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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Tests Showed Stress Test Positive For Inducible Ischemia, 1 Mm ST Depression In INF Lateral Leads During Exercise And Recovery. Advice Treatment

Dear Doctors,
Please see my executive checkup result as shown below. Kindly advice me, what shall I do for a further treatments if necessary?

Object : Just a checkup
ECG termination : Fatigue
Excercise Tolerance : Good
Exercise Induced Arrhythmias : VPC's Present
Haemo Response : Adequate
Chrono Response : Adequate

Final Impression : Stress Test is Positive for inducible Ischemia (No Inducible Angina)
Other comments : 1.0 mm ST Depression in INF- Lateral Leads during exercise & Recovery

Sat, 31 Aug 2013
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Psychiatrist 's  Response
thank you for your query. your stress test results show that there is Ischemic Heart Disease (IHD) as evident by ST depression in INF-Lateral leads and presence of VPC (Ventricular Premature Complexes), which are basically skipped beats originating from the ventricle.
IHD means there is probable narrowing of one or more arteries supplying the heart, which result in decreased blood flow to the heart under stress, causing the ECG changes. It also paves the way for a heart attack (Acute Myocardial Infarction).
An ideal next step would be to do an Angiography, in which a dye is injected and its passage through the coronary arteries (artery to the heart) monitored. this gives an idea about the site and size of blockade of the coronary arteries.
depending upon which, further intervention may or may not be needed.
If needed, it may be an angioplasty, an out patient procedure, or a bypass grafting operation, a major operation where arteries from other part of your body is transplanted to the heart and a bypass is created to the blocked vessels.
Other investigations like lipid profile, fasting blood sugar, echocardiography can be done to find out the cause of the arterial narrowing.
hope i've been able to satisfy your query. for any further clarifications, please don't hesitate to contact me.
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Internal Medicine Specialist Dr. Venkat Sivayogi 's  Response
Hi,
welcome to HCM,

the above mentioned TMT test result says you have IHD(Ishaemic heart disease) which means you have the disease in starting stage.

Its clearly pointing that you have 1mm ST segment depression in inferio lateral leads duting exercise.

So you need to be treated under supervision of a cardiologist .

regards,
Dr.SIVAYOGI
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Tests Showed Stress Test Positive For Inducible Ischemia, 1 Mm ST Depression In INF Lateral Leads During Exercise And Recovery. Advice Treatment

thank you for your query. your stress test results show that there is Ischemic Heart Disease (IHD) as evident by ST depression in INF-Lateral leads and presence of VPC (Ventricular Premature Complexes), which are basically skipped beats originating from the ventricle. IHD means there is probable narrowing of one or more arteries supplying the heart, which result in decreased blood flow to the heart under stress, causing the ECG changes. It also paves the way for a heart attack (Acute Myocardial Infarction). An ideal next step would be to do an Angiography, in which a dye is injected and its passage through the coronary arteries (artery to the heart) monitored. this gives an idea about the site and size of blockade of the coronary arteries. depending upon which, further intervention may or may not be needed. If needed, it may be an angioplasty, an out patient procedure, or a bypass grafting operation, a major operation where arteries from other part of your body is transplanted to the heart and a bypass is created to the blocked vessels. Other investigations like lipid profile, fasting blood sugar, echocardiography can be done to find out the cause of the arterial narrowing. hope i ve been able to satisfy your query. for any further clarifications, please don t hesitate to contact me.