apollo
  • 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.

Doctor 1

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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  1. 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.
  2. 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.
  3. Potential Risks Associated

    • Risks include progression to more significant heart disease, increased risk of angina, or heart attack if not addressed.
  4. Next Steps and Further Evaluation

    • Follow-up tests like echocardiography, stress imaging, or coronary angiography are crucial to clarify the diagnosis.
  5. 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.
  6. When to Consult a Cardiologist

    • Seek a cardiologist's advice for a personalized assessment and treatment plan.

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Consult a Cardiologist or Take a Apollo Stress Impact Management Test

Answered 20/08/2025

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I've been diagnosed with coronary heart disease and my doctor recommended bypass surgery but I've also heard about EECP and chelation therapy as alternatives. I'm really confused about which option to choose and worried about the costs. One source said EECP costs around 70-80 thousand but a local hospital quoted 2.5 lakh rupees. Can you help me understand the pros and cons of each treatment and why there's such a big difference in the cost?

Bypass surgery is a major decision. EECP is non-invasive and more affordable, but bypass surgery may offer more immediate results. The cost difference is often due to location, equipment, and the type of care provided at the hospital.

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I'm experiencing breathlessness when I exert myself and my heart rate seems really high. The recent echo shows mild TR, mild PAHRVSP at 45 mmHg, and a mild MR jet area of 2.5 sqcm, with tachycardia at 121 bpm. My hemoglobin and thyroid levels are normal, but I'm a bit concerned about the mild PAH. Should I be worried about this and check in with a doctor?

Yes, mild pulmonary arterial hypertension (PAH) should be followed up by a doctor, especially since you are experiencing breathlessness on exertion and have a high heart rate. Treatment for PAH may include medications such as sildenafil (Revatio) or tadalafil (Adcirca) to help lower the blood pressure in the lungs. It is important to monitor and manage PAH to prevent further complications.

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Doctor 1Doctor 2

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I've been having some chest pain that moves around a bit - sometimes it's on the left side, other times in the middle. I walk 5 km every day and I don't feel any pain when I walk, which is odd. About a year and a half ago, I had a TMT, Echo, and ECG done, and everything came back normal. Since then, I've had four more ECGs, and they're all normal too. I attached my latest ECG here. I'm just wondering, is there anything else I can do to really make sure this isn't a heart-related issue? The pain mostly hits when I'm sitting, so I can't figure out what's going on. Could it really be non-cardiac?

"Hello, based on your description and the normal results of your TMT, Echo, and multiple ECG tests, it is less likely that the chest pain is related to a cardiac issue. Since the pain occurs mostly when you are sitting, it could be musculoskeletal or related to gastric issues. I recommend trying over-the-counter antacids like **Ranitidine** 150mg twice daily before meals to see if it helps with the pain. Additionally, you can take **Acetaminophen** 500mg as needed for pain relief. If the pain persists or worsens, further evaluation by a healthcare provider may be necessary."

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Doctor 1Doctor 2

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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.