- male
- 50 Years
- 22/01/2025
Can a TMT test really detect heart blockages? Like, if my TMT test comes back negative, should I be concerned about blockages not being detected? Also, what if I have a blockage that's, say, around 10%would the TMT still show positive in that case? I'm just trying to understand how reliable the TMT is for these things.
Answered by 1 Apollo Doctors
If your TMT is negative, but you're still concerned about potential blockages or symptoms, its essential to follow up with your doctor for further evaluation and possibly more specific tests (like angiography) based on your risk factors and clinical symptoms.
Dr. Dr Khaleel Suggests...
Consult a Cardiologist
Answered 04/07/2025
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Understanding TMT (Treadmill Test) and Its Purpose
- A TMT assesses heart function during exercise, detecting ischemia from significant blockages affecting blood flow.
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Sensitivity of TMT in Detecting Heart Blockages
- TMT is more effective for blockages reducing blood flow significantly (usually >70%). Mild blockages (like 10%) often go undetected.
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Interpretation of a Negative TMT Result
- A negative TMT suggests no significant ischemia during exercise but doesn't rule out minor blockages.
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Reliability and Limitations of TMT for a 50-Year-Old Male
- TMT accuracy can be influenced by age, fitness, and other conditions. It's a useful screening tool but may need additional tests if suspicion persists.
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Recommendations for Further Evaluation
- Consult a cardiologist for a personalized assessment. Consider tests like coronary angiography, CT angiogram, or stress echocardiography if needed.
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Summary and Reassurance
- TMT is valuable but has limitations. Maintain a heart-healthy lifestyle and regular medical follow-up.
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Consult a Cardiologist or Take a Apollo Stress Impact Management Test
Answered 20/08/2025
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More Cardiology Health Queries
View allI've been dealing with anxiety since the pandemic started, and it's been causing my blood pressure to creep up to around 140100. I was on Metasartan 25mg for a while but stopped it following my doctor's advice. All my heart-related tests like TMT, ECHO, ECG, and Troponin have come back normal. I checked my blood pressure a couple of weeks ago over four days, and it was 13084, 10282, 12485, and 12082. This was after stopping the BP meds. Are these readings normal, and should I be worried? My TSH is 2, lipid total is 197, LDL is 124, triglycerides are 244, and HDL is 37. There's no family history of heart issues, and all the elders in my family are pretty healthy, with many living past 70. What do you think?
It is good that your TMT, ECHO, ECG, and Troponin tests were normal. Your blood pressure readings seem to be within an acceptable range, although it is important to monitor them regularly. Considering your lipid profile, you may benefit from lifestyle modifications such as a healthy diet and regular exercise to improve your lipid levels. In addition, since you have a history of anxiety disorder, managing stress and anxiety through relaxation techniques or therapy may also help in controlling your blood pressure. If your blood pressure continues to fluctuate or if you have any concerning symptoms, it is advisable to follow up with your healthcare provider for further evaluation and management.
Answered by 1 Apollo Doctors
I'm a 28-year-old female and I've been experiencing this pain between my breastbone. It happened again today while I was sleeping, and it lasted for about 3 to 4 hours. I remember feeling the same thing around 4 months ago, but it also only happens during sleep. I have no medical history to speak of. Could you help me understand what might be going on?
ecg,cardiac markers and x-ray is advised to the patient
Answered by 1 Apollo Doctors
I've been feeling kind of uncomfortable in my chest, mostly at night, and sometimes the pain stretches out to my left arm. On top of that, I've been dealing with this left side neck pain and a bit of an ache in my upper back. Do you think I should be worried about this or is it something that might go away on its own? What could it be?
The symptoms you are describing could be indicative of a heart-related issue. It is important to seek medical attention immediately. In the meantime, you can take Aspirin 325mg for potential heart-related chest pain. Please chew the tablet for faster absorption. Remember to call emergency services or go to the nearest emergency room for further evaluation and treatment.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.