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What Does The Following ECG Test Result Indicate?
Question: Hello doctor, following are the test results for detection of borderline inducible ischaemia. Plz suggest what needs to be done further and how severe it is??
Reason for termination : target heart rate achieved
Summary: resting ECG Normal, functional capacity: normal, HR Response to exercise : appropriate, BP Response to exercise : normal, resting BP : appropriate, Chest pain: None, Arrhythmias: None, ST Changes: down sloping.
Conclusion : STRESS TEST IS BORDERLINE POSITIVE FOR INDUCIBLE ISCHEMIA
Plz help me out as I have no idea how to proceed further? Angiography is suggested by the cardiac. But is that necessary?? Is the disease fatal??
Reason for termination : target heart rate achieved
Summary: resting ECG Normal, functional capacity: normal, HR Response to exercise : appropriate, BP Response to exercise : normal, resting BP : appropriate, Chest pain: None, Arrhythmias: None, ST Changes: down sloping.
Conclusion : STRESS TEST IS BORDERLINE POSITIVE FOR INDUCIBLE ISCHEMIA
Plz help me out as I have no idea how to proceed further? Angiography is suggested by the cardiac. But is that necessary?? Is the disease fatal??
Brief Answer:
need more information.
Detailed Answer:
Dear Madam
Before I discuss the results of the tests in detail, I would like to know
1. Why this test was done?
2. What were the symptoms or troubles of the patient? If she has any pre-existing medical illness?
3. What were her symptoms or how she felt when she walked on tredmill?
4. It would be much more fruitful a discussion if you can upload the actual ECG strips (all of them) of the TMT test.
Waiting for the information.
Sincerely
Sukhvinder
need more information.
Detailed Answer:
Dear Madam
Before I discuss the results of the tests in detail, I would like to know
1. Why this test was done?
2. What were the symptoms or troubles of the patient? If she has any pre-existing medical illness?
3. What were her symptoms or how she felt when she walked on tredmill?
4. It would be much more fruitful a discussion if you can upload the actual ECG strips (all of them) of the TMT test.
Waiting for the information.
Sincerely
Sukhvinder
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanx for replying, the answers to ur questions are as follows:
1.The test was done as the patient was feeling short breath after walking or doing work.
2. There have been no other symptoms other than difficulty to breathe. And no previous medical history is related.
3. While jogging on treadmill she felt no pain, normal strain as she is not use to exercise.
Hoping for your advice. Thank you
1.The test was done as the patient was feeling short breath after walking or doing work.
2. There have been no other symptoms other than difficulty to breathe. And no previous medical history is related.
3. While jogging on treadmill she felt no pain, normal strain as she is not use to exercise.
Hoping for your advice. Thank you
Brief Answer:
please upload ECGs of TMT test.
Detailed Answer:
Dear Madam
1. This patient, in absence of any symptoms on treadmill with this level of exercise, has good exercise capacity. If she was not breathless on this much of exertion, likelihood of disease in heart in low.
2. In such cases where result of TMT are positive but patient has good exercise capacity with no symptoms, next step is imaging based stress test , which can be stress-ECHO or stress thallium. This helps in ruling out false positive TMT tests and prevent unnecessary angiography.
3.The results of treadmill test say that it is borderline positive which means that there are some features in the ECG which suggests anginal heart disease but they are not confirmatory. Since you are taking a second opinion here, it would be best to upload your ECGs, as i suggested earlier, for my interpretation. Else this opinion will not be that fruitful.
4. By now, you must have understood that heart disease is not confirm in this patient as yet and needs more evaluation. So question of fatality of disease is not relevant at this juncture.
Waiting for ECGs of TMT test.
Sincerely
Sukhvinder
please upload ECGs of TMT test.
Detailed Answer:
Dear Madam
1. This patient, in absence of any symptoms on treadmill with this level of exercise, has good exercise capacity. If she was not breathless on this much of exertion, likelihood of disease in heart in low.
2. In such cases where result of TMT are positive but patient has good exercise capacity with no symptoms, next step is imaging based stress test , which can be stress-ECHO or stress thallium. This helps in ruling out false positive TMT tests and prevent unnecessary angiography.
3.The results of treadmill test say that it is borderline positive which means that there are some features in the ECG which suggests anginal heart disease but they are not confirmatory. Since you are taking a second opinion here, it would be best to upload your ECGs, as i suggested earlier, for my interpretation. Else this opinion will not be that fruitful.
4. By now, you must have understood that heart disease is not confirm in this patient as yet and needs more evaluation. So question of fatality of disease is not relevant at this juncture.
Waiting for ECGs of TMT test.
Sincerely
Sukhvinder
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanx for the reply doctor, actually I m not getting the link to upload report pic, as soon as I do I'll upload it. Thanx a lot for ur help. Will get back soon.
Brief Answer:
Upload graphs of ECG provided with TMT/STRESS TEST
Detailed Answer:
Dear Madam
You have uploaded one ECG and one ECHO report. I request you to upload the TMT ECG pictures, all those ECG graphs which are there with the TMT/STRESS TEST report (which you uploaded on day 1).
sincerely
Sukhvinder
Upload graphs of ECG provided with TMT/STRESS TEST
Detailed Answer:
Dear Madam
You have uploaded one ECG and one ECHO report. I request you to upload the TMT ECG pictures, all those ECG graphs which are there with the TMT/STRESS TEST report (which you uploaded on day 1).
sincerely
Sukhvinder
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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