apollo
  • female
  • 50 Years
  • 22/01/2025

My mom, who's 50, has been taking Thyronorm 50 for her thyroid. Her doctor mentioned noticing some changes in her ECG twice during her follow-ups and suggested she should get a TMT and an Echo done. Her 2D Echo looks normal with an LVEF of 65%, but her TMT came back positive for inducible ischemia at a moderate workload level. She's mentioned having shortness of breath sometimes when she's climbing stairs, but other than that, she's fine and doesn't have any chest pain or a history of high blood pressure or diabetes. What would you suggest as the next steps for her?

Doctor 1

Answered by 1 Apollo Doctors

A 2D Echo is advised as a diagnostic procedure for heart blocks and other pathology..

Dr. Shubham Suggests...

Consult a Cardiologist

Answered 04/07/2025

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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.

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