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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Mildly Postive TMT For Reversible Ischaemia With Diabetes And High BP

My father is 58yrs old. His TMT was mildly positive for reversible ischaemia. He exercised for 8 mins 21 sec of the Bruce protocol and achieved a workload pf 10.1 mets. Peak heart beat of 146 beats/min. Ther was no S3 and S4 gallop in the recovery period. At peak exercise there was 1.4-1.5 mm ST segment depression in keas 2,3aVF. Changes reverse within one minute post exercise.

He is diabetic with fastic sugar 155 and PP 244. He is smoker and with High BP. kindly advise.
Thu, 14 Jan 2016
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General & Family Physician 's  Response
Hi, changes of ischemia present.
To prevent further ischemia and heart damage antihypertensive has to be started (enalapril or amlodipine).
sugar level should get controlled.for that take low sugar diet.if still not controlled start metformin.
Strictly avoid smoke to prevent heart attack.
Avoid high lipid diet and fast foods.take more water.
Low salt diet should be taken. Here damage to heart can't be reverted now.but further ischemic attack can be prevented.
Take aspirin tablet regularly.
If lipid high atorvastatin started
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Suggest Remedy For Mildly Postive TMT For Reversible Ischaemia With Diabetes And High BP

Hi, changes of ischemia present. To prevent further ischemia and heart damage antihypertensive has to be started (enalapril or amlodipine). sugar level should get controlled.for that take low sugar diet.if still not controlled start metformin. Strictly avoid smoke to prevent heart attack. Avoid high lipid diet and fast foods.take more water. Low salt diet should be taken. Here damage to heart can t be reverted now.but further ischemic attack can be prevented. Take aspirin tablet regularly. If lipid high atorvastatin started