I am a 35 year old female w/ mitral valve insufficiency. I also have what appears to be refractory hypertension. One year ago, when hypertension was dx, an echocardiogram indicated only mild regurgitation of the mitral, aortic, and tricuspid valves. My physician, at this time (EP for pacemaker), said this would go away once BP was controlled. Over a year later, despite seeing a hypertension specialist and trying many different drug regimines, BP still remains high.