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What Does My TMT Test Report Indicate?

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Posted on Tue, 10 Oct 2017
Question: I got TMT test done recently and was given following conclusion : - no angina,noarrhithmia,normal haemodynamic response,normal heart rate response,compared to baseline ecg, st depression noted in lateral leads during peak excercise,reverting to baseline in early recovery.TMT is positive for inducible ischaemia.My troponi - T is negative, my cpk & cpk mb are 168 & 21u/l & my NT-Pro-BNP test reading is 35.2pgml.
Kindly comment and advise.
doctor
Answered by Dr. Dr Sameer Maheshwari (34 minutes later)
Brief Answer:
Should go for further testing

Detailed Answer:
Hi,
Welcome.
This is Dr Sameer, cardiologist.
TMT is a indirect test to rule out any possible blockage in arteries of heart. If positive it means that their are chances that you can have that blockage.
The sensitivity of TMT is around 70-75% which means that it could be falsely positive in around 30% patients.
I would suggest you to go for further testing in form of stress thallium or Stress echo which have better sensitivity than TMT and could tell better than TMT.
The test to rule out blockage with 100% sensitivity is coronary angiography.
So you can choose from any of the above tests.
Come back if you have any more question.
Thanks & take care
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by : Dr. Kampana
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Answered by
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Dr. Dr Sameer Maheshwari

Cardiologist

Practicing since :2010

Answered : 818 Questions

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What Does My TMT Test Report Indicate?

Brief Answer: Should go for further testing Detailed Answer: Hi, Welcome. This is Dr Sameer, cardiologist. TMT is a indirect test to rule out any possible blockage in arteries of heart. If positive it means that their are chances that you can have that blockage. The sensitivity of TMT is around 70-75% which means that it could be falsely positive in around 30% patients. I would suggest you to go for further testing in form of stress thallium or Stress echo which have better sensitivity than TMT and could tell better than TMT. The test to rule out blockage with 100% sensitivity is coronary angiography. So you can choose from any of the above tests. Come back if you have any more question. Thanks & take care