Question 1

I'm a bit worried about my TMT results that showed inducible ischemia and mentioned a 1 mm ST change in certain leads during exercise. My max heart rate reached 206, with a maximum blood pressure of 18580, and I'm only 33 years old. I exercised for a total of 6 minutes and 19 seconds, reaching a workload of 7.40 METS, but the test was stopped when I hit my max heart rate. My 2D Echo came back normal. Do you think I need to get an angiogram, or is there anything else I should consider?

Accepted Answer

Given your positive TMT result showing inducible ischemia with 1 mm ST depression in multiple leads, achieving maximum heart rate during the test, and normal 2D Echo results, an angiogram may be recommended to further evaluate the extent and severity of coronary artery disease, especially considering your young age (33) and high workload achieved during the test; consult your cardiologist to discuss the risks and benefits of an angiogram and determine the best course of action.

Question 2

I'm really worried about my husband's blood pressure. He's been taking amlopidine 5mg, but his BP was still 149110. The doctor suggested adding telmac 40mg, and now his BP is around 12185 and 11775. He's not feeling well, though. I'm thinking maybe 40mg is too much for him. Could I try giving him half the dose of telmac instead?

Accepted Answer

It is not recommended to adjust the dosage of Telmisartan without consulting your doctor. Telmisartan 40mg is a standard starting dose for hypertension, and it is important to follow your doctor's instructions. If your husband is not feeling well, it is best to consult with your doctor for further evaluation and management.

Question 3

I'm looking for some advice. My husband, who's 29 and weighs around 92 kg, has been feeling a pinching sensation in his chest and some pain in his left arm for about 45 days now. He's a non-smoker, drinks occasionally, and his parents both had heart attacks before. Our cardio doctor suggested a CT coronary angio test, which is non-invasive. About six months ago, he had episodes of increased heartbeats, anxiety, and sweating, and we did a bunch of tests like the 2D Echo Doppler, TMT, and trop T, which all came back normal in September 2018. I'm wondering if this is a good step to take to get more clarity on what's happening with him. Are there any side effects from this test we should be aware of, and is there anything specific we should do to prepare before he takes the test?

Accepted Answer

Thats unusual,visit General Physician for appropriate approach.and maintain balanced diet and healthy lifestyle

tab telma h 40+12.5 mg orally ,once daily, repeat BP CHECK AFTER 7 DAYS, SALT Restricted diet and DASH DIET is advised ..

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