I'm a bit worried after getting some tests done. I had an ECG yesterday due to some mild chest pain, and it showed abnormal inferolateral ischemia. Then I went through a TMT, and it came out borderline positive for inducible myocardial ischemia at 10.1 Mts. Can you help me understand what all of this means? Is it something I need to be really concerned about?

Answered by 1 Apollo Doctors

Dr Dhankecha Dineshbhai

General Practitioner

MBBS
6+ Yrs

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Based on the findings of infrolateral ischemia on the ECG and borderline positive result on the TMT for myocardial ischemia, I recommend starting treatment with Aspirin 75mg once daily to prevent blood clot formation and reduce the risk of heart attack. Additionally, you can take Atorvastatin 20mg once daily to lower cholesterol levels and reduce the risk of further heart issues. It is important to follow up with a cardiologist for further evaluation and management.

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Answered 04/07/2025

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I'm a bit worried and curious if taking too much blood pressure medication might cause an abnormal EKG. Could there be something else causing this, or is it really the medication?

yes. Stress and exercises are other factors.

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I'm a bit confused and concerned because I just got an EKG done, and the results say "borderline ECG." What exactly does that mean? Should I be worried about this?

Borderline ECG means that the results of your EKG are not definitively normal or abnormal. It suggests that there may be slight abnormalities in the electrical activity of your heart, but it is not conclusive. It is important to follow up with your healthcare provider for further evaluation and monitoring.

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I'm a bit confused about the TMT and Echo results for my dad, who's 50. The Echo came back normal with an EF of 60, and the TMT showed good effort tolerance. But there were upsloping ST changes at the peak of the test. The report says it's negative for exercise-induced reversible ischemia. Is it normal to have these upsloping ST changes? Should I be worried about this?

The upsloping ST changes at the peak of the TMT test can be considered normal if the test is negative for exercise-induced reversible ischemia. It is important to correlate these findings with your father's overall clinical history and risk factors for heart disease. In this case, no further intervention may be needed based on the test results provided.

Answered by 1 Apollo Doctors

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