Looking for some idea about PET scan results

I am a 64 year old, white, female, not really active, but don't just sit all day. Have been feeling fatigued and short of breath for quite a while. Pulmonary dr. did Pulmonary Function Test and Chest CT Scan, all good there. I saw my cardiologist and he ordered a nuclear PET stress test. Results follow. I have noticed on my PCP records that over the past 3 years or so my resting HR is in the 70's or 80's at their office. Bad cardiac family history. I also have mitral valve insufficiency; scheduled for echocardiogram on 02/26/2020. Any reason to be concerned?
Reason for Appointment
1. PET - SP
Vital Signs
Wt 150 lbs, Ht 61 in, BMI 28.34 Index, BP 106/66 mm Hg, HR 70 /min, Oxygen sat % 99 %.
Examination
Stress Test:
Nurse: Bill Farmer, RN.
Technologist: Robin Jones, CNMT.
Ordering Physician: Dr. Pasupuleti.
Interpreting Physician: Dr. Pasupuleti.
Study Quaility: Good .
Procedure: Cardiac Positron Emission Tomography: The patient underwent a stress test utilizing 0.4mg of IV Lexiscan infusion over 10-15 seconds. The patient experienced stomach pressure during the procedure and received no medications. The patient had a myocardial perfusion imaging performed using same day imaging protocol, with the injection of 30.0 mCi of Rubidium-82 at 30 seconds into Lexiscan infusion, and the injection of 30.0 mCi of Rubidium-82 at rest. Imaging was performed by gated resting and gated stress technique ,.
Data Summary:
TID: 1.06
Resting EDV: 47
Resting ESV:5
Resting EF:88%

Stress EDV: 47
Stress ESV:4
Stress EF: 92%

Baseline BP:103/66
Baseline HR:70
Peak Stress BP:76/46
Maximum HR Achieved:94 .
Exercise Level: N/A .
*Pre-Stress EKG: Normal Sinus Rhythm .
*Stress EKG: Normal Sinus Rhythm , No ST changes.
*Arrhythmias observed None .
*Resting Left Ventricle size Normal .
*Peak Stress Left Ventricle Size Normal .
*Right Ventricle appears Normal .
*Post stress global LVEF is Normal .
*FINDINGS:
1. small reversible myocardial perfusion defect noted in the basal anterior wall (area of reversible ischemia 3%).
2. Normal wall thickening.
3. Normal LV systolic function..
*CONCLUSIONS:
1. small reversible myocardial perfusion defect noted in the basal anterior wall (area of reversible ischemia 3%). Low risk stress test.
2. EF 88%
3. Normal LV systolic function..
Assessments
1. Anginal equivalent - I20.8

Thanks for the information HT. I tend to be overly worried at times. Have a great day.

Hi HT,
Thanks for checking in...going tomorrow for Echo. Should know more then. Hope you are doing well and that your weather wherever you are is not too cold. I am in FL, turning colder and going to rain here today.

Hi again HT,
I had the echo but do not know the results yet. I found some old notes from the prior Echo I had and it mentioned mild pulmonary hypertension. I am pasting it here so you can see also. Not sure my doctor is reading all this stuff....
Reason for Appointment
1. Patient follows up from September 2017 for chest pain and valvular heart disease.
History of Present Illness
LVEF Recordings:
Based on - ECHO.
Ejection Fraction
Result (%) 60
Date : 04/19/2018
Electrocardiogram (ECG):
The electrocardiogram (ECG) was done for cardiac evaluation 09/15/2016.
Follow-Up Visit Note:
Patient is a 62-year-old female
With history of valvular heart disease, hypertension and hyperlipidemia comes today for follow-up.
Since last appointment she has been doing very well and denies any symptoms of orthopnea PND. No symptoms of exertional chest pain or exertional dyspnea. No symptoms of palpitations. No episodes of syncope.
She had an echocardiogram last year at Shands hospital and I reviewed the report. LVEF is 65% with trace MR and mild pulmonary hypertension. I discussed the test results with her.
She was switched from atorvastatin to rosuvastatin and since then both her LDL and triglycerides have improved. She denies any further episodes of angina.
Vital Signs
Wt 159 lbs, Ht 61 in, BMI 30.04 Index, BP 98/83 mm Hg, HR 83 /min, Oxygen sat % 98, Wt-kg 72.12.
Examination
General Examination:
GENERAL APPEARANCE: in no acute distress, alert.
NECK/THYROID: neck supple, full range of motion, no cervical lymphadenopathy .
HEART: regular rate and rhythm, S1, S2 normal, no murmurs .
LUNGS: clear to auscultation bilaterally .
ABDOMEN: soft, nontender, nondistended, bowel sounds present, normal .
Extremities no clubbing, cyanosis, or edema .
NEUROLOGIC: nonfocal, motor strength normal upper and lower extremities .
Assessments
1. Mitral valve regurgitation - I34.0 (Primary)
2. Chest pain - R07.9
3. HTN (hypertension) - I10
4. HLD (hyperlipidemia) - E78.5

Post Edited (curious74432) : 2/29/2020 8:55:54 AM (GMT-7)

Hi HT,
So you are in Australia. I have always thought that to be a very interesting country/continent. Never been but hope to someday. I was so sorry to see all the fires you had and hope that they are done with and things are getting back to normal for everyone there. Cholesterol numbers are good still. No results yet on Echo. Probably concerned for no reason. I hope you have a good evening. Take care. You stay strong also.

Thanks HT. I will quit stressing and just relax and wait to see dr. and see what he says about it all. Very confusing stuff, BP, EF, cholesterol numbers, etc. Too much stuff for me to figure out. So glad the fires are out and hope that never happens again. You stay strong too!