Patient's Query
Hi doctor,
My father underwent an angioplasty last year and had a TMT (treadmill test) 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 medications: Clopidogrel 75 mg (0-1-0), Rosuvastatin 5 mg (0-0-1), and Enalapril 2.5 mg (0-0-1). He is following a proper regular diet. Does this indicate anything serious? Is further angiography needed? The doctor has added Amlodipine and Atorvastatin along with Trimetazidine after the TMT report.
Please advise.
Hi,
Welcome to icliniq.com.
I have read your query in detail and understand your concern.
I need to know a few more details to assist you better. Is there any history of diabetes, chest pain, or hypertension? Does he experience breathlessness while walking? Does he have any swelling in his feet? Is he engaged in any physical activity or exercise regularly? If so, is he able to perform these activities normally?
The TMT (treadmill test) measures chest pain on exertion, which is recorded in the ECG (electrocardiogram). Therefore, the most important concern is whether he feels any chest pain or heaviness whenever he walks, does his routine activities, or exercises.
Please answer so I can guide you better.
Patient's Query
Hi doctor,
Thank you for the reply.
My father has been a known diabetic for more than eight years and was initially on the medication Glipizide. His cardiologist stopped this medication three months ago due to normal blood sugar levels in both fasting and postprandial tests. My father also complained of some dizziness, which contributed to discontinuing the drug. He has no history of chest pain since his angioplasty, and he does not report any breathlessness on exertion. There is no noticeable swelling in his feet.
My father is quite active; he walks regularly for nearly 40 minutes both in the morning and evening, along with his other daily activities. He has never complained of fatigue or chest pain. Even during the TMT test, he did not feel any heaviness. I have attached last year’s surgery reports as well.
Please advise.
Hi,
Welcome back to icliniq.com.
In my opinion, since he is asymptomatic and has already undergone angioplasty, I would not recommend a repeat angiography solely based on this inconclusive TMT (treadmill test) report. I suggest he undergo a thallium stress test, and if the results are positive, then angiography can be considered. Another excellent option for him is CT (computed tomography) coronary angiography, which has a very good sensitivity compared to conventional angiography. The advantage of CT coronary angiography is that it is non-invasive. Therefore, I would recommend first getting either a CT coronary angiography or a thallium scan and then writing back to me. We can then decide whether he needs any preventive angioplasty.
I hope this helps you.
Thank you.
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Answered byDr. Anshul Varshney
Medically reviewed byDr. Sneha Kannan
Same symptoms don't mean you have the same problem. Consult a doctor now!
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