I'm 60 years old and dealing with severe hypertension along with diabetes. I recently did a treadmill test following the Bruce protocol, and I could exercise for about 7 minutes and 16 seconds. I reached a maximum heart rate that was 91% of whats expected for my age. They noted 1mm ST segment depression in the inferiolateral leads, and I'm a bit concerned. Maximum workload achieved was 13.50 METs. Could you help me understand what these results mean? Should I be worried about the ST segment depression?

Based on your TMT report showing 1mm ST segment depression, you may be experiencing myocardial ischemia. To manage your Severe Hypertension and Diabetes Mellitus, as well as reduce the risk of further cardiac events, I recommend starting with antiplatelet therapy such as Aspirin 75mg daily to prevent blood clot formation. Additionally, a beta-blocker like Metoprolol 25mg twice daily can help reduce your heart rate and blood pressure, thereby decreasing the workload on your heart. Lastly, a statin medication like Atorvastatin 20mg daily can be beneficial in lowering cholesterol levels and reducing the risk of atherosclerosis progression. It is important to follow up with your healthcare provider for further evaluation and management.