When Is TMT Positive For Inducible Ischemia?

Posted on Mon, 28 Sep 2015

Question: my weght 61 kg age 64 years echo normal ,lipid profile normal abd sono is normal
but TMT is positve INDUCED ISCHAEMIA.
docter suggest me 10tab per day and go for angiogram.

pls suggest me

Answered by Dr. Anantharamakrishnan (2 hours later)

Brief Answer:
YES - go for angio / earlier, the better

Detailed Answer:
Hi friend
Welcome to Health Care Magic

The aim of any investigation is to modify the treatment, based on the result.
You need to be investigated for Coronary Artery Disease…
And this is irrespective of other findings or symptoms..
You need catheterisation and coronary angiography with a view for possible intervention.
It is the only way to directly ‘see’ the block, if any – and its location, extent, severity and so on. Coronary arteriography is invasive but it is the gold standard for this.

If TMT (Treadmill Exercise ECG) is positive for inducible ischemia, it is an indication for further work up – because at times, there may be false positive or false negatives.
If you not willing to undergo angio, the next step is TMT with thallium isotope. It is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle.
CT angio is non-invasive study for the ANATOMY(structure)… . If positive, you will need catheterisation, anyway.

Good luck
God bless you

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Anantharamakrishnan (7 hours later)

The present medicine dr. Prescribed to taken or not
Can you suggested me the best

Answered by Dr. Anantharamakrishnan (4 hours later)

Brief Answer:
Yes

Detailed Answer:
Hi

The medicines are appropriate and should be taken as prescribed
No need to change unless there are new developments

Regards

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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar