Toggle Location Modal

TMT positive but during angiogram test, it was normal. may I know why like this?

J
Jeyasingh
Posted Under Cardiology / Heart, on 22 January 2025
J
Jeyasingh
Posted Under Cardiology / Heart, on 22 January 2025
Write Answer...
D
Dr. Rudrani DholeExpert

Hello Jeyasingh Ji,

Thank you for your question. A positive TMT (Treadmill Test) indicates that there may have been reduced blood flow to the heart during the stress test. However, a normal angiogram suggests no significant blockages in the coronary arteries. It is important to note that coronary angiogram is considered the gold standard for detecting blockages in the coronary arteries. This discrepancy can occur due to several reasons:

Possible Reasons:

  1. Microvascular Angina: Small blood vessels in the heart may be affected and may not show up on a standard angiogram.
  2. False Positive TMT: Factors like anxiety, technical errors, or certain medications can lead to a positive TMT result even without significant blockages.
  3. Coronary Spasm: Temporary narrowing of coronary arteries due to spasms can cause TMT changes.
  4. Other Conditions: Issues like anaemia or electrolyte imbalance may mimic ischemic changes.

Next Steps:

  1. Further Tests: A repeat TMT or a stress echocardiogram can help evaluate your heart function under stress conditions.
  2. Lifestyle Management: Focus on a heart-healthy diet, regular exercise, and stress management.
  3. Follow-Up: Regular check-ups with a cardiologist to monitor your heart health.

Request for Additional Information:

To provide better guidance, could you share:

  • Any symptoms during the TMT (e.g., chest pain, breathlessness)?
  • Medical history (e.g., diabetes, hypertension)?
  • Any medications or family history of heart disease?
Like
6 months ago

Explore More Health Topics

CancerOrthopaedicsPlastic SurgerySexual WellnessHealth and FitnessFood and NutritionGeneral SurgeryWomen's HealthEye HealthOrgan TransplantOthers
Related QuestionsView All

Good morning sir/ madam my mother did bypass surgery manipal hospital NTRVS SCHEME vijaywada in 03-06-2025. after 50 days .my mother heart having two block . AND DOCTOR SAID THAT TWO DES STENTS RECOMMENDED. WHICH HOSPITAL IS GOOD FOR ANGIOPLASTY AND BALLOON DES AVAILABLE FOR PMJAY SCHEME IN ANDHRA PRADESH

D
Dr. Rudrani DholeExpert

Good morning Venkateswarlu Ji,

Thank you for reaching out, and we’re truly sorry to hear about your mother’s condition.  Since your mother underwent bypass surgery recently (on 03-06-2025) and now has two blocks requiring DES (Drug-Eluting Stents), angioplasty is indeed a time-sensitive and critical procedure.

Recommended Hospitals for Angioplasty under PMJAY in Andhra Pradesh

Some reputed hospitals under PMJAY / NTRVS scheme in Andhra Pradesh where angioplasty with DES stents is generally available include:

Vijayawada

  • Manipal Super Specialty Hospital

  • Ramesh Hospitals, MG Road

  • Andhra Hospitals, Bhavanipuram

Guntur

  • NRI General Hospital

  • Ramesh Hospitals, Guntur

Visakhapatnam

  • CARE Hospitals, Ramnagar

  • Apollo Hospitals, Arilova

These hospitals are often empanelled under the scheme, but availability may vary.

What You Can Do Now – Step-by-Step to Check PMJAY-Empanelled Hospitals

Follow these steps to verify empanelled hospitals near you under the PMJAY scheme:

  1. Go to the PMJAY official hospital search page
    👉 https://hospitals.pmjay.gov.in/

  2. Select your State
    Choose “Andhra Pradesh” from the drop-down.

  3. Select District
    Choose your city/district (e.g., Vijayawada, Guntur, Visakhapatnam).

  4. Click Search
    You will get a list of hospitals that are part of the PMJAY scheme in your area.

  5. Check for Cardiology or Interventional Cardiology Services
    Look under the "Specialties" or "Packages" section on each hospital's listing to confirm angioplasty services are offered.

My age is 70 yrs I have typical angina pain please suggest me proper treatment under ABHA card in nagpur

H
HexaHealth TeamExpert

Namaste Draupadi ji,

Thank you for reaching out. We understand that you're experiencing typical angina pain, and we're here to help you find the right treatment and support under the ABHA (Ayushman Bharat Health Account) card.

What is Typical Angina?

Angina is chest pain or discomfort caused when your heart doesn't get enough oxygen-rich blood. At the age of 70, it's very important to take chest pain seriously, especially if it's:

  • Triggered by walking or exertion

  • Relieved by rest

  • Accompanied by fatigue, breathlessness, or heaviness in the chest

This could be a sign of coronary artery disease (CAD), which needs prompt evaluation and treatment.

Treatment Options for Angina

Your treatment will depend on the results of diagnostic tests like ECG, 2D Echo, TMT, or angiography. Based on that, doctors may suggest:

1. Medication Management

  • Blood thinners, nitrates, and cholesterol-lowering drugs

2. Angioplasty (with stent placement)

A minimally invasive procedure to open blocked arteries, often done under Ayushman Bharat (PMJAY) scheme at empanelled hospitals.

3. Bypass Surgery (in more severe cases)

Performed if multiple blockages are present or angioplasty isn’t suitable.

How to Get Treatment in Nagpur under ABHA/PMJAY

You can avail cashless treatment at empanelled hospitals in Nagpur under the Ayushman Bharat Yojana using your ABHA card.

Steps to Follow:

  1. Visit the PMJAY hospital list:
    👉 https://hospitals.pmjay.gov.in

  2. Select State: Maharashtra and District: Nagpur

  3. Look for hospitals with Cardiology or Interventional Cardiology services

  4. Choose a nearby empanelled hospital and book an appointment

  5. Carry your ABHA/PMJAY card, Aadhar card, and any previous reports when visiting

My father is 59 years old and has to undergo bypass surgery ASAP. Can you please suggest a good doctors and hospitals who can accept the ABHA card? What could be a rough amount required for this surgery?

D
Dr. Rudrani DholeExpert

Dear Suvarna ji,

Bypass surgery is a major heart procedure done to improve blood flow to the heart. It’s good that you're planning it without delay. Since your father is 59, timely treatment is essential for recovery and long-term health.

Best Hospitals & Doctors in Pune Accepting ABHA Card

You can find ABHA-linked and Ayushman Bharat empanelled hospitals in Pune by following these steps:

  • Visit: https://hospitals.pmjay.gov.in/Search/

  • Select:

    • State: Maharashtra

    • District: Pune

    • Hospital Type: Both

    • Specialty: Cardiology/Cardiac Surgery

  • Click Search to view hospitals accepting Ayushman Bharat & ABHA-linked treatment.

Notable Hospitals in Pune with Cardiac Care (Often Ayushman Empanelled):

  • Ruby Hall Clinic

  • Jehangir Hospital

  • Sahyadri Hospital, Deccan

  • Aditya Birla Memorial Hospital

  • Deenanath Mangeshkar Hospital

Cost & Insurance Help

  • Bypass surgery cost in private hospitals may vary widely, but under Ayushman Bharat or state health schemes, eligible patients can get cashless treatment.

  • Using ABHA ID helps link health records, but to get free or subsidised treatment, you need Ayushman card or a scheme your father qualifies for.

How HexaHealth Can Support

  • Help verify Ayushman/ABHA eligibility.

  • Connect with top cardiac surgeons in Pune.

  • Arrange cost estimation and possible insurance/EMI support.

  • Book hospital or consultation appointment urgently.

Address
Vianam Healthtech Private Limited (HexaHealth), Third Floor Building B, The Presidency, 46/4, Sector 14, Mehrauli Gurgaon Road, Gurgaon, Haryana 122001
Medical Tests
HexaHealth
Policies
For Patients


Vianam Healthtech Private Limited © 2025. All Rights Reserved.