Conversation: The conversation between human and AI assistant.
[|Human|] client is female, aged 54 YO, complains of shortness of breath, anxiety,headache, investigations done blood sugar is normal, what happens if TMT is positive but the patient have no complain of blood pressure, diabetes, her sugar level is normal, cholesterol is 204 mg%
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. TMT (trade mill test) can be positive with normal blood pressure, lipid level and sugar levels. Positive TMT is suggestive of coronary artery disease (CAD) Stress and anxiety are independent risk factors for heart diseases like CAD. And risk of CAD is high in post menopausal woman (54 years). So your client should be evaluated for CAD. So ask her to consult cardiologist and get done Coronary angiography to rule out CAD. If there is obstruction then she will need stenting or bypass procedure depending on the angiography report. Hope I have solved your query. I will be happy to help you further. Wishing good health to your client. Thanks.