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What Do These TMT And ECHO Test Reports Indicate?

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Posted on Wed, 20 Sep 2017
Question: Hi

My father is feeling some pain in chest from last few days and as per doctors prescription he has gone through TMT and Echo test. Pl go through the test reports and suggest further course of action.
doctor
Answered by Dr. Sagar Makode (24 minutes later)
Brief Answer:
He should undergo angiography

Detailed Answer:
Hello,
I've reviewed the reports,

Firstly, it's important to know what kind of chest pain is it, does it occurs at rest or occurs on exertion. The various possibilities in his case are, Cardiac pain, pain due to gastritis and reflux disease and if he smokes then it can also cause pain.

Cardiac pain is the first possibility as TMT is positive, but sometimes can be falsely positive. Cardiac pain becomes further likely if this pain is occurring on excretion and relieves with rest.

If it is occurring at rest and associated with other symptoms like abdominal pain, nausea, burning in chest or increase in the pain after food then it raises the possibility of gastritis and reflux disease.

So overall, considering his TMT result, which is positive which suggests that there are blockages in his heart. So he should undergo angiography to confirm and know the extent of blockages. His echo and ECG are normal. So he should also be started on Tab Ecosprin AV 75/20 mg once a day bedtime and Tab Sorbitrate 5 mg sublingually whenever Chest pain occurs, till we confirm the diagnosis.

Also, get his serum lipid profile and sugars checked. Have a healthy lifestyle like low calorie, low-fat diet, and daily walking.

Hope this helps you and get back if you have any doubts or more information to share.
Regards

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

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
Dr.
Dr. Sagar Makode

Cardiologist

Practicing since :2013

Answered : 1867 Questions

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What Do These TMT And ECHO Test Reports Indicate?

Brief Answer: He should undergo angiography Detailed Answer: Hello, I've reviewed the reports, Firstly, it's important to know what kind of chest pain is it, does it occurs at rest or occurs on exertion. The various possibilities in his case are, Cardiac pain, pain due to gastritis and reflux disease and if he smokes then it can also cause pain. Cardiac pain is the first possibility as TMT is positive, but sometimes can be falsely positive. Cardiac pain becomes further likely if this pain is occurring on excretion and relieves with rest. If it is occurring at rest and associated with other symptoms like abdominal pain, nausea, burning in chest or increase in the pain after food then it raises the possibility of gastritis and reflux disease. So overall, considering his TMT result, which is positive which suggests that there are blockages in his heart. So he should undergo angiography to confirm and know the extent of blockages. His echo and ECG are normal. So he should also be started on Tab Ecosprin AV 75/20 mg once a day bedtime and Tab Sorbitrate 5 mg sublingually whenever Chest pain occurs, till we confirm the diagnosis. Also, get his serum lipid profile and sugars checked. Have a healthy lifestyle like low calorie, low-fat diet, and daily walking. Hope this helps you and get back if you have any doubts or more information to share. Regards