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.

Recommended next steps

Consult a Cardiologist or Take a Apollo Stress Impact Management Test

Answered 20/08/2025

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I've recently had a stress echo and it came back negative. Ten years ago, in 2011, I had an angiogram and it looked fine then too. In 2015, I went through a nuclear test, treadmill test, and some other checks, and they all turned out normal. Lately, Ive been having this dull pain in my neck that sometimes reaches up to my ear and jaw, and it also bothers my shoulder. My neck and upper back always feel stiff. My physiotherapist says my posture is pretty poor, mentions scoliosis, and thinks that might be causing this pain. I don't have issues when I'm walking and I can climb up to 12 floors without a problem but the neck and back pain, especially on the left side, really gets to me. Occasionally, I feel a sharp pain on the left side of my chest, but it fades away quickly. My chest is tender, and some spots are really sore to touch. Do you think it's safe to rule out any cardiac causes? Is there any other test I should consider doing?

Based on your history of negative stress echo, normal angio in 2011, and normal nuclear test and TMT in 2015, it is less likely that your current symptoms are related to cardiac issues. However, it is important to consider other potential causes for your neck, ear, jaw, shoulder, and chest pain. Given your description of neck stiffness and pain, along with the presence of scoliosis affecting your posture, it is possible that your symptoms are musculoskeletal in nature. To address your current symptoms, you may benefit from a muscle relaxant such as **Cyclobenzaprine** 10mg to help with the neck and back stiffness. Additionally, you can consider taking **Ibuprofen** 400mg for pain relief. Since you mentioned tenderness in your chest and certain points, it may be helpful to rule out any musculoskeletal chest wall pain. However, considering your history and current symptoms, further cardiac testing may not be necessary at this point. To improve your posture and alleviate the neck and back pain, regular physiotherapy sessions focusing on postural correction and strengthening exercises may be beneficial. It is important to continue working with your physiotherapist to address the underlying cause of your symptoms. If your symptoms persist or worsen, it is advisable to follow up with your healthcare provider for further evaluation and management.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I've been having heart pain for about 10 days now and it's really starting to worry me. It's also affecting my lower shoulder and back, and I'm finding it hard to breathe sometimes. I feel tired all the time and occasionally feel nauseous too. I'm concerned about what's going on. Do you think this could be something serious?

Based on the description of your symptoms, it is important to seek medical attention promptly. The combination of heart pain, lower shoulder and back pain, heavy breathing, constant fatigue, and occasional nausea could be indicative of a serious underlying condition. It is crucial to consult a healthcare professional for a proper evaluation and diagnosis.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I'm really struggling to manage my high blood pressure and I'm feeling worried about the side effects I'm experiencing. Right now, I'm taking Amlopres AT 25 in the morning and plain Amlodipine 2.5 in the evening, but I just don't feel fresh and there's this persistent pain in my ankle. I did try switching to Metaprolol, but it only made my BP and heart rate go up. I also attempted using Telmesartan with Amlodipine, which controlled my BP, but then my heart rate increased. I'm feeling stuck and a bit lost about what to do next. My lipid profile is under control with cholesterol at 150 and triglycerides at 76, and my fasting blood sugar is 106. Could you suggest a better medication plan or any other advice?

Take Temsan AM for 15 days , and check BP after 15 days

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

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.