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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Following TMT Test Result Indicate?

Hi Sirs/Madams, My mother is 56 years old, recently had TMT test shows positive. It was a routine checkup. Normally she does not feel any problem while resting, sleeping, working or walking. But while walking for long or little more stress, she gets uneasiness and breathlessness. Sometimes she needs inhaler. After a certain break she recovers. She does not feel any chest pain. The TMT results are - a) Test duration - 5 min b) Stage I - no change c) Stage II - Upto 1.0 mm HZ ST-T changes seen in lead II, III, avf, V4-V6 d) BP at stage II - 180/90 e) Abnormal recovery phase - ST-T changes reverted to basal pattern after 7 min of recovery f) Total Cholestrol - 220 mg/dl LDLCholestrol - 126 mg/dl HDL Cholestrol - 66 mg/dl Tryglycerides - 115 mg/dl I m fully worried. Request your advise. Pls. suggest.
posted on Thu, 15 Sep 2016
Twitter Wed, 15 May 2019 Answered on
Twitter Mon, 20 May 2019 Last reviewed on
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General & Family Physician,  's  Response
Hello,

With increasing age, there are changes in vital organs and their functions seen. When it comes to heart, TMT is used to check if there is any blockage in the coronary arteries which are essential for the proper functioning of the heart and its blood supply. As you said there is no chest pain but breathlessness and uneasiness experienced by your mother on exertion and all goes back to normal on rest after some time. Such symptoms with the TMT test results are highly suggestive of some coronary artery disease.

I would like to ask if your mother is on any antihypertensive drugs or any other drugs related to diseases like diabetes mellitus? The lipid profile values seem to be in the desirable range. So, I would suggest you visit a cardiologist with the test results and follow his advice on further appropriate management, as well as he might ask you to get some other diagnostic tests done if required to know the underlying cause for better understanding.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Manisha Auradkar, General & Family Physician
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What Does The Following TMT Test Result Indicate?

Hello, With increasing age, there are changes in vital organs and their functions seen. When it comes to heart, TMT is used to check if there is any blockage in the coronary arteries which are essential for the proper functioning of the heart and its blood supply. As you said there is no chest pain but breathlessness and uneasiness experienced by your mother on exertion and all goes back to normal on rest after some time. Such symptoms with the TMT test results are highly suggestive of some coronary artery disease. I would like to ask if your mother is on any antihypertensive drugs or any other drugs related to diseases like diabetes mellitus? The lipid profile values seem to be in the desirable range. So, I would suggest you visit a cardiologist with the test results and follow his advice on further appropriate management, as well as he might ask you to get some other diagnostic tests done if required to know the underlying cause for better understanding. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Manisha Auradkar, General & Family Physician