My husband is 50 years old. Overweight at approx 265 pounds and is 5'10". His labs show his cholesterol to be 221. Has some HTN and has been on Toprol XL for the past 7 years with good control. BP ranging around 130/86. Non smoker. Not diabetic. Had a father and uncle with coronary artery disease. Only other med is Allopurinol for elevated uric acid. He had chest pain approx 7 years and had nuclear stress done that was normal. He started having chest pain approx 6 weeks ago. Not induced by any activity. Would last approx 45 minutes each time. He could not recreated the pain with activity. Happened enough over the course of 2 weeks that he made appointment and was seen by primary care. That is when labs were done with above cholesterol. Pain stopped after about 2 weeks. By the time he had stress test, he had not had pain for 10 days. Exercise portion went well. Walked 10 minutes. I had a call from the physician that his nuclear portion showed a small reversible defect in the distal anterior wall in the LAD distribution. Said this can happen sometimes and he thinks it best to treat his risk factors and start cholesterol meds and that no other cardiac tests need to be done now. I just want to double check that this is something that shows up sometimes and I am safe just "writing off". Any thoughts?