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Plz explain my cardio diagnosis report
35Yrs,Male,175cm,82Kg
Treadmill Stress Test
Protocol:BRUCE
Test for:Ischemia Evaluation
Termination:THR WITH GOOD METS
Duke Treadmill Score:6
Risk category:Low
5Yrs Survival:95.5%
Avrg Annual Mortality:0.9%
Impression:
Baseline ECG:Sinus Rhythm
Good effort Tolerance(Walked for 9:30Mins and 11.7 METS achieved)
Test stopped as patient achieved THR with good METS
Adequate HR/BP response(MPR: 185bpm and THR: 157bpm)
Patient achieved 93% of MPR
No Angina/ARRHYTHMIA
>1mm slow upsloping ST depression noted in inferolateral leads at peak exercise which reverted to baseline within 1Min of recovery.
IMP:TMT POSITIVE FOR INDUCIBLE ISCHEMIA.(To be correlated clinically)
Max HR:173 bpm 93%of max predicted 185bpm
HR at rest:58
Max BP:162/80mmHg
BP at rest:120/80
Max RPP:23868mmHg*bpm
Max workload:11.70 METS
Max ST:-1.75mm,0.00mV/s in III;EXERCISE STAGE 4 09:29
Arrhythmia:A:22,PSVC:4
Max TWA:44uV(V6);Exercise 4.29
ST/HR index:1.50uV/bpm
HR reserve used:90%
HR recovery:47bpm
Freq.VE recovery:0VE/min
Hi. Your TMT (treadmill test) is positive for inducible ischemia, which means that there is a high possibility of blockage in one or more of yours heart's blood vessels (which puts you at a risk of heart attack). The next best logical step would be to get an angiography done, which is the only direct confirmatory test to rule out this possibility of blockage. But before this a cardiologist needs to examine you clinically and also see the TMT report personally to assess the need for angiography. So please meet a cardiologist as early as possible and get yourself personally examined for a final advice on this issue. Thanks. Hope this helps.
Dr Chandrashekhar Munjewar, Mumbai
www.thefitheart.in
Answered
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