TMT mildly +ve for RMI
TMT results- Significant ST depression of 0.1mm in lead V4-v6 at peak exercise not persisting in recovery. TMT mildly positive for RMI. THR attained. -Bruce stage 3 time of exercise 8.09 minustes. -BP normal 120/80 resting and after exercise. 140/80 during exercise. not diabetic. METs 10.2. Is it cause for worry. can it be treated at this stage. Do i need to go for an angiography and if yes, is it to be done early..
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Dr. Arunabha Das
General Physician 5 yrs exp Darjeeling
These details are not enough to make Duke treadmill score from TMT. TMT is an important test to detect early ischaemic heart disease. Duke treadmill score is used clinically to determine possibilty and prognosis of Coronary Heart disease for 5year survival rate. Exact duke treadmill score couldnot be counted as you have not mentioned about chest pain. Chest pain may or may not occur during TMT. Chest pain may limit or doesnot limit your exercise during TMT. so, let me know about chest pain details,when you review next time. There are 3 possibilities based upon your details-- 1) if you had no chest pain during TMT,than your duke score falls under low risk of CORONARY HEART DISEASE. 2) if you had chest pain,which didnot limit exercise during TMT,than your duke score falls under intermediate risk of CORONARY HEART DISEASE. 3) if you had chest pain which limited exercise during TMT,than your duke score falls also under intermediate risk of CORONARY HEART DISEASE but comparatively poorer prognosis of 5year survival rate than above point. ST depression 0.1mm in V4-V6 leads during TMT is also an earliest sign of ischaemic heart disease. So, you need to check blood for fasting lipid profile, hs-CRP along with ECG, Echocardiography every 6months. Triple vessel angiography should be done once every alternate year. You must also take care of your diet. Most important is avoid mustard oil,and use rice bran oil or olive oil or sunflower oil.
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