BACKGROUND

Coronary Artery Disease is one of the leading cause of mortality and morbidity worldwide. Globally, there has been a significant rise in the proportion of women suffer from CAD over the last few decades. Exercise stress testing is the cheapest&easily available investigation for evaluating myocardial ischemiabut has a relatively low sensitivity & specificity. TMT has less prognostic value in females when symptoms are atypical. The aim of this study is to analyze the angiographic profile in TMT positive women presenting with chestpain.

MATERIALS & METHODS

A total of 154 female patients underwent TMT test, of which 100 were TMT positive over a period of 1 year from July 2017 – June 2018. 100 TMT Positive women underwent coronary angiogram in the Institute of Cardiology, Madras medical college,Rajiv Gandhi Government General Hospital, Chennai.

RESULTS

Of the 100 TMT positive female patients who underwent coronary angiogram, 59% had coronary artery disease and 41% patients had normal coronaries. 24% had single vessel disease, 5% had double vessel disease and 15% had triple vessel disease and 15% had minimal CAD. 88% of elderly women (≥61years) had lesion in coronary angiogram.

CONCLUSION

TMT has a high positive predictive value of Coronary Artery Disease especially in elderly female patients.