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Doctor insights on: Tmt Borderline Positive For Inducible Ischemia

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Father had cabg 4 yrs bfr his age now 60 yrs. Al test normal lvef 67% tmt result TMT borderline positive for induced ischemia , serious or wat to do?

Father had cabg 4 yrs bfr his age now 60 yrs. Al test normal lvef 67% tmt result TMT borderline positive for induced ischemia , serious or wat to do?

Cardiology eval: Need to go to a cardiologist and possibly get a cardiac cath done under fluoro to see patency of coronary arteries, flow and blood distribution, etc. to get all the answers you seek... ...Read more

Dr. Cynthia Thaik
1,920 doctors shared insights

Ischemia (Definition)

Used to describe inadequate blood flow and oxygen delivery to an extremity,an organ ,or brain which ...Read more


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My TMT test report says "the study is BORDERLINE POSITIVE for provokable ischemia". What does this mean?

My TMT test report says "the study is BORDERLINE POSITIVE for provokable ischemia". What does this mean?

Arterial blockage.: Ischemia in areas of the heart, as you have related, infers that the arteries that feed these parts of the heart are narrowed such that blood flow through them reduces with exertion. It means these areas of the heart are vulnerable and further testing is needed and intervention may be necessary. ...Read more

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If my test was positive for stress induced ischemia in the anteroseptal wall, what does that mean? Have I ever had an heart attack before?

If my test was positive for stress induced ischemia in the anteroseptal wall, what does that mean? Have I ever had an heart attack before?

Not necessarily: You need confirmatory testing for this abnormal finding. A high grade blockage in a heart artery could cause this even if you have not had a heart attack. ...Read more

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A 57yr old who had undergone angioplasty 10yrs ago.Now treadmill test shows good effort tolerance, but positive for exercise induced ischemia.Advice?

A 57yr old who had undergone angioplasty 10yrs ago.Now treadmill test shows good effort tolerance, but positive for exercise induced ischemia.Advice?

Needs investigation.: Regardless of this treatment history, exercise-induced ischemia requires a new investigation, especially in someone with known coronary artery disease. This could be a hint to a new blockage that might require intervention. ...Read more

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What do you suggest if my test was positive for stress induced ischemia in the anteroseptal wall , what that means have I every had an heart attack before?

What do you suggest if my test was positive for stress induced ischemia in the anteroseptal wall , what that means have I every had an heart attack before?

Ischemia with stress: Hi. Without seeing the test done or the report, we can't say whether or not you've had a heart attack before. At the least, when you exercise and heart muscle oxygen demand goes up, not enough oxygen gets to the anterior wall and the septum to meet the demand. You need coronary angiography, and may need a stent or a bypass operation; you'll need medical therapy in any event. Ask your cardiologist ...Read more

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I have told that I have induced ischemia in the anteroseptal wall , what dose she means?

I have told that I have induced ischemia in the anteroseptal wall , what dose she means?

A problem: The heart is like a room with sides.
These have anatomical names:
anterior
posterior
septal

the anterior-septal is at a junction.
Ischemia is a sign of reduced blood flow with exercise( induced) or a chemical.
It may require medication and even surgery
to eliminate. ...Read more

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What is stress-induced ischemia? How is it treated?

Stress ischemia: Under the conditions of physical or emotional stress the more rapid heart rate and higher blood pressure can produce myocardial ischemia. It is treated with nitrates and beta blockers to try and reorder supply and demand. Stress induced peripheral ischemia is treated with peripheral vasodilator medications. ...Read more

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What does it mean mildly positive to ischemia?

What does it mean mildly positive to ischemia?

Arterial blockage.: Ischemia in areas of the heart, as you have related, infers that the arteries that feed these parts of the heart are narrowed such that blood flow through them reduces with exertion. It means these areas of the heart are vulnerable and further testing is needed and intervention may be necessary. ...Read more

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What does it mean to be mildly positive to ischemia?

Some ischemia: Don't ever hesitate to ask your doctor to explain a term used during your visit! in general mild ischemia means that there is some documented reduction (inadequate) in the normal flow of blood, i.e. Ischemia. I don't know what kind of test you had or if you are referring to your heart or some other part of your body. Without more information i cannot be more specific. ...Read more

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Result as I mentioned above, ie: mildly positive to ischemia?

Not sure: Please be more clear about your question. If you're referring to an earlier question, please reference it. If you had a stress test and the results were positive for ischemia, then you need to see a cardiologist for further evaluation, but that is the extent of advice i can give you with the limited insight I have in your problem right now. ...Read more

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What does it mean if the report says mildly positive to ischemia?

What does it mean if the report says mildly positive to ischemia?

Arterial blockage.: Ischemia in areas of the heart, as you have related, infers that the arteries that feed these parts of the heart are narrowed such that blood flow through them reduces with exertion. It means these areas of the heart are vulnerable and further testing is needed and intervention may be necessary. ...Read more

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My sister aged 32 had frequent chest pain , we took tmt test , it came positive for provocal ischemia. What is provocal ischemia? How to cure it.

See cardiologist: You mean provocable ischemia. That means the heart suffers from lack of blood when provoked by stress. This usually is a sign of coronary artery disease. But sometime people can have such symptoms without it as well. The next thing to do is to see a cardiologist, check cholesterol and lipid, BP etc.And get treated for all those problems with medicines first. ...Read more

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The test is positive for reversible/provocable ischemia . What does it mean can you please answer me?

I assume this: is result of cardiac stress test. If so, it means you probably need a cardiac cath, depending on your risk factors. You must follow up with your doctor asap. ...Read more

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I had a stress test yesterday. the final impression is ' stress mildly positive for ischemia at adequate workload " pl explain?

I had a stress test yesterday. the final impression is ' stress mildly positive for ischemia at adequate workload " pl explain?

Positive: This means that they did see signs of ekg changes when you reached a certain level of exertion. This would warrant further evaluation with imaging stress test or angiography-depending on cardiologist's choice. ...Read more

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So i had stress test done it ame back ok but they said i had reversible ischemia what's that mean am i gonna die? And had 10% positives in the test

Coronary angiogram: Reversible ischemia means that when you exercise part of heart muscle is deprived of blood supply. You are not going to die, but should consult with a cardiologist to see if you need coronary angiogram. Your heart should be at resting stage. Avoid any exercise until you have the work up done. Stress test can be sometime wrong. At age 31 i dont expect you to have coronary artery disease. ...Read more

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Normal stress echo with no evidence of stress induced myocardial ischemia but abnormal exercise stress at 9.1 mets? Reached 94% of hr.

Normal stress echo with no evidence of stress induced myocardial ischemia but abnormal exercise stress at 9.1 mets? Reached 94% of hr.

Ur initial ST: Is more likely false positive.With ur young age and i presume with no risk factors like hypertension , diabetes, high lipids ; strong family history of heart disease, i won't worry about it. Follow up with ur pcp or cardiologist. Take care and mabuhay! http://www.M.Webmd.Com/heart-disease/guide/stress-test--(dupe). Tp://www.Heart.Org/heartorg/gettinghealthy/gettinghealthy_ucm_001078_subhomepage.Js. ...Read more

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What does no evidence of stress induced myocardial ischemia mean after stress echo but abnormal exercise stress at 9.1 mets? Reached 94% of hr.

Talk to your doc: The "stress" portion of your stress test appears to be normal, as you reached a reasonable stress (9 mets), reached target heart rate and no ischemia was demonstrated. However, there may be "resting" abnormalities on the echo, hence it was called abnormal. Discuss with the ordering physician. ...Read more

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Small myocardial infarction with Small -medium pharmacologically induced myocardial ischemia in that distribution. What are the the implications?

Small myocardial infarction with  Small -medium pharmacologically induced  myocardial ischemia in that distribution. What are the the implications?

Reversible defect?: If you're describing what we term a "reversible defect", wherein the heart seems OK at rest and not OK when stimulated (by exercise or medication), then this would mean that area of the heart is still vulnerable to damage (heart attack). This needs to be addressed and treated. You may need cardiac catheterization to define the anatomy of the vessel supplying that area with blood. ...Read more

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I am 39yr of age my tmt report show mild positive to reversible ischemia and my 2d echo report is normal and ecg and pft is also normal. hdl is 65?

Ischemia.: The unfortunate thing here is that young women can potentially have heart disease - we often overlook this possibility. So we should not take this finding of reversible ischemia on your stress test lightly, despite your high HDL. More testing is needed. ...Read more

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Stressechoresults: abn stress ECG at 9.1mets, normal exercise stress echo with no evidence of stress induced myocardial ischemia. What does this mean?

Stressechoresults: abn stress ECG at 9.1mets, normal exercise stress echo with no evidence of stress induced myocardial ischemia. What does this mean?

Probably normal: The ECG is accurate about 70-80% of the time in diagnosing cad. Adding stress echo or nuclear imaging improves accuracy to above 90% when patient reaches his or her target rate. ...Read more

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How common is an ANA 1:640 in centromere pattern? Is it common to have vascular symptoms of raynauds, digital ischemia and stenosis in toes and exercise-induced pH w/o developing skin thickening?

Somewhat: ANA in titers of 1:160 occur in up to 10 % of the population as does raynaud's, especially in smokers. However, digital ischemia is less common and more concerning as is the ph. You should definitely see a doctor for these if you are not already doing so. ...Read more

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Which calcium channel blocker is most effective for severe raynauds, digital ischemia and exercise-induced pulmonary hypertension? I take 7.5 mg amlodipine but now wondering if diltiazem was better.

Which calcium channel blocker is most effective for severe raynauds, digital ischemia and exercise-induced pulmonary hypertension?  I take 7.5 mg amlodipine but now wondering if diltiazem was better.

Unsure. But: You can always try and see which one works best for you, with the support of you doc. There are many issues that vary the results among different calcium blockers including different absorption and metabolism from a patient to another. We usually use amlodipine but you can tell better if Diltiazem feels more effective for you. Would discuss with my doc regarding a possible switch trial. ...Read more

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My treadmill test positive for provocable ischemia with rescued specificity....What does it means?What can I do now?

More info: Not sure exactly what type of test was done and why a young pt like you was stressed. If no imaging was used i suppose a stress test with ecocardiographic imaging would be helpful. How far did you walk and what are your risk factors would be helpful as well. ...Read more

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What does a positive stress test for pro-vocable mayocardial ischemia mean?

What does a positive stress test for pro-vocable mayocardial ischemia mean?

Blockage: It means that when your heart needs it, your arteries are incapable of delivering blood evenly and sufficiently to all of the heart muscle. This often means blockages in the heart arteries. Your cardiologist can tell you more. ...Read more

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My stress treadmill test positive for provocable ischemia with resuced specificity...What can I do now?

Heart cath: Go see a good cardiologist, he/she will review test and may recommend a heart cath. ...Read more