Dear friend, welcome and thanks for entrusting your query here at HCM ! Your TMT shows mild inducible ischaemia at high workloads meaning that there is mild demand -supply mismatch in the heart s blood supply at excess stress. Do you get chest pain, sweating, palpitations? (angina) Echo cahnges are minor and may reflect age related changes. HDL is protective. This is not significant enough to contra-indicate renal donation. I think your doctors will consider this for your anaesthesia risk assessment and also check renal artery doppler to look for atherosclerosis there. Please guided by your treating team and there criteria for donation and anaesthesia risk. I personally do not see any problem if you have no heart symptoms. I hope you are fully satisfied with the guidance I gave. I would be glad to answer any further queries. Thank you and Good luck !