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What does my father's Echo report indicate?

Q: My 51-year-old father underwent an Echo test. His report says no LVRWMA, no LVDD, mild MR, sclerotic AOV, trivial AR, good LV function, EF=60% and his TMT is positive at 4.6 mets. What does this mean?

A:TMT positive at 4.6 mets generally indicates decreased blood supply to the heart due to blockages in the arteries. If the patient is asymptomatic, it is wise to have a double check with stress thallium test.

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