<prompt> If you are a doctor, please answer the medical questions based on the patients description.i m 69 yrs old havingTMT done brfore one yr which reported as exercise induced ischemia.I was smoer left since three and half yr. i have silent gall stonesingle.wt 72.5kg ht 168 cms. bp 10380 and on amlodipine mg since TMT done on advise of doctor.what is my problem ? what should i do  <response>: Hello, The result of TMT is positive though exact TMT report will help grade it further, plus you have higher risk considering your age, smoking hypertension. It means when you exercise your heart is not able to supply enough blood leading to ECG changes. If the changes came at low level of exercise during TMT, you should consider evaluating it further with a perfusion scan or if thats not available directly angiogram. Also, you may decrease the dose of Amlodipine as maintaining blood pressure above 11070 would be optimum. Regards Chat Doctor. 