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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain Near Heart. Normal ECG, Echo, TMT. Have Diabetes. Is There A Risk Of Heart Problem?

hello doctor my mom experienced pain near heart region i took her to cardiologist he advised ECG ECHO AND TMT ECGand echo are normal but tmt is positive met is 7.1 she is diabetic for the past 7 years is there any risk of getting heart problem doctor gave medicines for 2 weeeks and asked to come for follow up give ur valuble suggestion
Mon, 18 Nov 2013
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Cardiologist,  's  Response
Hi friend,
Welcome to Health Care Magic

She needs to be investigated for Coronary Artery Disease.

     If TMT (Treadmill Exercise ECG) suggests ischemia, it is an indication for further work up – because at times, there may be false positive or false negatives. The next step is TMT with thallium isotope. It is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle.
     If there is a suggestion, the next step is to see the ANATOMY (structure) – undergo catheterisation and coronary angiography with a view for possible intervention. It is the only way to directly ‘see’ the block, if any – and its location, extent, severity and so on. Coronary arteriography is invasive but it is the gold standard for this. [CT angio is non-invasive study for the anatomy. If positive, she will need catheterisation, anyway.]

The aim of any investigation is to modify the treatment, based on the result.

Good luck
Take care     
Wishing all well
God bless
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Pain Near Heart. Normal ECG, Echo, TMT. Have Diabetes. Is There A Risk Of Heart Problem?

Hi friend, Welcome to Health Care Magic She needs to be investigated for Coronary Artery Disease. If TMT (Treadmill Exercise ECG) suggests ischemia, it is an indication for further work up – because at times, there may be false positive or false negatives. The next step is TMT with thallium isotope. It is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle. If there is a suggestion, the next step is to see the ANATOMY (structure) – undergo catheterisation and coronary angiography with a view for possible intervention. It is the only way to directly ‘see’ the block, if any – and its location, extent, severity and so on. Coronary arteriography is invasive but it is the gold standard for this. [CT angio is non-invasive study for the anatomy. If positive, she will need catheterisation, anyway.] The aim of any investigation is to modify the treatment, based on the result. Good luck Take care Wishing all well God bless