Hi,I am Dr. Prabhakar Koregol (Cardiologist). I will be looking into your question and guiding you through the process. Please write your question below.
Had TMT. No Classical Angina, So Significant ST Segment Change. Heart Disease?
in my TMT last year, I could exercise for 11 min and 25 seconds and achieved a workload of 13.40 mets. I attained a peak rate of 153 beats/minute which is 87% of the predicted maximum. The exercise was terminated owing to attainment of target heart rate . There was no classical angina. Clinically, the blood pressure response shows adequate increase from 120/80 to 160/80 and there was no S3 and S4 gallop in the recovery period. In the pre exercise there was no significant ST segment change. At the peak exercise there was 1.5-2.0 mm upsloping ST segment depression in leads 2,3aVF and 1-5-1.7mm in leads V4-V6. Increased ST segment response in leads 2,3aVF and in leads V4-V6 appeared in 11-12th minute of the exercise at the heart rate of 150 bpm and lasted for 1 minute into the recovery period. Do I have any heart problem? Do I need any medication?
There is no doubt that you have a heart problem...
The result is STRONGLY POSITIVE for inducible ischemia.
Even giving allowance for possible false positive incidence, you need an immediate angiography - with a view for intervention
Absence of pain is no proof of absence of heart problem
See your cardiologist as soon as possible - delay may be dangerous...
Take care
Wishing speedy recovery
God bless
Good luck
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Had TMT. No Classical Angina, So Significant ST Segment Change. Heart Disease?
Hi friend, Welcome to Health Care Magic There is no doubt that you have a heart problem... The result is STRONGLY POSITIVE for inducible ischemia. Even giving allowance for possible false positive incidence, you need an immediate angiography - with a view for intervention Absence of pain is no proof of absence of heart problem See your cardiologist as soon as possible - delay may be dangerous... Take care Wishing speedy recovery God bless Good luck