Conversation: The conversation between human and AI assistant.
[|Human|] I hve been diagnosed " TMT positive for provocable mycrocardial ischaemia" Exercise tolerance is GOOD. Normal  BP response. Pl let me know the consequences of the remarks and any medicine required. I am otherwise leading a good normal life. I am 65+ yrs old. Thanks
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. TMT (trade mill test) positive is suggestive of decreased blood supply to heart in exertion. And most common cause for this is coronary artery obstruction. At your age of 65 years coronary artery blockade is common due to atherosclerosis. So you should definitely get done Coronary angiography to diagnose blockage. If blockage is there then you will need stenting to open blocked coronary artery. By doing this, we can restore blood supply to heart. So angiography is not only diagnostic, but it is also therapeutic. You should also start antiplatelet and anticoagulant Chat Doctor.  If you don't start treatment, you may end up in heart failure and sudden cardiac death. So better to consult cardiologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.