Im a 47 yr old male, following stress test results.

im a 47 yr old male, 5ft 7 inches at 165 lbs, body type is normal to athletic.
Im a non smoker, [ smoked from about 15 yrs old till about 25yrs old,
cholesterol was below 165 [ good type , bad type  [ don't remember ]
blood pressure has been 120's over 60's for years,

i love to pedal bike, broke my personal record and did 19 miles in 2 hrs this summer,,
run on tread mill a minimum of 3 nights a week for 35 minutes,, usually 2 to 2 1/2 miles,
eat meat about 2 times a week.

my dads brothers all had heart attacks in there fifties [ 3 of them ] but my dad is living at 80,, he did have a bypass in his 60s but smokes and drank heavy his entire life..

I had chest discomfort about 1 1/2 months ago, [ about 2 days after getting a flu shot ] and coughing up some mucous, ,, pcp put me on inhaler steroid and mucinex,, also did a chest X-ray and said it looked like " i had something going on with bronchial,,

after 1 week of inhaler chest pain was gone and i was / am back on the tread mill as usual.. no chest discomfort at all..

as a precaution pcp ordered a stress test:
Results surprised me and were as follows:

Nuclear Scan:
STRESS IMAGES:  There is a extremely mild perfusion defect noted along the anterior wall. the remaining segments of myocardium perfuse normally.

Rest Images:
there is some improvement in the above noted perfusion defect and this is consistent with very mild ischemia, most likely in a diagonal vessel.

Gated Cine:
Demonstrates normal systolic function with normal wall thickening. Ejection fraction is 58%

Impression:
1, extremely mild reversible perfusion defect noted along the anterior wall that suggest mild ischemia, most likely in the diagonal distribution.
2. normal gated cine with normal systolic function. Ejection fraction is 58%

[chatvmax]

what do you think is my next step.?,,
should i ask for another stress test,,? could this be a false positive??
should i get a cath to be safe..?
is there any tests just as accurate that could be a good next step...??

[jim62]

I think if those were my results, I'd breathe a big sigh of relief and go on about my business with a big smile on my face.

False positives are pretty common on stress tests.  I think the next likely test would be an angiogram........

[Momto3]

I am not a doctor, but your overall, your results look good.  I'll bet you can attribute a lot of the good news to your overall excellent health.  You have a terrific exercise program and have done a great job at minimizing your risk factors.  Kudos to you!!  Keep up the great work.

Normal systolic function and an ejection fraction of 58%, within the normal values (55-70), is good.

The fact that your "extremely mild" perfusion defect is reversible is great!  Did the doctor mention what you can do to reverse the defect?  My guess is to continue doing what you've been doing!  Great job!

[Andyprius]

All your readings sound very good. Until you have a specific heart problem I would not worry at all. The only area that you  might think about is the relationship of your height and weight. Your exercise routine is superb! Andy