Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Myocardial Ischaemia
Question: I have undergone a routine complete health check up. while all tests are fine, my TMT test shows positive for inducible myocardial ischaemia. The report says: Good effort tolerance, normal HR and BP response, No Angina, ST-T changes mainly in lateral leads at peak exercise.Estd work load was 10.3 mets, maximum HR achieved 162bpm (87% of THR).
Lipid profile:
S Cholesterol (oxidase method) 118mg/dl; S Triglyceride(GPO-PAP) is 55mg/dl; S VLDL is 11 mg/dl; S HDL Cholestrol(direct method) is 29.7 mg/dl; S LDL is 77.3 mg/dl; Ratio Cholestrol/HDL is 4 and ratio od LDL/HDL is 2.6
Please advise if it is serious or could be a false positive. there is no history of heart diseases in my family. My blood pressure, sugar, liver, kidney, thyroid, urine tests are all fine.
Lipid profile:
S Cholesterol (oxidase method) 118mg/dl; S Triglyceride(GPO-PAP) is 55mg/dl; S VLDL is 11 mg/dl; S HDL Cholestrol(direct method) is 29.7 mg/dl; S LDL is 77.3 mg/dl; Ratio Cholestrol/HDL is 4 and ratio od LDL/HDL is 2.6
Please advise if it is serious or could be a false positive. there is no history of heart diseases in my family. My blood pressure, sugar, liver, kidney, thyroid, urine tests are all fine.
Brief Answer:
please see below.
Detailed Answer:
Dear sir
1. If you can upload the ecgs of tmt , it would be great. I will be able to throw more light on issue .
2. If you had no chest discomfort or undue shortness of breath during the test, then with good exercise capacity, chances of test being false positive increase but can not be presumed so. In such a case we advise imaging based stress test like stress ECHO or stress thallium to our patients. These tests are helpful in filtering out false positive tmt tests.
Hope that helps.
Feel free to discuss further.
Sincerely
Sukhvinder
please see below.
Detailed Answer:
Dear sir
1. If you can upload the ecgs of tmt , it would be great. I will be able to throw more light on issue .
2. If you had no chest discomfort or undue shortness of breath during the test, then with good exercise capacity, chances of test being false positive increase but can not be presumed so. In such a case we advise imaging based stress test like stress ECHO or stress thallium to our patients. These tests are helpful in filtering out false positive tmt tests.
Hope that helps.
Feel free to discuss further.
Sincerely
Sukhvinder
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
