- Male
- 38 Years
- 29/01/2025
I'm kind of worried because my recent TMT test was mildly positive, yet my cholesterol, BP, and ECG results were all normal. My doctor is suggesting an angiogram, but it's pretty expensive for me. Do you think it's really necessary to go through with it?
Answered by 1 Apollo Doctors
A mildly positive TMT test result, especially when other parameters like cholesterol, blood pressure, and ECG are normal, may indicate a potential issue with blood flow to the heart. An angiogram is considered the gold standard for evaluating blockages in the coronary arteries. However, in some cases, additional non-invasive tests such as a CT coronary angiography may provide further information before proceeding with an invasive procedure. It is important to discuss the necessity and potential alternatives with your doctor based on your individual health situation.
Dr. Ranjith Suggests...
Consult a Cardiologist
Answered 04/07/2025
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More Cardiology Health Queries
View allI've been told I have an Incomplete Right Bundle Branch Block, but I'm really concerned because I'm experiencing irregular heartbeats quite often, lasting anywhere from 30 minutes to an hour. My heart rate slows down, skips beats, speeds up, and this cycle keeps repeating. I've had an echo, and my blood tests are fine. The first ECG showed an abnormal sinus rhythm, but the more recent ones only show the IRBBB with a normal sinus rhythm. Im not stressed or anxious, so I cant figure out what might be causing this. What could be going on?
It sounds like you may be experiencing episodes of arrhythmia, given your symptoms of irregular heartbeats with variations in speed. Since your echo and blood tests came back normal, and your ECGs have shown Incomplete Right Bundle Branch Block (IRBBB) with a normal sinus rhythm, it's important to further investigate the cause of your arrhythmias. One possible reason for your symptoms could be Atrial Fibrillation (AF), which can sometimes be difficult to detect on ECGs. I recommend discussing with your healthcare provider about possibly wearing a Holter monitor or undergoing a cardiac event monitor to capture your heart's electrical activity over an extended period. This can help in identifying any underlying arrhythmias such as paroxysmal atrial fibrillation. In the meantime, to help manage your symptoms, you can consider taking a medication like Metoprolol (brand name: Lopressor) at a low dose under the guidance of your healthcare provider. Metoprolol is a beta-blocker that can help regulate your heart rate and reduce the frequency of irregular heartbeats. The usual starting dose for Metoprolol is 25mg to 50mg once daily, but your doctor will determine the appropriate dosage for you based on your individual health needs.
Answered by 1 Apollo Doctors
Can a TMT test really detect heart blockages? Like, if my TMT test comes back negative, should I be concerned about blockages not being detected? Also, what if I have a blockage that's, say, around 10%would the TMT still show positive in that case? I'm just trying to understand how reliable the TMT is for these things.
If your TMT is negative, but you're still concerned about potential blockages or symptoms, its essential to follow up with your doctor for further evaluation and possibly more specific tests (like angiography) based on your risk factors and clinical symptoms.
Answered by 1 Apollo Doctors
I'm a 22-year-old guy and I've been diagnosed with sinus arrhythmia. My cardiologist gave me embeta xr to take for a month and after using it, I feel about 80% better. I'm wondering if I should keep taking the medicine for another month. I read online that sinus arrhythmia might not need any treatment and could just go away as I get older. Could you give me some advice on what to do next?
Embeta XR is a brand name for Metoprolol, which is commonly used to treat various heart conditions, including arrhythmias. Since you have already experienced improvement with the medication, it would be advisable to continue taking it as prescribed by your cardiologist. It is important to follow your doctor's recommendations for the full duration of the treatment to ensure the best outcome. In this case, continuing Embeta XR for another month as prescribed would be beneficial for managing your sinus arrhythmia.
Answered by 1 Apollo Doctors
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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.