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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Following TMT Result Suggest?

My TMT test says TMT is equivocal. ST segment depression seen in test, reverting back in recovery. Test is equivocal for stress inducible reversible Ischemia. I am taking Thyronorm 75 mg as I have hypothyroid. Should I go for repeat stress test and 2D echo or angiography. I am a female 52 years old. my expired of CAD at age 71. No previous history.
Tue, 5 Feb 2019
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Anesthesiologist,  's  Response
Hello,

Usually, TMT showing equivocal is almost unpredictable if there are ST changes its better to go for the next investigation.

I advise you to go for angiography test.

Reasons:
1. h/o hypothyroidism-silent ischemia chances are there
2. TMT equivocal
3. blood tests like cholesterol levels, triglycerides levels need to checked and start on statins if required
4. hope the test would come normal and long term benefits I also advise you to
exercise at least half n hour,
thyroid diet-more of green salads,
hydration and multivitamins to be continued.

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

Regards,
Dr. Anusha Molugu,
Anesthesiologist
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What Does The Following TMT Result Suggest?

Hello, Usually, TMT showing equivocal is almost unpredictable if there are ST changes its better to go for the next investigation. I advise you to go for angiography test. Reasons: 1. h/o hypothyroidism-silent ischemia chances are there 2. TMT equivocal 3. blood tests like cholesterol levels, triglycerides levels need to checked and start on statins if required 4. hope the test would come normal and long term benefits I also advise you to exercise at least half n hour, thyroid diet-more of green salads, hydration and multivitamins to be continued. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Anusha Molugu, Anesthesiologist