Symptoms (shortness of breath with/without exertion,
pulmonary congestion, cough, peripheral
edema, palpatations (af), chest discomfort, extreme fatigue), as well as a previously undetected murmur prompted an echocardiogram in July '08. Echo indicated "severe mitral regurgitation" and "moderate pulmonary hypertension." Repeat echo in August indicated only "moderately-severe MR", moderate AR, mild pulmonary hypertension, and mild atrial enlargement.