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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Can Be The Reason For Significant ST-T Changes During Exercise And In Recovery?

hi doctor,
There is significant st-t changes noted during exercise in tmt test at the peak while my BP was absolutely normal during the resting condition .My heart rate was 61beat/min resting BP130/80,baseline ECG did not show ST-T changes achieve a max heart rate of 170 beats/m max BP achieve 150/100 mm .There was no Engina.There were significant ST-T changes noted during excercise and in recovery. Good excercise tolerance.

But TMT is positive for reversible ischaemia.
Sat, 4 Jan 2014
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General & Family Physician 's  Response
Hello,
ST-T changes are indicative of ischaemia of the corresponding myocardium.
If ST T elevation is in anterior leads suggest myocardial ishemia in anterior walk while ST T elevation in inferior leads suggest ischaemia in inferior or posterior walls.
These changes which occur during exercises and then coming back to normal at rest suggests reversible ischaemia.
Thanks
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What Can Be The Reason For Significant ST-T Changes During Exercise And In Recovery?

Hello, ST-T changes are indicative of ischaemia of the corresponding myocardium. If ST T elevation is in anterior leads suggest myocardial ishemia in anterior walk while ST T elevation in inferior leads suggest ischaemia in inferior or posterior walls. These changes which occur during exercises and then coming back to normal at rest suggests reversible ischaemia. Thanks