are - less salt intake, avoid non veg diet, increase vegetables, fruits, fiber diet, yoga, meditations
any BP above 140/90 should start medicines ( your diastolic bp is more then 90 mmhg ) so start low dose antihypertensive medicines.
effects of natural ways will come after 5-6 months ( you have to take medicines till effects of natural methods will come)
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Chest Pain. Done TMT. Are The Results Fair? Medication Needed?

your TMT is very good, this chest pain is atypical ( non cardiac chest pain). you are overweight - if you loose 6 kg weight , your blood pressure will down by 10 mmhg other natural ways to control BP are - less salt intake, avoid non veg diet, increase vegetables, fruits, fiber diet, yoga, meditations any BP above 140/90 should start medicines ( your diastolic bp is more then 90 mmhg ) so start low dose antihypertensive medicines. effects of natural ways will come after 5-6 months ( you have to take medicines till effects of natural methods will come)