- Female
- 52 Years
- 22/01/2025
Could you help me understand what it means if my mom's TMT came back mildly positive? We're trying to figure out what this actually means for her and what the potential risks could be.
Answered by 1 Apollo Doctors
it means she has cardiac dysfunction, hence need to consult cardiologist.
Dr. Shubham Suggests...
Consult a Cardiologist
Answered 04/07/2025
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Understanding a Mildly Positive TMT Result
- A treadmill test (TMT) assesses heart function under stress. A "mildly positive" result suggests some changes in heart activity, possibly indicating reduced blood flow to the heart.
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Possible Causes of a Mildly Positive TMT
- This result can be due to mild coronary artery disease or other heart-related issues that may not yet be severe.
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Potential Risks Associated
- Risks include progression to more significant heart disease, increased risk of angina, or heart attack if not addressed.
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Next Steps and Further Evaluation
- Follow-up tests like echocardiography, stress imaging, or coronary angiography are crucial to clarify the diagnosis.
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Lifestyle and Medical Management
- Consider lifestyle changes such as diet and exercise, and discuss medications like aspirin or statins with your doctor to reduce risks.
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When to Consult a Cardiologist
- Seek a cardiologist's advice for a personalized assessment and treatment plan.
Recommended next steps
Consult a Cardiologist or Take a Apollo Stress Impact Management Test
Answered 20/08/2025
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I'm really worried because a couple of months ago, I had some chest pain and when they did an ECG, it showed slight ST elevation in V3 and V4. The cardiologist I saw said it wasnt heart-related, but just to be sure, he had me do a TMT, and that turned out negative. Now, I had chest pain again and went to the hospital. They did another ECG that showed sinus rhythm with sinus arrhythmia and ST elevation, possibly early repolarization with normally inflected T wave, and called it a borderline ECG. Should I be concerned about something serious going on here?
"Based on your description, it seems like you are experiencing chest pain with some concerning ECG findings. The ST elevation in V3 and V4 from the previous ECG, along with the ST elevation and early repolarization in the recent ECG, can be worrisome. However, since your cardiologist has already ruled out any significant heart issues with a negative TMT, it is less likely to be related to your heart. The presence of sinus rhythm with sinus arrhythmia indicates normal heart rhythm variation, which is usually not concerning. Early repolarization with borderline ECG findings can sometimes be a normal variant in young, healthy individuals. To address your chest pain and ECG findings, your doctor may consider monitoring your symptoms, lifestyle modifications, and possibly medication. In case of persistent or worsening symptoms, further evaluation or consultation with a cardiologist may be necessary. For symptomatic relief of chest pain, you can consider taking over-the-counter pain relievers like acetaminophen. However, it is important to follow up with your healthcare provider for a proper evaluation and management plan."
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.