Is there any chances of future risk, even though my TMT test is negative?

Question

Hi,

I am 29 years old and recently underwent a TMT test.

The summary is total exercise time: 6:31 minutes; maximum heart rate:184 bpm; 96 % of target 191; maximum blood pressure 190/100 mm of Hg and maximum workload attained 7.6 hours, exercise start blood pressure 150/100 mm of Hg and recovery blood pressure 190/100 mm of Hg.

I felt heavy in my heart and also had slight dizziness. I am diabetic, and one of my family members died due to heart disease. The cardiac markers are also high. Lipoprotein A (LP) 33 mg/dL, homocysteine greater than 65 micromoles per liter, HSCRP is 4.38 mg/L.

Though the result is negative, is there any chances for future risk?

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern,

You have a long-term high risk of developing cardiovascular disease because of diabetes, high blood pressure 150/100 mm Hg before starting the treadmill test (TMT), and family history.

A negative treadmill test means an immediate risk of a heart attack. However, it does not give a picture of the level of existing cardiac disease. If you want an accurate picture of the heart condition, check coronary artery calcium scoring cardiac computed tomography scan.

I want to emphasize preventive medicine, which is healthy lifestyle modifications to control blood pressure, diabetes, and cholesterol, with a healthy diet and regular exercise. A healthy lifestyle will keep you fit and prevent all cardiovascular complications.

I hope it will work.