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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Inducible Myocardial Ischemia

I did a TMT stress test. the results say positive for inducible myocardial ischemia. lipid profile is normal. am a very active exerciser, have been running marathons last 3-4 years. have no symptoms such as breathlessness, pain in chest shoulders etc. this was a routine check up done. am m 41. 5 7 69 kgs. no arrythmia was found.
Wed, 3 Jun 2015
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Cardiologist,  's  Response
Sir treadmill test is not the gold standard test blockages in coronary arteries, rather in your (athelete), it sensitivity 75-90% and specificity 55-75%, it means in spite of it being positive 25%, times in spite of it being positive, the other specific test will be negative. However the only way to find out is to do further test for once. Because as you describe yourself and if you are a nonsmoker with no diabetes, getting CT coronary angiography or thallium test are alternative s
Regards Dr priyank mody
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Suggest Treatment For Inducible Myocardial Ischemia

Sir treadmill test is not the gold standard test blockages in coronary arteries, rather in your (athelete), it sensitivity 75-90% and specificity 55-75%, it means in spite of it being positive 25%, times in spite of it being positive, the other specific test will be negative. However the only way to find out is to do further test for once. Because as you describe yourself and if you are a nonsmoker with no diabetes, getting CT coronary angiography or thallium test are alternative s Regards Dr priyank mody