LVEF 41% at stress. Reversible ischemia involving apicoanterior, distal anteroseptal. Reduced, non reversible perfusion involving the mid basal. Means?

Abnormal stress trst. Means you need to see a cardiologist for further testing to evaluate your heart for possible blockages in the arteries that supply your heart muscle.
Injury/ Ischemia. Those results indicate an area of scar or u perfumed area in mid basal probably indicating some prior damage to heart. Of more concern is area of reversible ischemia which may indicate blockage in the the LAD distribution of the coronaries. Would discuss catheterization and possible intervention with your doctors to preserve as much LV function as possible, soon!