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'm looking at the results from a recent heart evaluation, and I'm a bit concerned. It mentions "Concentric LVH, Mild MR, Trivial TR, normal pasp, No pericardial effusion, LVEF 60, No RWMA, Normal LV function," and my blood pressure reading was 210110. Could you help me understand what all this means for my heart health? I'm especially worried about the high blood pressure and terms like "Concentric LVH" and "LVEF 60." What should I be doing or asking my doctor about these findings?

The findings suggest concentric left ventricular hypertrophy (LVH) with mild mitral regurgitation (MR) and trivial tricuspid regurgitation (TR). There is no pericardial effusion, and the left ventricular ejection fraction (LVEF) is normal at 60%. There are no regional wall motion abnormalities (RWMA) indicating normal left ventricular function. The blood pressure is elevated at 210110 mmHg. You may consider starting antihypertensive medication to help lower your blood pressure and reduce the risk of complications. A combination of medications such as Amlodipine 5mg and Lisinopril 10mg can be prescribed to help manage your blood pressure effectively. It is important to follow up with your healthcare provider regularly to monitor your condition and adjust your treatment as needed.

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I'm really worried about my dad. He had angioplasty done on March 1st, but he's still gasping and not feeling well. We're consulting with Dr. Shirish MS Hiremath, but it doesn't seem like there's any improvement. I'm not sure what to do next. Any advice on how to help him feel better?

t's important to address his symptoms of gasping and feeling unwell. In this case, considering his recent angioplasty, it's important to ensure he is not experiencing any complications related to the procedure. One possible cause of his symptoms could be related to heart function or fluid buildup in the lungs. It's important to follow up with his current consultant, Dr. Shirish MS Hiremath, for further evaluation and management. In the meantime, medications like Furosemide (Lasix) can help with fluid retention and shortness of breath. The usual starting dose for Furosemide is 20-80 mg per day, but the actual dose will depend on his specific condition and should be determined by his healthcare provider. Additionally, medications like Ramipril (Altace) can help improve heart function post-angioplasty. The usual starting dose for Ramipril is 2.5-5 mg once a day, but again, the dose may vary based on his individual needs. It's important for your dad to continue following up with his healthcare provider for proper evaluation and management of his symptoms.

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I'm dealing with this left-side chest pain for the past 4 months, and it's starting to worry me. I saw a doctor who asked me to get an ECG, an X-ray, and a lipid profile. The ECG and X-ray came back normal, but my cholesterol and triglycerides were high. The meds he gave me brought those levels down within 2 months, but the chest pain just won't go away completely. I can still play and get my work done, but the pain shows up sometimes at night or when I'm at my desk. Any thoughts on what might be going on?

It's good that your cholesterol and triglyceride levels are normal now. Since your chest pain persists, it's important to consider other possible causes. Given your history of high cholesterol and chest pain, it's important to rule out any cardiac issues. I recommend discussing with your doctor the possibility of angina or other heart-related conditions. In the meantime, you can try taking a medication like **Ranitidine** 150mg twice a day to see if it helps with the chest pain, as it could be related to acid reflux. However, it's crucial to follow up with your doctor for further evaluation and management.

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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.