I'm 26 and I've been having anxiety symptoms. A couple of months ago, I experienced episodes of sinus tachycardia, and the ECG showed sinus tachycardia with ST and T wave depression in leads II, III, and AVF. I've had more ECGs since then with similar results, but my 2D echo was normal. My doctor suggested a TMT, which returned borderline positive with a low likelihood of significant CAD. During the TMT, METS was 8.8, BP was 15080, and the max heart rate was 187. I didn't feel any chest pain during the exercise. Do you think an angiogram is necessary, and what could be causing those ST and T wave changes?

Answered by 1 Apollo Doctors

Dr Ranjith Darla

General Practitioner

MBBS
3+ Yrs

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Angiogram is needed any heart blocks..

Dr. Ranjith Suggests...

Consult a Cardiologist

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Answered 04/07/2025

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