Treadmill test is otherwise known as stress test, exercise electrocardiogram, or stress EKG. It a diagnostic test used to determine the risk of you having heart disease. Your heart rate, rhythm, and blood pressure are monitored while running on a treadmill.
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I have palpitations and premature beats since childhood. Should I be worried?
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 »
What does borderline ST segment response mean 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 »
Will diastolic dysfunction lead to heart failure?
Query: Hi doctor,I am a 46 year old male. My height is six feet and weight is 216 pounds. I have been having balancing problems for over a year. It is some form of sensory ataxia. I also have compression in C4-C5 and C5-C6 cervical spine. I also have severe sleep apnea. I had some breathlessness and chest... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen your report (attachment removed to protect patient identity) and keen observation. Yes, diastolic dysfunction can cause heart failure. But, we need to find out the reason here. Sleep apnea is one additive factor and need to treat it. Also, you need to con... Read Full »
What may be the cause of pinching pain in the chest?
Query: Hello doctor, I am writing this query for my father. He is 62 years old. He has BP and sugar but both are very much in control. He gets a slight pinching like pain on left chest and rarely on right chest. It stays only for few seconds. In a day, it comes like five to six times for every three to fou... Read Full »
Answer: Hi, Welcome to icliniq.com. I have studied the attached reports (attachments removed to protect patient identity). There are no significant changes in his ECG (electrocardiogram). In my opinion, such pinching kind of chest pain is less likely to be due to cardiac issues. However, since he has diab... Read Full »
I get a cramp-like feeling in my chest. Why?
Query: Hi doctor, Since last two to three years I have high blood pressure ranging 145/95 mmHg. This was mainly due to less physical activity and anxiety. I had medicine Telma 40, Telmaxx 25 etc., only one at a time. But, BP and anxiety did not get controlled. Again doctor advised me for Cilacar 5 mg twice... Read Full »
Answer: Hi, Welcome to icliniq.com. I have thoroughly gone through your case and reports (attachment removed to protect patient identity) and can well understand your genuine health concerns. Read Full »
Do my TMT reports show anything 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 »
I have the myocardial bridge, and TMT was positive for myocardial ischemia. Please help.
Query: Hi doctor,I went through coronary angiography two years ago. It was completely normal, with no blockage. But I have a myocardial bridge. Two days before, I went for a body check-up where my TMT was positive with the exercise of eight minutes and 106 beats per minute heart rate with no pain or breath... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. The test can be positive due to myocardial bridging. I suggest you take a tablet of Aspirin 75 mg once a day and a tablet of Metoprolol tartrate 25 mg twice daily, and a keep tablet Glyceryl trinitrate in your pocket. Put one tab of 0.5 mg un... Read Full »
I am having chest pain and palpitations despite taking medications. Please help.
Query: Hello doctor, I am 30 years old and I am having mild chest pain for the past one month. I visited a hospital and the doctor asked me to do some tests. My heart echo test was normal but the TMT test was positive. My blood lipid profile was tested and my cholesterol level was below 150, but HDL was 30... Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. TMT (treadmill test) positive is an indication of an angiogram. But there can be a 30 % chance of false positive TMT. As your angiogram is normal it can indicate two things, either your TMT is false positive or you may have microvascular an... Read Full »
My doctor suggested 2D echo and TMT after reviewing my son's ECG. Is there any problem?
Query: Hello doctor, My 18-year-old son got an ECG and blood tests last month as a requirement for medical screening. He jogs every night for 30 minutes. He looks healthy. We consulted our cardiologist early this month and he requested for 2D Echo and treadmill stress test. Unfortunately, we were schedul... Read Full »
Answer: Hi, Welcome to icliniq.com. Could you upload his ECG (electrocardiogram) if it has been taken and also his echo and treadmill results? Read Full »
Can MVP be detected through ECG and TMT?
Query: Hi doctor, For two years, I have been suffering from MVP (mitral valve prolapse). Then, I have undergone ECG and TMT, but no MVP detected. But, I was advised to take the tablets given for MVP, which includes Metolac-ER 50 and Dothimax 25. Will these tablets cause any side effects? Read Full »
Answer: Hello, Welcome to icliniq.com. Mitral valve prolapse cannot be detected on ECG - electrocardiogram or a TMT - treadmill test unless has very advanced and causing severe problems. It can be picked up by an echocardiogram, which is a heart ultrasound. Now coming back to your medications, Dothimax (... Read Full »