Good afternoon Doctor, Tmt interpretation: resting ecg normal,function al capacity normal,hr response appropriate,bp response normal , chest pain none,arrhythmias none ,st changes depression downsloping. Overall impression positive stress test typical of ischemia. Eco: Post ptca Hypokinesia of apical septum and apex Borderline resting lb systolic function with ef 50percent Trivial Mr Normal pa pressure No clot Age 54 wt 72 kg What next course of treatment any other test