Recently Answered Questions
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What does borderline ST segment response indicate in TMT?
Query: Hello doctor, I do regular health checkups and last year my test reports were normal. I had another health checkup last week. In my TMT it showed the impression as borderline ST segment response. Fair exercise tolerance. What does it mean? How serious is this? What is the next step? Tests like echoc... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect the patient's identity) very carefully. Do not worry as ST-T changes less than 1 mm are not significant in inferior leads, and in the anterior leads also the changes are less than 1 mm. You achieved the t... Read Full »
My ECG report shows minor variation. Why?
Query: Hello doctor, I have been having chest pain off and on. I also suffer acidity, although I am not on any medication. I was advised to have an ECG anyway. My ECG showed some minor variation and then was advised TMT which was normal. Please advise. Why do I have chest pains and why is my ECG not normal... Read Full »
Answer: Hello, Welcome to icliniq.com. Chest pain occurs due to various causes. For example heart problem, lung problem, muscle problem, bone problem, stomach problem etc. Your TMT (treadmill test) is normal. It indicates that your heart condition is likely to be healthy. For your chest pain, the reas... Read Full »
I have recurring premature beats. Why?
Query: Hello doctor, I am a 48 year old male. I have a lean build and do exercises regularly. Since childhood, I had a tendency for heart palpitations and premature beats, mostly when I do not get good sleep or if I am going through some stress. Around 16 years ago, I consulted a cardiologist and had an EC... Read Full »
Answer: Hello, Welcome to icliniq.com. These premature complexes are probably originating from the ventricles. These are usually benign and not life-threatening. Considering your age, the primary concern is a coronary artery disease, which is also less likely as you have been observing these symptoms ... Read Full »
Kindly explain the TMT findings for chest pain.
Query: Hello doctor,I was feeling pain in the chest sometimes so I wanted to confirm what it is. My 2D echo said to be fine. Here I am keeping findings from TMT exercise time: 6:04 minutes. Max HR attained: 148 bpm 77 % Of max predictable HR 191, max BP: 140/90, workload attended: 7.2 (fair effort toleranc... Read Full »
Answer: Hello, Welcome to icliniq.com. Could you please attach the whole TMT tracings? The final impression of the TMT (treadmill test) says it is positive, which means your chest pain is due to blockages in the heart (attachment removed to protect patient identity). Echo shows abnormalities in later stag... Read Full »
On considering my cardiac health, is it good to operate gallbladder stones?
Query: Hello doctor, I am a 60 year old female, who weighs 171 pounds. I have multiple stones in the gallbladder. And my vomits are greenish or yellowish in color. Once, I threw up brownish vomit, which my doctor said is blood, due to repeated vomiting. The gastric pipe gets torn and abraded a little, and ... Read Full »
Answer: Hi, Welcome to icliniq.com. The short answer, in my opinion, is yes, let them operate for gallbladder stones. Here is why. The surgeon's job was to see that the patient will be safe, so he asked for a cardiac assessment. Here dobutamine stress echocardiogram (DSE) was requested most likely as it mus... Read Full »
Query: Hello doctor,I am experiencing persistent upper back pain throughout the day, particularly in the left middle-to-upper region and in the center between my shoulder joints, extending down to the back of my neck. I would greatly appreciate any advice that you might suggest. I have highlighted the area... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Could you please tell me about your job profile and how much physical activity you do in your daily routine? Thank you. Read Full »
Query: Hello doctor, I run about 3.13 miles every alternate day. I recently felt a chest heaviness and a pinching pain. So, I went in for a TMT test. I want to know the frequency at which such tests are to be done. I am attaching the results of my tests. Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your health query and can understand that you are worried about your heart. I have gone through your reports (attachment removed to protect patient identity). On review of your TMT (treadmill test), I see no issues with your heart. There are no ch... Read Full »
My father’s TMT report shows variations. Is it something serious?
Query: Hi doctor, My father has undergone angioplasty last year. He went for TMT review last week. His TMT report shows variations, but he has no symptoms. His blood profile is normal for blood sugar and cholesterol. He is currently taking the following drugs, Deplatt 75 mg (0-1-0), Rozat 5 mg (0-0-1) and ... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read your query in detail and I understand your concern. I need to know a few more details to help you better. Is there any history of diabetes or chest pain or hypertension? Does he get breathlessness on walking? Does he suffer from any swelling over the feet? I... Read Full »
My echo results show MVP and mild MR. I am worried about this. Please help.
Query: Hi doctor, I have done my ECG, echo, TMT, and all blood tests are normal. Echo showing MVP with mild MR. I am worried about this I feel anxious and tired. Please help. Read Full »
Answer: Hi, Welcome to icliniq.com. Your echo report (attachment removed to protect the patient's identity) says moderate MVP (mitral valve prolapse), NO MR (mitral regurgitation) (there is no MR, but you wrote in your question mild MR). Anyways MVP is by birth, and we can just follow up with an echo yea... Read Full »
How long can angioplasty be postponed in a patient with positive TMT and 50 to 70% blockage?
Query: Hi doctor, My father had chest pain 15 days ago. We visited a cardiologist. He is a diabetes patient. TMT was positive. SGPT was 215. Sugar was 143 mg/dL. TSH is 0.14 mIU/L. After doing CT, angiography LAD shows 50 to 70% blockage, LCX shows 50%, and OM1 shows more than 50%. He is taking Metformin, ... Read Full »
Answer: Hi, Welcome to icliniq.com. TMT (treadmill test) was positive, so direct angiography should have been done. Why was CT (computed tomography) angiography done? If the patient has chest pain despite maximum medicines, then revascularization is necessary, either bypass or angioplasty, depending upon ... Read Full »