I have a history of AFib since 2002. I had an RF Ablation in 6/18/10. I had an echo in May that showed minimal MVP/MVR. I had another echo on 8/18 that shows MVP with Moderate MVR with multiple jets. My EP states that the PACs I am feeling are still associated with the albation but the fatigue, chest pain, and SOB I feel daily are not a result of the ablation. My regular cardiologist does not seem to be very proactive in resolving this issue. I am 40 years old, a fire fighter, and an endurance athlete. I have stopped all cardiovascular exercise mid May and recently stopped all resistance training to keep any additional pressure off of the mitral valve. I have gone from running over 6 miles a day to being an exhausted couch potatoe. What is my next step?