I am a 40 year old female with high blood pressure that is controlled by medication and diet. In January I started experiencing some shortness of breath and mild chest discomfort, slight dizzy feeling when standing up or bending over. I first noticed it while at the gym. My primary physician sent me for some testing. Chest X-ray which showed the appearance of small airway disease. I was a smoker but I quit 4 years ago. The myocardial perfusion (stress test) was pretty good, only noted fixed anteroseptal and apical defects which the doctor said was most likely due to breast attenuation. The echo showed mild tricuspid regurgitation, elevated right ventricular systolic pressure, mild pulmonary hypertension and Dilated IVC with poor inspiration collapse which is consistent with elevated right atrial pressure. Chest CT was unremarkable. I have a breathing test this week. I went to a cardiologist as per my doctor’s request, he was mildly concerned with the findings and wanted me to see a specialist. The cardiologist said that yes I have mild pulmonary hypertension but it’s reversible, since I quit smoking, the chest discomfort and shortness of breath were okay and I needed 20 to 25 minutes of vigorous exercise each day and I needed to eat on a set schedule and to make sure I ate a banana every day. He said maybe it was stomach spasms. Other than that I’m a normal weight female so he didn’t see a reason to follow up. I asked if he was sure it was mild pulmonary hypertension and what could I do to help myself and he said just exercise and eat right. My question is should I get a second opinion? I have read that pulmonary hypertension shown on an echo has a high false/positive. Maybe someone who specializes in this disease so I can rule it out. I just want to feel better and this is annoying.