Is It Necessary To Undergo Stress Echo Test If TMT Test Is Positive?

Posted on Tue, 11 Jun 2013

Question: Would like to know ,if the TMT test is +ve,I should be going through Stress Echo test.Which hospital would you recommend in Hyderabad for the same.

Answered by Dr. Anantharamakrishnan (1 hour later)

Hi friend,
Welcome to Health Care Magic

If TMT (Treadmill Exercise ECG) s positive, it is an indication for further work up – because at times, there may be false positive or false negatives. Coronary Artery Disease is not common in women and at this age - congenital anomalies may be responsible... 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.

Stress ECHO could show valves, wall motion anomalies and function (Ejection Fraction)...
CT angio is non-invasive study for the anatomy (structure).
Better option will be to see is to undergo catheterisation and coronary angiography. 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.

Any Multi-speciality Tertiary care hospital will have the facility...Apollo, CARE are a few of them...Your treating doctor can guide you better...

Take care
Wishing speedy recovery
God bless
Good luck

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anantharamakrishnan (29 minutes later)

First time the TMT came +ve at Apollo Noida hospital and second time in Fortis,Noida.
Also at times my BP goes high upto 160/110.Would you be able to recommend a good doctor in Hyderabad,as I have recently shifted here and pretty new to the city.

Answered by Dr. Anantharamakrishnan (1 hour later)

Dear Ms XXXXXXX

I personally do not know one there - Hyderabad is a huge metropolis... / Search the services section of this site (Health Care Magic) or Google...
You need a cardiologist
A doctor near your house will be the best one for liaison and follow up.
A doctor attached to a Medical College or Multi Speciality Hospital is better...
You need further investigation / you need treatment - started empirically and modified based on test results...

All the best
Regards

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar