- 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?
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
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I'm really concerned about my heart rate because it's usually around 100 or more whether I'm just sitting, walking, or doing anything else. I've been using my Fitbit to track it, and I also have an Omron BP machine at home that often shows it going over 100, sometimes even hitting 120. I did see a cardiologist who said it was nothing, but I'm still worried. Can you help me figure out what might be going on or if there's anything I should do?
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I'm really worried about the results from my ECG which said something about provocable myocardial ischemia, but I haven't had any cardiac symptoms of IHD. I'm only 48 years old and I'm not sure what this means for my heart health. Should I be concerned or do anything specific to address this?
It sounds like you have a positive exercise tolerance test (ITT) for provocable myocardial ischemia without any cardiac symptoms for ischemic heart disease (IHD) at the age of 48. In this case, you may benefit from starting a medication like Atenolol (50-100mg daily) to help reduce the workload on your heart and prevent further episodes of ischemia. Additionally, adding a medication like Aspirin (75-150mg daily) can help reduce the risk of blood clot formation in your coronary arteries. It is important to follow up with your healthcare provider for further evaluation and management.
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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.