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What Does My ECHO Test Result Indicate?
Posted on
Fri, 20 May 2016
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Fri, 20 May 2016
Answered on
Wed, 29 Jun 2016
Last reviewed on
Question : I am 53 years male. TMT test is positive od Ischemia. ECHO test LV Ejection Fraction 55%, Grade I LV Diastolic Dysfunction. No pericardical effusion/clot/vegetation. What should be the further course of action?
Brief Answer:
CAG is advisable .
Detailed Answer:
Hello, Sir.
I can certainly understand your concern.
As per your history, the next step in your case is to undergo coronary angiography.(CAG)
This will accurately reflect any obstruction in blood flow of coronary arteries.
Based on the results, coronary stenting can be planned accordingly.
TMT positive cases should be analysed as above.
Diastolic dysfunction can improve with medications or stenting.
You need to consult an expert Cardiologist for the above .
Post your further queries if any.
Thank you.
CAG is advisable .
Detailed Answer:
Hello, Sir.
I can certainly understand your concern.
As per your history, the next step in your case is to undergo coronary angiography.(CAG)
This will accurately reflect any obstruction in blood flow of coronary arteries.
Based on the results, coronary stenting can be planned accordingly.
TMT positive cases should be analysed as above.
Diastolic dysfunction can improve with medications or stenting.
You need to consult an expert Cardiologist for the above .
Post your further queries if any.
Thank you.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks for the reply. During TMT I achieved a heart rate of 155 (92% of maximum) and workload of 8.7 METS without any discomfort. I don't have any prior history or symptoms. Please review and advice.
Brief Answer:
CAG is more informative and reliable.
Detailed Answer:
Hello, Sir.
TMT positive for ischemia always mandates CAG as a further investigation even in the absence of symptoms or appropriate parameters attained on TMT .
Ischemia changes will be reflected on the ECG during the exercise.
This might not always cause distress.
Likewise 8.5 METS seems adequate along with the heart rate of 155.
Post your further queries if any.
Thank you.
CAG is more informative and reliable.
Detailed Answer:
Hello, Sir.
TMT positive for ischemia always mandates CAG as a further investigation even in the absence of symptoms or appropriate parameters attained on TMT .
Ischemia changes will be reflected on the ECG during the exercise.
This might not always cause distress.
Likewise 8.5 METS seems adequate along with the heart rate of 155.
Post your further queries if any.
Thank you.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks. Is it better to go for CT scan or angiography to clear the suspicion ?
Brief Answer:
Angiography is advisable.
Detailed Answer:
Hello, Sir.
It's pretty much advisable to go for Angiography to clear your suspicion beyond any doubts.
Post your further queries if any.
Thank you.
Angiography is advisable.
Detailed Answer:
Hello, Sir.
It's pretty much advisable to go for Angiography to clear your suspicion beyond any doubts.
Post your further queries if any.
Thank you.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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