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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is angiogram necessary in view of a positive TMT result?

My father found a Positive result in TMT before 6 years.Doctor suggested for angiogram.Due to busy schedule he did not take the test.Now he went for regular checkup amd TMT showed the same positive result..but he doesn t have any discomfort..6years ago also TMT was taken for resular checkup..Is he really nedd an angiogram
Sat, 1 Jun 2019
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Cardiologist 's  Response
Hi,

Positive TMT means that there could be underlying ischemia and need further evaluation. The sensitivity of TMT is however around 70%, means it can wrongly detect 30% patients with false positive.
There are many tests ahead of TMT with better sensitivity but angiography is the gold standard and I think we all should make our doubts clear by directly going for angiography. So you should get the angiography done.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Sameer Maheshwari, Cardiologist
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Is angiogram necessary in view of a positive TMT result?

Hi, Positive TMT means that there could be underlying ischemia and need further evaluation. The sensitivity of TMT is however around 70%, means it can wrongly detect 30% patients with false positive. There are many tests ahead of TMT with better sensitivity but angiography is the gold standard and I think we all should make our doubts clear by directly going for angiography. So you should get the angiography done. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sameer Maheshwari, Cardiologist