<s>[INST] 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 stone(single).wt 72.5kg ht 168 cms. bp 103/80 and on amlodipine  mg since TMT done on advise of doctor.what is my problem ? what should i do/ [/INST] 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 that's not available directly angiogram.  Also, you may decrease the dose of Amlodipine as maintaining blood pressure above 110/70 would be optimum.  Regards Chat Doctor.  </s>