Doctor insights on:
Tmt Is Negative For Inducible Ischemia
Test specificity: The ett is just a test. Like all tests, it has its strengths and weaknesses. At best, it is no better than 80% accurate. The coronary angiogram, which is also a test and thus imperfect, is the gold standard to which the stress test is measured. Example: the national weather bureau forecasts rain. It doesn't rain. What happened? (they were wrong!). ...Read more
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 moreSee 1 more doctor answer
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
How accurate are nuclear stress tests, and what does a negative result mean? No ischemia? No detectable ischemia?
Good, not perfect: You've asked an excellent question about which books are written. The accuracy depends on the likelihood that pathology is present and the prevalence of the disease in the population studied. Broadly, a negative test is 80% accurate but can lower your chance of disease from >60% to <20%. Practically, let your doc decide for you based on your unique issues whether more tests are indicated. ...Read more
Stress test stated moderate to severe ischemia anterior/apical. Heart cath says stress test false p,no blocks,but mild elevated EDP/LBBB. Is this causing dyspnea and exercise intolerance? Help?
Yes: Elevated EDP indicates left ventricular dysfunction. You did not report what your ejection fraction (EF) is - it's crucial. Your EDP may be elevated from systolic and/or diastolic dysfunction. Moreover, LBBB causes dys-synchrony which further compromises LV function. Both abnormalities you list will result in impaired functional capacity manifested as exercise intolerance. ...Read moreSee 1 more doctor answer
Heart attack: With unstable angina the cardiologists do not like to do a stress test because the stress on the heart could precipitate a heart attack. If they need to examine the heart in someone with unstable angina they are more likely to do a coronary angiogram so they can look directly at the vessels without stressing the heart. Also with the do the angiogram they may be able to place a stent for treatment. ...Read more
Stress test stated moderate to severe ischemia anterior/apical. Heart cath says stress test false p,no blocks,but mild elevated EDP/LBBB. EF 55%. Doc says nothing to worry about no restirctions. Y?
Yes and no: EF of 55% is normal. Your breathing issues are due to diastolic dysfunction, dys-synchrony, and (by inference as there are no direct tests) small vessel CAD. You're not at risk of a classical heart attack (MI). There are no restrictions. I would vigorously treat blood pressure with an ACE inhibitor, and urge you to use a statin regardless of cholesterol level, and take 81 mg of aspirin daily. ...Read moreSee 1 more doctor answer
Positive stress: A stress test is generally done to determine if heart disease symptoms are related to actual heart disease. Sometimes people at risk for heart disease, but being prepared for stressful procedures like surgery, will have a stress test done. If a stress test suggests ischemic heart disease, generally, further evaluation, like a heart cath, should be done to confirm its presence. ...Read more
False positive: If stress test was positive and the angiogram negative (normal) you do have a false positive stress test. If they ever do stress test again be sure they do it with other image modality (nuclear medicine or echocardiograp[hy). These test will make the stress test results more specific and sensitive. Hopefully, with a negative angiogram, you may never need another stress test ...Read more
Hello Doctor, recently I(boy,26)did a ETT test where, in conclusion it said " ETT is negative for provocable myocardial ischaemia". What does it mean ?
Is kft & lft is required after angiography test (done) for a patient suffering from abnormal angina/rapid heartbeat and high bp?
Labwork? Yes: By kft and lft I am assuming you mean kidney function tests and liver function tests. Only kidney function tests need to be monitored as the contrast used for the angiogram can affect the kidneys. The doctor ordering the angiogram should have already checked the labwork prior to the study. I hope that helps. ...Read more
Recently during my annual health checkup I have gone tmt test , the result is "test is positive for provocable myocardial ischaemia".What this mean.
My stress test results read " positive exercise stress test for ischemia by EKG criteria. What does that mean?
This means that the: EKG portion of your stress test had changes in the waveforms that have been known to be associated with blockages of the coronary arteries. Unfortunately, greater than 15% of the time this is inaccurate in women. Less than 5% of the time in men. This is why we always do stress testing in women along with nuclear imaging. If the nuclear imaging is negative then the EKG changes are FALSE positive. ...Read more
My stress treadmill test positive for provocable ischemia with resuced specificity...What can I do now?
My treadmill test positive for provocable ischemia with rescued specificity....What does it means?What can I do now?
I had a stress test yesterday. the final impression is ' stress mildly positive for ischemia at adequate workload " pl explain?
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 moreSee 1 more doctor answer