apollo
  • male
  • 60 Years
  • 20/02/2025

I'm a bit worried about my recent TMT report. It came back as mildly positive for provocable ischemia. I'm currently taking atenolol 50mg and atorvastatin 10mg. What does this mean for my heart health, and should I be concerned or is there more I need to do?

Doctor 1

Answered by 1 Apollo Doctors

A TMT report indicating mildly positive provokable ischemia suggests potential reduced blood flow to the heart during exertion, indicating coronary artery disease. Given that you are taking Atenolol 50 mg and Atorvastatin 10 mg, it is crucial to review these findings with your cardiologist. They may recommend additional diagnostic tests such as a coronary angiogram or stress echocardiogram to further evaluate your condition. In the meantime, continue taking your medications as prescribed, and adhere to lifestyle modifications like a heart-healthy diet, regular exercise within advised limits, and stress management. If you experience any worsening symptoms, seek immediate medical attention.

Dr. Ranjith Suggests...

Consult a Cardiologist

Answered 25/07/2025

0

0

Sick? Talk to a doctor now

More Cardiology Health Queries

View all

I'm curious about what's happening with my heart. Sometimes my ECG shows these non-specific ST changes, and while my echo was normal, I'm still worried. I often feel chest discomfort and pains in my left arm. Is there something specific these ST changes could indicate, even though my ECG and echo seem alright? Could something be missed?

Non-specific ST changes on an ECG can be caused by various factors, including electrolyte imbalances, medications, anxiety, or even normal variation. Since your echocardiogram was normal, it is less likely to be related to a structural heart problem. However, given your symptoms of chest discomfort and left arm pains, it is important to continue monitoring and investigating further. To address your symptoms, you can try taking a medication like aspirin for chest discomfort (75-325mg once daily) and acetaminophen for pain relief in your left arm (500-1000mg every 4-6 hours as needed). Additionally, you may benefit from a medication like ranitidine for acid reflux if present (150mg twice daily). It is important to follow up with your healthcare provider for further evaluation and management of your symptoms.

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I'm really worried about my dad's blood pressure. It was high at 160110 before, but after he started taking Metocard XL 25 and Triolmesar 20 for about a month, it's dropped to 8772, measured with a digital Omron monitor. Do you think he should keep taking his current medication or adjust the dose? Also, he's diabetic and taking Glyciphage SR 500 and Tenlimac 20. Plus, he's being treated for prostate issues with Maxvoid 8. Could all these medications be affecting his blood pressure too much? What would be the best course of action?

Given the significant drop in blood pressure from 160110 to 8772, it is important to reassess the medication regimen. In this case, it is advisable to consult with your father's healthcare provider to adjust the dosage or possibly consider discontinuing one of the antihypertensive medications. Lowering the dose of Metocard XL 25 or Triolmesar 20 may be necessary to prevent hypotension, especially considering his current blood pressure readings. Regular monitoring and coordination with his healthcare provider are essential to ensure optimal management of his hypertension while taking into account his diabetes and prostate issues.

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I've been really worried about my heart ever since last year when I started having these chest and left arm pains. I got a TMT and echo done back then, and they showed everything was normal, but I'm still having these pains out of nowhere. It's like I'm always scared I'm gonna have a heart attack. Do you think I should get checked again, or could this be something else altogether?

Since your TMT and echo tests were normal last year, it is less likely to be related to a heart condition. It is possible that your symptoms are more related to anxiety and panic attacks. I recommend discussing with your doctor about the possibility of starting an anti-anxiety medication such as Sertraline (Zoloft) at a low dose initially, along with counseling or therapy to address your fears and anxiety. Additionally, you can consider taking a low dose of Propranolol (Inderal) as needed for chest pain and palpitations. However, it is important to follow up with your doctor for further evaluation and management of your symptoms.

read more
Doctor 1Doctor 2

Answered by 1 Apollo Doctors

Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.