<human>: Sir,my Eco cardiography report says:  MVP (P2>A2), MR- Grade III (ecentricc Jet), adequateLV systolic function,LVEF-55%, EDV/ESV-93/39ml, Mitral Annulus-37mmMed taking (not Regularly): ramister 5.embita xr 50, aztor asp 75 now sometimes feel tired , sometimes slight pain in left chest & hand, sometimes pulpitation after physical workDo you suggest further tests like NGO Graphy or other medicne?
<bot>: Hello, I have gone through your query. Thanks for using Chat Doctor. Your echo suggests that you have got Mitral Valve Prolapse with moderate to severe leakage of valve. This may need surgical repair or replacement in the future. Ramistar is the medication which would minimize leakage of valve and Em beta will control your symptoms. You may need Angiography if you are above age of 40 and if you need surgery, As on today you continue same medicine with regular 3to 6 monthly echo follow up, My best wishes Chat Doctor. 