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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is There Any Alternative For Regular Angiogram Inspite Of Having Positive TMT Test?

hello doctor my friends dad has been advised to under go angiogram because his tmt test should a little positive is there any alternative to regular angiogram done by inserting a tube from the thigh his age is 60 years height is 5.4 having sugar hbc of 7.2 and bp of 130/90 on losacar,for sugar he is not taking any tablets
Mon, 19 Sep 2016
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Cardiologist,  's  Response
Hello!

Welcome and thank you for asking on HCM!

A TMT positive tests indicates possible coronary artery disease.

In such case coronary angiogram would be the golden standard test to examine the blood flow in the coronary arteries and also possibly treat coronary artery disease (with stent implantation).

Anyway, if your friend does not want to take the risks of this miniinvasive procedure, he can perform a nuclear stress test or coronary angio CT scan, which are not as exact as coronary angiogram, but are less invasive.

But, you should know that if these tests result abnormal, the next step would be coronary angiogram.

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri
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Is There Any Alternative For Regular Angiogram Inspite Of Having Positive TMT Test?

Hello! Welcome and thank you for asking on HCM! A TMT positive tests indicates possible coronary artery disease. In such case coronary angiogram would be the golden standard test to examine the blood flow in the coronary arteries and also possibly treat coronary artery disease (with stent implantation). Anyway, if your friend does not want to take the risks of this miniinvasive procedure, he can perform a nuclear stress test or coronary angio CT scan, which are not as exact as coronary angiogram, but are less invasive. But, you should know that if these tests result abnormal, the next step would be coronary angiogram. Hope you will find this answer helpful! Kind regards, Dr. Iliri