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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For A Cardiac Problem

I am 52 yrs female and had my TMT done .Result is Positive stress test suggestive of Ischemia . Conclusion:- TMT IS POSITIVE FOR PROVOCABLE MYOCARDIAL ISCHAEMIA . Ex time- 07:15M MHR- 173 bpm Max BP - 160/80 ( Resting 130/80) Test was stopped due to Fatigue. No abnormality detected in ECG & EKO tests. What shoul be my next What should be my next step?
Wed, 31 Dec 2014
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Psychiatrist,  's  Response
Hi Welcome to HCM.
I understand your query and concern.
Your treadmill test is suggestive of impaired blood supply to the coronary vessels in presence of external workload on the heart as exercise in this case.This test suggests that there are significant stenotic/narrowed vessels in your heart,through which the amount of blood flow is normal/adequate under resting conditions but not under conditions of increased demand.This TMT prompts you to have a coronary angiogram/CAG which is radiographic visualisation of the coronary blood vessels.The degree of stenosis can be accurately assessed through this investigation.Based on the test results,definitive procedures to correct the stenotic vessels is done under an in situ metallic stent placement.This stenting will now improve the blood flow under exercising conditions as well thereby preventing heart attacks in future.The parameters you attained are normal for your age and sex.Discuss about this CAG with your concerned cardiologist.
Post your further queries,if any.
Thank you.
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Suggest Treatment For A Cardiac Problem

Hi Welcome to HCM. I understand your query and concern. Your treadmill test is suggestive of impaired blood supply to the coronary vessels in presence of external workload on the heart as exercise in this case.This test suggests that there are significant stenotic/narrowed vessels in your heart,through which the amount of blood flow is normal/adequate under resting conditions but not under conditions of increased demand.This TMT prompts you to have a coronary angiogram/CAG which is radiographic visualisation of the coronary blood vessels.The degree of stenosis can be accurately assessed through this investigation.Based on the test results,definitive procedures to correct the stenotic vessels is done under an in situ metallic stent placement.This stenting will now improve the blood flow under exercising conditions as well thereby preventing heart attacks in future.The parameters you attained are normal for your age and sex.Discuss about this CAG with your concerned cardiologist. Post your further queries,if any. Thank you.