I'm 32 and just got my TMT test results back. It mentions VPC during exercise and after, and a positive chronotropic response. There's also a 1mm downsloping ST depression at peak exercise but it's normal at 3 min recovery. Should I be worried about any of this? Do I need to take any medication? I'd really appreciate some guidance.

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Dr Anshul Maheshwari

General Practitioner

MBBS
5+ Yrs

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TMT report suggests a negative TMT with VPC seen during exercise and at recovery of the test, along with a positive chronotropic response. The 1mm downsloping ST depression at the peak of exercise, which normalizes at 3 minutes of recovery, is also noted. Based on this report, there is no significant worrying problem identified. However, considering the findings, it would be advisable to start medication to manage the VPC and ST depression. You can take Metoprolol (brand name: Lopressor) 25mg once daily to help regulate your heart rate and reduce the occurrence of VPCs. Additionally, you can take Aspirin 75mg once daily to prevent any potential clot formation due to the ST depression observed during exercise. It is important to follow up with your healthcare provider for further evaluation and management.

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Answered 04/07/2025

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