Brief Answer:
Suggestive of poor heart function ? ischemic heart disease

Detailed Answer:
Hi & Welcome.
I can understand your concern.
A "Positive TMT" indicates that your heart started getting tired (difficult to perform its normal activity) due to ischemia (reduced blood supply to heart) with stress induced by increase in exercise in the form of running.
Since you have a history of high BP you might be at a risk for heart attack.
It is a matter of concern but not too much.
I would therefore advise you to better undergo Angiography at once. Angiogram is a screening procedure to find any abnormalities in the blood vessels of the heart.

Besides, had you been my patient I would have advised certain life style modifications like:

1 Daily regular exercise (like early morning walking)
2. Avoid smoking or taking alcohol (if any)
3. Avoid fatty meals
4. Avoiding anxiety and excessive worry just enjoy your life
5. Reduce body weight if you are obese
6. See that your BP is controlled with the prescribed medications (reduce your dietary salt intake).
7. See that your lipid profile (serum Cholesterol, Triglycerides are within the normal ranges)

Hope the suggestions given above could be useful.
Do reply if you have any follow up query.
Best regards.

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Brief Answer:
Life style modifications if no chest pain or shortness of breath on TMT

Detailed Answer:
Hi!
Thanks for your kind reply.
Noted the contents of your reply.
If you did not experience any chest pain or shortness of breath during the TMT, then life style modifications are recommended.
Hope this clarifies your concern.
Best regards.

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Brief Answer:
Angiogram can be normal if the TMT is positive.

Detailed Answer:
Hi
Thanks for your reply, noted its content.
Yes, an angiogram can be normal even if the TMT is positive.
Hope this answers your query.
Kindly rate the answers if you do not have any follow up query.
Best regards.

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