I have leaky mitral and tricuspid valves from childhood. I am a 46 year-old female, was very athletic at one point. I still excercise regularly but am having problems that are becoming more severe. I have had arrhythmia episodes that coincide with exercise and stress and have learned to avoid these situations. However, I have recently had episodes with no triggers. I had one event where I just suddenly felt faint for no apparant reason and felt that if I even moved the slightest bit my heart would give out. I laid on the floor and didn't move for a long time, maybe 15-20 minutes and may have even slept. Just recently, I was extremely tired and felt like a weight was on my chest for no apparent reason. I bike regularly, but any exercise that is strenuous causes me to become light headed. Even though I excercise, I am not getting better or stronger. I have never smoked, drink alcohol only rarely, and do not take any medication. I went to get a stress test and was required to run on a treadmill to get my heart rate up. It went to the maximum after only minimal effort and I was told to stop and could not complete the test. My MD spoke to me about the test and merely said that I should get in better shape, completely ignoring the fact that I bike regularly and cannot increase the amount of activity because I don't get any stronger. I am not sure how dangerous this is or what tests I need. I don't understand why I excercise and never get stronger. It is almost as if my heart is completely unresponsive. What tests should I get done and what questions should I demand of my doctor, assuming I find one who actually listens to what say?