should i see a cardiologist?

[musikbox]

I was diagnosed with Mitral Valve Regurgitation, Mitral Valve Prolapse, and Aortic Valve Regurgitation.

I've had high blood pressure for 10 months & chest pain for 9 months. My doctor told me at 24, it wasn't normal to have such high blood pressure (169/119), and constant tachycardia (usually between 120 to 140 beats a minute).

I got an Echo done and my GP said that I have these conditions, and told me I have a click, so I have to take antibiotics before dental work/other procedures.

I asked him if I should go to a Cardiologist, and he said only if I wanted to.

Well, I have a long list of symptoms, which include feeling dizzy, seeing spots sometimes, having pins and needles in my hands, which start at the fingertips, blacking out after getting up from a chair, headaches, constant chest pain, palpitations, feeling out of breath after walking up stairs, etc.

I'm on Lisinopril and Atenelol, because Lisinopril by itself wouldn't keep the tachycardia or the high blood pressure at bay.

Is there anything a Cardiologist can do that a GP can't, in regard to MVP.

[musikbox]

yes, I record my blood pressure.

At 6 pm the other day, it was 141/90.

Usually on Lisinopril + Atenelol, its 110/70 or 120/80.

I just feel a bit worried, because the report from the Echo says I have no left ventricular dilation, and my values (ejection fraction, LVEDD and LVESD, etc) were either normal, or the high side of normal (almost one mm out of the normal range), so I don't want to go, to have a doctor say that it's all in my head.

The latest thing seems to be pins & needles in my fingertips, which kinda *****, especially when it doesn't go away for a good 5 to 10 minutes.

[Encephalomalcia]

With symptoms as severe as yours, a cardiologist would be best to see.  You need a specialist.  To be on a beta blocker with the ace inhibitor is a lot.  This may explain the blacking out when staying up.  Blood pressure drops dramatically when a person stands up and when getting up out of bed.  Most heart attacks happen in the morning when gettin up.  Make sure to sit up awhile in bed before standing up.  Sit up a couple of minutes to let your blood pressure adjust.  Lisinopril studies have been shown that Lisinopril can increase lifespan.  With beta blockers, that have not been proven and sometimes a beta blocker can do harm.  Atenolol does not remain at a constant level in your body.  It peaks and drops.  Are you taking your blood pressure three times a day and recording it?  What is your blood pressure when on the meds?  Usually, chest pains are associated with blocked arteries and shortness of breath is associated with valve problems.  Although, the two medications together could be causing all your symptoms now.  Make an appointment for the cardiologist.  The cardiologist may want to run addditional tests.