- male
- 50 Years
- 23/01/2025
Is it a big deal that my TMT showed significant ST depression of 0.1mm in leads V4-V6 at peak exercise but didn't persist in recovery? The test said mildly positive for RMI, and I reached my target heart rate. I did Bruce stage 3 for about 8.09 minutes. My blood pressure is normal resting at 12080 and after exercise, it was 14080. I'm not diabetic. My METs were 10.2. Should I be worried about this? Could it be treated at this stage? Do I need to go for an angiography, and if I do, how soon should it be done?
Answered by 1 Apollo Doctors
#NAME?
Dr. Chandra Suggests...
Consult a Cardiologist
Answered 04/07/2025
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More Cardiology Health Queries
View allI'm a bit worried because I recently experienced a sudden increase in my heart rate, and when I got an ECG, it showed something called an ST abnormality. I'm wondering, is this a cause for concern? Does it often show up on ECGs, or should I be more alarmed about it?
ST abnormalities in an ECG can indicate various cardiac conditions. It is important to determine the specific type of ST abnormality (e.g. ST elevation or ST depression) and its location on the ECG. ST abnormalities can be seen in conditions such as myocardial infarction, angina, pericarditis, myocarditis, or electrolyte imbalances. Given your sudden increase in heart rate and the presence of ST abnormalities on your ECG, it is important to further evaluate the underlying cause. Depending on the severity and type of ST abnormality, treatment may include medications such as aspirin, nitroglycerin, beta-blockers, or interventions like angioplasty or surgery. I recommend consulting with a cardiologist for a thorough evaluation and appropriate management.
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I'm thinking about doing a TMT in a week since I've had hyper acidity issues. I've already done tests like a thyroid profile, ECG, and echo, and everything came back normal. A friend suggested I should consider a TMT as well. Do you think there's a chance it might show something positive?
A TMT (Treadmill Test) is commonly used to assess the heart's response to stress and can help diagnose coronary artery disease. Given that your thyroid profile, ECG, and echo are normal, the chances of a positive TMT result are lower. However, it is still important to proceed with the TMT as advised. If you experience hyperacidity during the test, you can take antacids like "Ranitidine" 150mg before the test to help manage the symptoms.
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I'm trying to make sense of my ECG results, which show a prolonged QT. As a diabetic patient on Metxl 25 mg for high blood pressure, I'm worried about what this means. Could this be a sign of blocked arteries?
Prolonged QT interval on an ECG can be a sign of an abnormal heart rhythm, which can increase the risk of fainting, seizures, or sudden death. In diabetic patients with high blood pressure, it is important to monitor the QT interval closely as certain medications can further prolong it. Metxl 25 mg is likely Metoprolol, which is a beta-blocker commonly used to treat high blood pressure. It is important to discuss the prolonged QT interval with your doctor, as they may consider adjusting your medication or prescribing additional treatments to manage this condition. Prolonged QT interval is not typically a direct symptom of artery blockages, but it is important to address this issue to prevent any potential complications. Regular follow-up with your healthcare provider is recommended to monitor your heart health and adjust your treatment plan accordingly.
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