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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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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
Twitter Thu, 15 Nov 2012 Answered on
Twitter Thu, 15 Nov 2012 Last reviewed on
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Cardiologist,  's  Response
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
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Have Chest Pain On Walking. TMT Report Conclusive For Ischemia. What Does It Mean?

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