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TMT. Result is positive inducible ischemia. Undergone angiography , final diagnosis is effort angina variable threshold , no blocks. Normal coronary with slow flow Angiogram information: Catheters used: 5F-Optitorqe LMCA: Normal LAD: Type 3 vessel-Normal with slow flow DIAGONAL: Normal CX: Non dominant system-Normal with slow flow OMs: Normal RICA: Right dominant system-Normal with slow flow. PDA and PLVB - Normal. LV ANGIOGRAPHY :Not done CATH DIAGNOSIS: # Normal major epicacardial coronary arterlies with slow flow CATH Advice: Medical Management. Advice: Tab DILGEM 30. 8AM-8PM TAB KORNDIL 5 Mg. ,, Tab. Ecosprin 75 mg. 2pm Tab Sampras 40 mg. once 7am Last 3 months. I am taking But still feels suffocating , tightness Please advice
Tue, 26 Aug 2014
Hello and welcome to HCM,
The interpretation of cardiac investigations are:
The TMT test is positive, This suggests that there is stress or exercise induced ischemia or blood supply to heart muscles is reduced while body is exercising or under stress. A positive TMT test is an indication for angiography.
The angiography involves viewing the major cardiac blood vessels after filling them with radio-opaque dye.
Angiography shows that all major blood vessels are clear and there is no blockade.
A positive TMT test and clear cardiac blood vessels suggests that there is obstruction of small epicardial blood vessels of heart.
Medical treatment is indicated.
Please continue the medical treatment for few months before you start observing the effect.
If you still feel suffocated, then probably you need to consult a pulmonologist for clinical assessment of the respiratory tract.
Thanks and take care
Dr Shailja P Wahal
The interpretation of cardiac investigations are:
The TMT test is positive, This suggests that there is stress or exercise induced ischemia or blood supply to heart muscles is reduced while body is exercising or under stress. A positive TMT test is an indication for angiography.
The angiography involves viewing the major cardiac blood vessels after filling them with radio-opaque dye.
Angiography shows that all major blood vessels are clear and there is no blockade.
A positive TMT test and clear cardiac blood vessels suggests that there is obstruction of small epicardial blood vessels of heart.
Medical treatment is indicated.
Please continue the medical treatment for few months before you start observing the effect.
If you still feel suffocated, then probably you need to consult a pulmonologist for clinical assessment of the respiratory tract.
Thanks and take care
Dr Shailja P Wahal
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