I'm really worried about some recent health reports I've got. My TSH levels were high at 10.3, so my doctor increased my thyroid medication from 100mg to 125mg. Then after about 25 days, my TSH dropped to 0.70, and I was advised to cut down the medication to 75mg. I'm also confused because my TMT test came back positive for inducible myocardial ischemia, but my ECG and echocardiography were normal. The doctor is now suggesting I go for an angiogram. I'm really anxious about whether these thyroid level changes could be affecting my TMT results. Should I be rushing into getting the angiogram, and is there a real chance of having heart issues even though the ECG and echo were normal? Any advice would be really appreciated.

Answered by 1 Apollo Doctors

Dr Ranjith Darla

General Practitioner

MBBS
3+ Yrs

Consult Now

Yes its is due to fluctating tsh levels. U may repeat angio after 6 months.

Dr. Ranjith Suggests...

Consult a Cardiologist

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Answered 04/07/2025

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If my ECG and TMT tests are normal, could there still be a risk of heart issues? Also, how long is the TMT test considered valid?

nothing will happen.

Answered by 1 Apollo Doctors

My dad's been taking Angised tablets, and I'm curious about what they do and any side effects we should look out for. Can you give me a rundown on how safe they are? I'm a bit worried about him taking new medication, and I just want to make sure we're informed.

it helps in preventing angina.

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My final diagnosis shows mitral annular calcification with concentric LVH and RWMA in the LCX territory. There's mild LV dysfunction with an LVEF of 49%, trivial MR, and grade 1 diastolic dysfunction. No TR or PE was noted. Do I need surgery for this, or what treatment options should I consider? I'm 65 and a bit worried about the next steps.

Given your diagnosis of mitral annular calcification, concentric LVH, RWMA in the LCX territory, mild LV dysfunction (LVEF 49%), trivial MR, and grade 1 diastolic dysfunction, you don't necessarily need surgery for the mitral annular calcification itself. The focus should be on managing the LV dysfunction, coronary artery disease (CAD), and potential issues related to the RWMA.

Answered by 1 Apollo Doctors

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