Hello 47 year old, 2.5 years ago I was diagnosed with MV regurgitation with prolapse. I dont have symptoms like shortness of breath . 6 months before MV diagnose I was diagnosed with High Blood pressure, which I never had in my life. I dont have any major illness . Since visited cardiologist first time , I had 5 echocardiagrams and 2 TEE's , as well as some other procedures like Carotid etc. In those echo's the result was medium/severe mitral valve regurgitation with prolapse My cardiologist kept telling me we should watch and wait , I moved to a new city and now my new cardiologist says I should have the surgery because LV got bigger. He asked for a TEE which confirmed : Severe Regurgitation with posterior leaflet prolapse , likely a fail segment LV: Moderately dilated LA: Moderately dilated I also started to have PVCs (6000 a day) since oct 2021 I wanted to ask whether anyone had similar experience? Any tips? A few things dont makes sense to me. First of all some of the echos said I have posterior prolapse some said its anterior some said its bi-leaflet. 1) How come they cant identify which leaflet? The last TEE says "likely a flail segment" , so they are not sure again whether I have a flail or not 2) The LA and LV sizes were going up and down +- 10%, is this human mistake when measuring? 3) The echo's were alternating between moderate/severe and severe regurgitation, again is this human mistake ? Below are the echo details: 8/2020 echo: EF :57% LA :4.2 cm ( dilated) LVIDd: 5.5 cm Moderate/Severe Regurgitation moderate prolapse of mv leaflets 2/2021 echo: EF: 60% LA:4.3 cm (dilated) LVIDd: 5.1 cm Severe Regurgitation Anterior and posterior prolapse 6/2021 Echo: EF : 60-65% LA:3.7 LVEDD: 5.3 Moderate/Severe Regurgitation with posterior leaflet prolapse 11/2021 Echo: EF : 65-70% LA:4 LVEDD:5 Severe Regurgitation , Anterior leaflet prolapse, thickened leaflets 5/2022 Echo: Dont have all the details but the dr said LV is dilated with severe regurgitation 6/2022 TEE: EF: 65-70% Severe Regurgitation with posterior leaflet prolapse , likely a fail segment LV: Moderately dilated LA: Moderately dilated I started to have arythmias in oct 2021, (after a dinner) , the holter shows 6000 PVC No AF In the past : in 2002-2003, I had arhytmias happening once a month , it was like : my heart rate goes up to 130 for a few mins and suddenly dropping to regular rate. At that time I visited a cardiologist, they put me on holter and stress test. They said everything is good. This artyhmia disapperad in 2006 or so .. 2010, My then primary care dr heard a murmur and asked me if I had any heart problems, I told him the arythmias that happened before. He didnt refer me to cardiologist. Appreciate any tips suggestions