Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
Have Chest Pain On Walking. TMT Report Conclusive For Ischemia. What Does It Mean?
HI, regulary i use to get a chest pain during walking my doctor suggested me to go for TMT test where my report is like this HR at rest: 83/min,Max HR: 157/min (97% of target HR:161/min), max. RPP: 273, max METS: 4.60, BP at rest :150/90 mmHg, max BP: 200/90 mmHg, poor effort tolerance, adequate HR response, normal BP response, no angina/hypotension/ arrythmia , significant ST changes at peak effort aasociated with chest discomfort, test concluded as positive for induceble ischemia what is the meaning of this please help me.
posted on
Wed, 14 Nov 2012
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Thu, 15 Nov 2012
Answered on
Thu, 15 Nov 2012
Last reviewed on
Hi
from your TMT report it suggestive of strongly positive
it means there is more likely that you have some blockage in arteries which supply blood to the heart
normally if any person does exercise blood supply to heart increase and heart can able to cope up with extra amount of work due to exercise but if there is blockage in artery which supply blood to the heart in that case extra need of blood will not be satisfied as there is blockage so heart willnot be able to receive needed amount of blood and person will feel chest pain and EKG done on that time will show ST T changes and test will concluded as a positive test
if this changes occure at low METS level as in your case it became strongly positive
dont panic
consult your cardiologist
you required to undergo coronary angiogram to see any blokcage in artery which supply blood to the heart
take care
from your TMT report it suggestive of strongly positive
it means there is more likely that you have some blockage in arteries which supply blood to the heart
normally if any person does exercise blood supply to heart increase and heart can able to cope up with extra amount of work due to exercise but if there is blockage in artery which supply blood to the heart in that case extra need of blood will not be satisfied as there is blockage so heart willnot be able to receive needed amount of blood and person will feel chest pain and EKG done on that time will show ST T changes and test will concluded as a positive test
if this changes occure at low METS level as in your case it became strongly positive
dont panic
consult your cardiologist
you required to undergo coronary angiogram to see any blokcage in artery which supply blood to the heart
take care
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Chest pain
Loading Online Doctors....