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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes The TMT Test Positive With No Signs For Pain In Chest?

MY TMT TEST REPORTS WAS POSITIVE BUT THELIUM STRESS TEST REPORT NORMAL IN 2009 . AGAIN IN FEB 2011 I HAVE BEEN REPORTED FOR TNMT AS POSITIVE .DURING WHOLE TMT TEST NO SIGN OF ANY CHEST PAIN WAS FETLT BY ME BUT AT TIMES I FEEL HARD BREATHS BUT AFTER PASS OF GAS THINGS BECOME EASY .KINDLY ADVISE ME FURTHER COURSE OF ACTION.
Tue, 16 May 2017
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Pulmonologist,  's  Response
Hello
Welcome to HCM.
A treadmill test is used to predict whether there are blockages in the heart arteries. Many patients have a positive TMT with no symptoms. Hence they require further evaluation. Many of these patients who have no symptoms with a positive TMT do have underlying blockages in the heart. Some percentage of these are false positive.
A thallium stress test is a more sensitive and reliable test than a TMT. so this implies that in your case TMT is false positive.
So in future the TMT will always be positive and hence it is of no insignificance in false positive cases like u.
For routine check up for heart blockages in your case a stress echo or dobutamine stress echo or a thallium stress test should be done rather than a plain TMT.
At this point of time you need not worry about positive TMTs since they are going to persist. You have to do one of the above tests mentioned.
wishing you good health
Regards.
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What Causes The TMT Test Positive With No Signs For Pain In Chest?

Hello Welcome to HCM. A treadmill test is used to predict whether there are blockages in the heart arteries. Many patients have a positive TMT with no symptoms. Hence they require further evaluation. Many of these patients who have no symptoms with a positive TMT do have underlying blockages in the heart. Some percentage of these are false positive. A thallium stress test is a more sensitive and reliable test than a TMT. so this implies that in your case TMT is false positive. So in future the TMT will always be positive and hence it is of no insignificance in false positive cases like u. For routine check up for heart blockages in your case a stress echo or dobutamine stress echo or a thallium stress test should be done rather than a plain TMT. At this point of time you need not worry about positive TMTs since they are going to persist. You have to do one of the above tests mentioned. wishing you good health Regards.