Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Provocable Myocardial Ischemia
Posted on
Thu, 10 Sep 2015
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Thu, 10 Sep 2015
Answered on
Wed, 30 Sep 2015
Last reviewed on
Question : Hi, in a recent routine check up , my findings in TMT was borderline Provocable myocardial ischemia .
What should I do next ?
What should I do next ?
Brief Answer:
need further test...
Detailed Answer:
Hi friend
Welcome to Health Care Magic
You need to be investigated further for Coronary Artery Disease.
It is an indication for further work up – because it is borderline / at times, there may be false positive or false negatives. The next step is TMT with thallium isotope. It is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle.
If there is a suggestion, the next step is to see the ANATOMY (structure) – undergo catheterisation and coronary angiography with a view for possible intervention. It is the only way to directly ‘see’ the block, if any – and its location, extent, severity and so on. Coronary arteriography is invasive but it is the gold standard for this.
[CT angio is non-invasive study for the anatomy. If positive, she will need catheterisation, anyway.]
The aim of any investigation is to modify the treatment, based on the result.
Intervention – dilatation with balloon and placing a stent (Angioplasty) - or CABG (Coronary Artery Bypass Graft) may be advised based on the results.
Good luck
God bless you
need further test...
Detailed Answer:
Hi friend
Welcome to Health Care Magic
You need to be investigated further for Coronary Artery Disease.
It is an indication for further work up – because it is borderline / at times, there may be false positive or false negatives. The next step is TMT with thallium isotope. It is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle.
If there is a suggestion, the next step is to see the ANATOMY (structure) – undergo catheterisation and coronary angiography with a view for possible intervention. It is the only way to directly ‘see’ the block, if any – and its location, extent, severity and so on. Coronary arteriography is invasive but it is the gold standard for this.
[CT angio is non-invasive study for the anatomy. If positive, she will need catheterisation, anyway.]
The aim of any investigation is to modify the treatment, based on the result.
Intervention – dilatation with balloon and placing a stent (Angioplasty) - or CABG (Coronary Artery Bypass Graft) may be advised based on the results.
Good luck
God bless you
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Do I need to take urgent action or it is not such an emergency. I hv the ECG report also. Should I upload for better assessment ?
Brief Answer:
Sooner, the safer
Detailed Answer:
Hi
Earlier the better, even though it is not an emergency
Appropriate treatment demands accurate diagnosis / And that demands the investigation
Till then, take aspirin 75 or 100 mg / once a day / after food
There will be an automated report, generated by the machine, that is reviewed by the physician / Reviewing the records may not throw further light, as it is borderline… the physician monitoring the procedure is better placed to judge from the overall picture
Regards
Sooner, the safer
Detailed Answer:
Hi
Earlier the better, even though it is not an emergency
Appropriate treatment demands accurate diagnosis / And that demands the investigation
Till then, take aspirin 75 or 100 mg / once a day / after food
There will be an automated report, generated by the machine, that is reviewed by the physician / Reviewing the records may not throw further light, as it is borderline… the physician monitoring the procedure is better placed to judge from the overall picture
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
