this is my TMT report ..what does it means?? Patient could exercise for 08 minutes and 08 seconds of the Bruce Protocol and achieved a workload of 10.10 mets. He attained a peak heart rate of 181 beats/minute which is 97% of the predicted maximum. The exercise was terminated owing to attainment of target heart rate. There was no classical angina. Clinically, the blood pressure response shows adequate increase from 110/80 to 140/80 and there was no S3 and S4 gallop in the recovery period. In the pre exercise there was no significant ST segment change. At peak exercise, there was 1.3 - 1.4 mm ST segment depression in leads 2,3aVF and 0.9 - 1.0mm in leads V4-V6. Increased ST segment response in leads 2,3aVF and in leads V4-V6 appeared in the 5-6th minute of the exercise at the heart rate of 170bpm and lasted for