Its not unusual nor a concern to have some valve leakage. If your
heart rate is sustained over 100 at rest, that could indicate a medical problem. I'm not sure what you mean by pulmonary "tension", but I assume pulmonary hypertension.... If pulmonary hypertension is present, further evaluation may include assessment of oxygenation, pulmonary function testing, high-resolution computed tomography of the chest, ventilation-perfusion lung scanning and cardiac catheterization...