How should a weakly positive treadmill stress test (TMT) for inducible myocardial ischemia be interpreted and managed in an active patient who has a normal echocardiogram, elevated lipids managed with rosuvastatin and aspirin, and co-existing GERD with a hiatal hernia?
You are active and your echocardiogram is normal. A 'weakly positive' stress test in an active 39-year-old can often be a false positive, especially since GERD and a hiatal hernia can mimic heart-like symptoms. Because you are already taking rosuvastatin and aspirin, your cholesterol and heart health are already being proactively managed. I recommend sharing these results with your doctor. They can help determine if this result is simply related to your reflux, or if a highly accurate, non-invasive test like a coronary CT angiogram is appropriate to give you complete peace of mind.
