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What Does The Following TMT Report Indicate?

Posted on Mon, 16 Jan 2017

Question: My TMT report says. Negative for inducible ischaehmia.Also no insignificant ST segment changes noted during exercise or recovery Angina/Arrhythmia/S3/murmur.I am 59 years old. In echo cardiogragraphic report also all parameters normal in the MHC recently. Iam taking telma40 and echosprin 75/10 once daily as per the cardiologist prescription after MHC.But still I feel short breathness frequently.Hence I request I may be advised for this breathing problem. My name is XXXXXXX

Answered by Dr. Dr Sameer Maheshwari (2 hours later)

Brief Answer:
Get a CT Coronary Angiography done

Detailed Answer:
Hi,
This is Dr Sameer, cardiologist from Fortis hospital.
As the TMT report is normal, risk of having a coronary artery disease is low. But the sensitivity of TMT is around 70% only. So it is falsely negative in around 30% cases. Therefore if you are still having breathlessness on exertion than you can undergo a better test - CT Coronary Angiography, which is a non invasive procedure & can be done on OPD basis.
If that too is negative, than you are absolutely fine from cardiology side & ecosprin will be stopped.
Also tell me whether you are a smoker or not? If yes than quit smoking.
Eat healthy, do regular exercise. Medicines you are taking are good.

Wishing you a good health
Dr Sameer Maheshwari

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

Above answer was peer-reviewed by : Dr. Nagamani Ng