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?

DEAR READER: Yes, you should. While you don’t mention your diet, I can only assume it is a healthful one. Otherwise, it’s likely that your HDL, LDL and total cholesterol levels would be out of the normal range. You mention routine exams and lab work but don’t indicate that you have ever had a baseline EKG. You exercise extensively but have a positive family history that could be of concern. And you are 60. My guess is that you are a young 60, but because you even question the possibility of blocked arteries, you should request a stress test. Your physician should order one because of your age and the shortness of breath.

A final possibility is that your problem is arising directly from your lungs. Request a chest X-ray and evaluation for possible pulmonary disease.

To provide related information, I am sending you a copy of my Health Report “Coronary Artery Disease.” Other readers who would like a copy should send a self-addressed stamped No. 10 envelope and a $2 check or money order to Newsletter, P.O. Box 167, Wickliffe, OH 44092-0167. Be sure to mention the title or print an order form off my website at www.AskDrGottMD.com.