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've recently come across my TMT results, which show a mildly positive reaction with horizontal ST depression up to 2mm in some leads, but it normalizes quickly in recovery. My echo came out normal, and I don't smoke, drink, or have any early CAD fam...

Accepted Answer

Given your history of chest painpressure, especially with brisk walking, and the findings on your recent TMT showing mildly positive results with horizontal ST depression, it is important to consider the possibility of coronary artery disease (CAD) even in the absence of traditional risk factors. The fact that the ST depression normalizes within 15 seconds of recovery is somewhat reassuring, but further evaluation is warranted. Considering your symptoms and history of anxiety, it is also possible that the chest pain you are experiencing could be related to anxiety. However, it is crucial not to dismiss the possibility of CAD, especially with the new onset of localized chest pain and your TMT results. Given your overall profile and symptoms, I would recommend further evaluation by a cardiologist. They may consider additional tests such as a coronary angiogram to assess the extent of any possible blockages. In the meantime, it is important to continue monitoring your symptoms and seek medical attention if they worsen or become more frequent. In terms of medication, based on your lipid profile, a statin medication such as Atorvastatin (10-20mg) may be considered to help lower your LDL cholesterol levels and reduce the risk of CAD progression. Additionally, medications to manage anxiety such as Escitalopram (10mg) may be prescribed to help alleviate your symptoms. It is important to address both the cardiac and psychological aspects of your symptoms to ensure a comprehensive treatment approach.

Question 3

I'm feeling really stressed because I couldn't sleep last night and today I found out my blood pressure is 150100. I'm currently taking Metosortan 50 every day, and it usually keeps my BP in check. Can you recommend something to lower my blood pressu...

Accepted Answer

It seems like you are experiencing elevated blood pressure and difficulty sleeping. To help lower your blood pressure and improve your sleep, I recommend adding a medication like Amlodipine 5mg to further control your blood pressure. Additionally, you can consider taking a medication like Zolpidem 5mg to help with your sleep. However, please consult your healthcare provider before starting any new medication to ensure it is safe and appropriate for you.

Question 4

I've been dealing with this left side chest pain for more than a year now and it's really worrying me. I've seen a couple of doctors and even a psychiatrist, and they all say my heart is fine. I've had a full body checkup, and apart from low vitamin ...

Accepted Answer

It sounds like you have been thoroughly evaluated for your left side chest pain and all the tests have come back normal, indicating that there is nothing wrong with your heart. Given your history of panic attacks, anxiety, and hypochondriasis, along with the normal cardiac tests, it is likely that your symptoms are related to anxiety rather than a cardiac issue. To help manage your anxiety and chest pain symptoms, you can consider taking an anxiolytic medication such as lorazepam (Ativan) as needed for acute episodes of anxiety. Additionally, you may benefit from a selective serotonin reuptake inhibitor (SSRI) such as sertraline (Zoloft) or escitalopram (Lexapro) for long-term management of anxiety. It is important to continue practicing healthy habits such as quitting smoking completely, maintaining a balanced diet, exercising regularly, and managing stress through relaxation techniques or therapy. If you continue to experience chest pain or anxiety symptoms, it would be advisable to follow up with a mental health professional for further evaluation and management. Remember, it is essential to prioritize your mental health and well-being in addition to physical health.

Question 5

I'm kind of worried because my recent TMT test was mildly positive, yet my cholesterol, BP, and ECG results were all normal. My doctor is suggesting an angiogram, but it's pretty expensive for me. Do you think it's really necessary to go through with it?

Accepted Answer

A mildly positive TMT test result, especially when other parameters like cholesterol, blood pressure, and ECG are normal, may indicate a potential issue with blood flow to the heart. An angiogram is considered the gold standard for evaluating blockages in the coronary arteries. However, in some cases, additional non-invasive tests such as a CT coronary angiography may provide further information before proceeding with an invasive procedure. It is important to discuss the necessity and potential alternatives with your doctor based on your individual health situation.

Question 6

My dad's treadmill test results came back with a positive result, and the doctor mentioned he might need an angiography. The TMT report shows an ST depression of 1.5 to 2 mm. I'm really concerned about what this all means. Is this depression consider...

Accepted Answer

The ST depression of 1.5 to 2 mm on the TMT report indicates a moderate level of ischemia, suggesting a significant possibility of blockage in the coronary arteries. It is important to follow up with the angiography as recommended by the doctor to further evaluate the extent of blockage and determine the appropriate treatment. In the meantime, medications like Aspirin 75mg and Clopidogrel 75mg can be prescribed to reduce the risk of clot formation.

Consult Top Cardiologists

Dr. Siddharth Bajaj

Dr Gautam Naik

Dr.t . Naveen

Dr. Monik Mehta

Related Questions

I've recently come across my TMT results, which show a mildly positive reaction with horizontal ST depression up to 2mm in some leads, but it normalizes quickly in recovery. My echo came out normal, and I don't smoke, drink, or have any early CAD fam...

I'm feeling really stressed because I couldn't sleep last night and today I found out my blood pressure is 150100. I'm currently taking Metosortan 50 every day, and it usually keeps my BP in check. Can you recommend something to lower my blood pressu...

I've been dealing with this left side chest pain for more than a year now and it's really worrying me. I've seen a couple of doctors and even a psychiatrist, and they all say my heart is fine. I've had a full body checkup, and apart from low vitamin ...

I'm kind of worried because my recent TMT test was mildly positive, yet my cholesterol, BP, and ECG results were all normal. My doctor is suggesting an angiogram, but it's pretty expensive for me. Do you think it's really necessary to go through with it?

My dad's treadmill test results came back with a positive result, and the doctor mentioned he might need an angiography. The TMT report shows an ST depression of 1.5 to 2 mm. I'm really concerned about what this all means. Is this depression consider...

Cardiology

Get medicines delivered in 2 hrs