- 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.
Recommended next steps
Consult a Cardiologist or Take a Apollo Stress Impact Management Test
Answered 20/08/2025
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I'm a bit worried about my health as I recently got some test results back. My lipoprotein ALPA level is 39.1, and my hemoglobin count is 17.7. I've already done an ECG and a 2D echo, and those reports came back fine. Should I be concerned about these numbers indicating any heart disease, even though the other tests were okay?
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I'm really concerned because I've been having upper back and chest pain along with shortness of breath for the last 10 months. Sometimes my heart palpitations get really intense. There's also this pain in my left chest that travels down to my left hand. Ive done multiple ECGs, a 2D Echo, and a treadmill test, and everything came back normal. My LDL was high at 276 but it's under control now. I also checked in with a lung doctor and even got an X-ray, which was also normal. What puzzles me is that I have no trouble when doing activities like cycling, swimming, or walking. No doctor has been able to pinpoint what's going on, so I'm really looking for some guidance. Any ideas on what could be causing these symptoms?
It sounds like you may be experiencing symptoms related to your heart and cardiovascular system. Given that your ECG, D Echo, and TMT tests have come back normal, but you are still experiencing chest pain, shortness of breath, and heart palpitations, it may be worth considering a medication like **Atorvastatin** to help further control your LDL levels and reduce the risk of cardiovascular issues. Additionally, considering your symptoms, a medication like **Metoprolol** can help in managing heart palpitations and chest pain. However, it is important to consult with your healthcare provider to discuss these medication options and determine the appropriate dosage for your specific condition.
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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.