Fit female questions shortness of breath

DEAR DR. GOTT: I am concerned about blocked arteries. I am 60 years old, 5-feet-5, and weigh 115 pounds. I exercise three times a week, do 400 stairs a day, and walk two miles. My total cholesterol is 180, and the good/bad ratios are within good limits. I don’t have any problems with my blood pressure. I have an annual physical exam and blood workups.

However, lately, when doing my stairs, I experience occasional shortness of breath. I have a family history of stroke through my mother and father. Could I possibly have some type of blockage, even though all signs and tests appear normal? Should I request a stress test at my next physical?
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