Title: Study of Correlation of TMT Results with Angiogram Findings in Coronary Artery Disease Predictability in Patients with Angina Equivalents in DAE Hospital

Author: Dr Sridevi Sitaraman

 DOI: https://dx.doi.org/10.18535/jmscr/v12i04.11

Abstract

Introduction

Coronary artery disease is leading cause of mortality and morbidity worldwide. The early detection and treatment of CAD is vital to prevent complications with non invasive tests like stress tests   Exercise treadmill testing (ETT) is a well-validated, inexpensive test that can be used for the evaluation of patients with suspected coronary artery diseases (CAD). In addition to identifying patients who have exercise-induced ECG changes suggestive of ischemia, ETT also provides important data on exercise capacity, blood pressure, and heart rate response to exercise, symptoms, and the presence of exercise-induced arrhythmias. In a person at high risk for coronary heart disease (e.g., advanced age, multiple coronary risk factors), an abnormal TMT is very predictive of the presence of coronary heart disease (> 90% accurate). In the present study ,we studied the patients with changing risk factor profiles along with increasing incidence of CAD in younger population (even as young as 30-35 years),  in females versus males by TMT and also the correlation of TMT results with angiogram findings in the predictability of CAD

References

  1. AHA Guidelines for Exercise Testing: Executive Summary: A Report of the American College of Cardiology/ American Heart Association Task Force on Practice Guidelines (Committee on Exercise Testing): Circulation. 1997; 96: 345-354.
  2. Summary article: A report of ACC/AHA task force on practice guidelines (committee to update the 1997 Exercise Testing Guidelines). J Am Coll Cardiol 40: 1531, 2002.
  3. Exercise stress testing in Braunwald’s Heart Disease, 9th edition, Elsevier; chapter 14; page 168- 197.
  4. Kumar AS, Sinha N. Cardiovascular disease in India: A 360 degree overview. Med J Armed Forces India. 2020;76:1–3.
  5. Sanchis-Gomar F, Perez-Quilis C, Leischik R, Lucia A. Epidemiology of coronary heart disease and acute coronary syndrome. Ann Transl Med 2016; 4 (13) 256 2
  6. Ben-Shlomo Y, Brookes S, Hickman M. Epidemiology, Evidence-Based Medicine and Public Health. 6th ed. Oxford, UK: Wiley-Blackwell; 2013 3.

Corresponding Author

Dr Sridevi Sitaraman MD (Internal Medicine) Physician

Department of Atomic Energy Hospital