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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Chest Pain. TMT Is Positive For Myocardial Ischemia. Lifestyle Need To Be Changed?

I am 42 year old male. TMT is positive for exercise induced myocardial ischemia .TMT was terminated due to chest pain . Walk throwaway pain. Resting ECG is within normal limits. Try glyceride - 278, HDL -44, LDL- 146, VLDL-55. BP is 130/94. Will medication and change in lifestyle help me in recovering from the conditio or should I go for angiography .
Thu, 10 Jan 2013
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Cardiologist,  's  Response
Hi friend,
Welcome to Health Care Magic

YES, you should go for angiography
A positive TMT / with chest pain - is a definite and indication for angiography.
That is the gold standard to detect the block; its severity and extent.
Treatment – bypass or angioplasty and stent – is dictated by the result.
Earlier, the better / delay could be dangerous.
Rarely, TMT can be false positive – but it is better to see than wait and take risk (of heart attack).

Life style changes are MUST.
In such a situation, you will also need medicines simultaneously – Betablocker, Aspirin, Statin and so on.
Your cardiologist will give further assessment and assistance, based on his evaluation.

Take care
Wishing speedy recovery
God bless
Good luck
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Having Chest Pain. TMT Is Positive For Myocardial Ischemia. Lifestyle Need To Be Changed?

Hi friend, Welcome to Health Care Magic YES, you should go for angiography A positive TMT / with chest pain - is a definite and indication for angiography. That is the gold standard to detect the block; its severity and extent. Treatment – bypass or angioplasty and stent – is dictated by the result. Earlier, the better / delay could be dangerous. Rarely, TMT can be false positive – but it is better to see than wait and take risk (of heart attack). Life style changes are MUST. In such a situation, you will also need medicines simultaneously – Betablocker, Aspirin, Statin and so on. Your cardiologist will give further assessment and assistance, based on his evaluation. Take care Wishing speedy recovery God bless Good luck