Please interpret my Echo Report Normal LV with normal systolic function No segmental wall motion abnormality seen Normal Mitral and Aortic vavle Normal sized RV. No PS Normal Pulmonaric and Tricuspid valve No pericardial effession seen No LV clot seen No Vegetation seen RVOT= 14 mmHg Normal Diastolic function E = 1.11 m/s: E/A=1.35 E/E= 13 A=0.82 m/s: DCT = 73 m/s IVRT = 53 m/s (74+-7) Estimated RV/MPAP = 30mmHg EF= 60% TR Mild with Mild PAH During the test patient has Fast HR (Other all values are in normal range) except TAPSE = 28mm S wave = 14 cm/s * Fast HR was from my anxiety. Because I'm too anxious and suffering from anxiety disorder from past 5 months. The question is this, that i really have PAH or it is just  misdignosed due to fast HR which put pressure on this? I don't have any symptoms except a short episode of PVC and little fast HR for a short period. my resting HR is 50 - 65 BPM. I'll be very thankful for your kind replay. Thank you so much.