Is it necessary to go for a TMT test?What does the test report indicate?
Patient: Sir, My father expired just after angioplasty on 7.1.12 , since than I am feeling pressure on my left side -near under arm portion.  Lupid profile conducted.  Tests report normal except uric acid 7.00 . My doctor prescribed TMT . should I go for it or not. (reports Tyroid  TT3 135.36 ng/dl, TT 4 10.00 g/dl, TSH 0.47, Boood Gulucose fasting 74, urine glu. nil. Cholesterol total 145 , HDL 44, LDL 77, VLDL 24, Triglycerides 120, Total cholesterol/HDL ratio 3.2, LDL/HDL ratio 1.7, Billirubin  .. total B. 1.0, Direct B. 0.4 Indirect Bil. 0.6, Alkaline Phosphatase ALP 102 , Aspartate Aminotransferase  SGOT 35 , ALT/SGPT 45, GGT 30 , Total protein 7.00,Alb. 4.5 , Globulin 2.5 , A/G Ratio 1.9, , Blood urea Nitrogen BUN 14.0, creatinine 0.7, Uric Acid 7.0, Sodium (Na) 142 , Potassium 4.8 , Chloride 102 , ESR  11 . CBC  HB. 15.7, Total WBC Count 5000, Neutrophil 50, Lymphocytes 40 , Monocytes 06 , eosinpolhil 0.4, RBC 4.50 , HCT  Haematocrit 41.6 , MCH 34.8 , MCHC 37.7., MCV 92.5 , RDW CV 13.9 , Platelet count 250 , Urine test .. colour Pale yellow , appearance clear , specific gravity 1.015, Peaction 6.0 proteins NIL , Glucose NIl , Bile salts Negative , Bile pigments Neg, Nitrites Neg, Boood Neg, Ketones Absent , urobillinogen Normal , PUS WBC cells 1.2, Urin RBC NIl U. Epithelial cells NILL, Crystals NILL casts NIL , others Nil......  Sir, please advise me . I am hypertensive , taking  .. Domtac, OD , covance D , OD , regularly for the last about 10 yrs., started  recentely Ecosprine 75 mg. , tonect EZ OD ... Due advise in the light of above is awaited.  Thanks .. Dalip Kr. Chhabra 0000t Doctor: Hello  Mr Chabbra,  Firstly I am sorry for your dad's loss . However that put a positive family history of coronary disease. Other risk factor is hypertension.  All the other reports which you have mentioned are perfectly withen normal limits and you shouldn't worry about the same , even uric acid at 7 , no treatment is indicated at present . Now about TMT,  the symptoms you describe are not characteristic for angina , however because of the risk factors which I have mentioned and if you are obese , smoke or have angina stressful life you fall into intermediate risk for coronary event in future , so for you TMT is a good test to rule out underlying cardiac issues.  In TMT they make you run on a treadmill and monitor your blood pressure vitals and see ecg changes . Also any symptoms during exercise is unmasked . So in short they make your heart exercise and check whether everything is ok than . Hence if your TMT is fine you may rule out any critical blocks indirectly.  So yes TMT would be a good test to rule out heart as the cause of the chest discomfort you feel . Hoping I could help . Regards Dr Priyank Mody