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What Does A Positive TMT For Ischemia Mean?
Question: Age 54 year, Hight : 175cm Weight : 67 Kg
asthma since 30 year,
medication : Asthalin inhaler (2x2 puff) +Beclate 200 inhaler(1X2 Puff)
lipid profile : Normal
BP : Normal
ECG : Normal
smoking history : Nil
TMT : Positive(Significant ST depression noted in leads II,III, AVF & V4-V6 at peak exercise which reverted to normal in 3rd min of recovery)
I do not having any other problem like chest pain or discomfort.
Please Guide me.
asthma since 30 year,
medication : Asthalin inhaler (2x2 puff) +Beclate 200 inhaler(1X2 Puff)
lipid profile : Normal
BP : Normal
ECG : Normal
smoking history : Nil
TMT : Positive(Significant ST depression noted in leads II,III, AVF & V4-V6 at peak exercise which reverted to normal in 3rd min of recovery)
I do not having any other problem like chest pain or discomfort.
Please Guide me.
Brief Answer:
Positive TMT is the indication for further work up.
Detailed Answer:
Hi,
Welcome to health care magic,
i have read all your query and understand the concern.
If TMT (Treadmill Exercise ECG) is positive (significant ST depression in lead ii,iii and AVF) which suggests myocardial ischemia (lack of blood supply to the particular heart musculature) particularly when there is excess load on heart (like during running on treadmill) and it is an indication for further work up.
The next step is TMT with thallium isotope. It is the ideal non-invasive way to evaluate ischemia to see whether the blood arriving at the heart muscle.
But it would be best to undergo coronary angiography (CAG) with a view for possible intervention further.
It is the only way to directly ‘see’ the block, if there any and its location, extent, severity and so on. Coronary arteriography is invasive but it is the gold standard for this.
Therefore,you need to be investigated for Coronary Artery Disease by coronary angiography.
Hope this will help you.
Regards,
Positive TMT is the indication for further work up.
Detailed Answer:
Hi,
Welcome to health care magic,
i have read all your query and understand the concern.
If TMT (Treadmill Exercise ECG) is positive (significant ST depression in lead ii,iii and AVF) which suggests myocardial ischemia (lack of blood supply to the particular heart musculature) particularly when there is excess load on heart (like during running on treadmill) and it is an indication for further work up.
The next step is TMT with thallium isotope. It is the ideal non-invasive way to evaluate ischemia to see whether the blood arriving at the heart muscle.
But it would be best to undergo coronary angiography (CAG) with a view for possible intervention further.
It is the only way to directly ‘see’ the block, if there any and its location, extent, severity and so on. Coronary arteriography is invasive but it is the gold standard for this.
Therefore,you need to be investigated for Coronary Artery Disease by coronary angiography.
Hope this will help you.
Regards,
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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