It also said she had mild tricuspid regurgitation and mikd left ventricular hypotrophy along with mild RVSP.
Hello and welcome to the forum.
Echo is notoriously inaccurate for the diagnosis of pulmonary hypertension. Moreover, an RVSP of 39 is only mildly elevated. She should be seen by a cardiologist who you trust to discuss her symptoms and her echo results.
If any doctor tries to prescribe medications based on the results of this echo, please run the other way.
Unfortunately, I am unable to comment much more on your post.
Wishing you the best,
Dr. Rich