Question 1

I'm planning to do a treadmill stress test soon, and I'm a bit nervous about what blood pressure and pulse rate levels are considered too high or too low during the test. Also, what does it mean if the test results come back as TMT positive or negative? I'm trying to understand what I should be looking out for.

Accepted Answer

During a treadmill test, the allowed blood pressure level is usually below 200110 mmHg. The allowed pulse rate can vary depending on age, but generally should not exceed 85% of the maximum predicted heart rate for the individual's age. A TMT (Treadmill Test) is considered positive if there is significant ST segment depression on the ECG during or after exercise, indicating possible coronary artery disease. It is considered negative if there are no significant ECG changes during the test, suggesting a lower likelihood of coronary artery disease.

Question 2

I had a heart attack a couple of months ago and I'm 47. They put in a stent and I've been doing okay. I walk about 5km every morning without any issues. Is it safe for me to start using a treadmill or go for some cycling now? Also, what should my pulse rate be on the treadmill panel? My resting heart rate is usually around 53. Would really appreciate your advice.

Accepted Answer

It's great that you are staying active after your heart attack. With a stent in place and your regular walking routine, you can gradually incorporate treadmill and cycling into your exercise regimen. When using the treadmill, aim to keep your heart rate within a safe range. For your age, a target heart rate during exercise is typically around 50-85% of your maximum heart rate. To calculate this, subtract your age from 220. So, for you, (220-47) = 173 beats per minute (bpm) is your estimated maximum heart rate. During treadmill exercise, aim to keep your heart rate between 85-147 bpm to ensure you are exercising safely. As for cycling, it is also a great cardiovascular exercise. Start slowly and gradually increase the intensity as tolerated. Pay attention to how your body responds and adjust accordingly. Remember to listen to your body, and if you experience any chest pain, dizziness, or unusual symptoms, stop exercising and seek medical attention.

Question 3

My father is 66 and has been diagnosed with triple vessel coronary artery disease with 90% stenosis in his right coronary artery and 70-80% blockages in his LCX and LAD. He chews tobacco and occasionally smokes, plus he has diabetes and slightly high blood pressure. Doctors suggested either angioplasty or bypass surgery which option would be better for him given his condition?

Accepted Answer

For a 66-year-old with triple vessel coronary artery disease, 90% stenosis in the right coronary artery, and 70-80% blockages in the LCX and LAD, plus risk factors like tobacco use, diabetes, and high blood pressure, bypass surgery (CABG) is likely the better option compared to angioplasty with stenting

I just got my ECG results back from a health check-up, and it's showing a Left Axis Deviation. I've never had any BP problems, and my blood pressure during the exam was 13080. What could be causing the Left Axis Deviation? Should I be worried about it?

probable cause is hypertension, u may require betablockers and calcium channel blockers..

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