I am a 33yr female, obese 204lbs, took redux 6+ months, I just had a third echo done which was read at mild to moderate aortic valve regurg, mild mitral valve regurg and trivial tricuspid valve regurg. If you quantitate the regurg using the singh method its shows 56% aortic and 29% mitral which is severe and moderate levels of regurg. Which one is correct? My cardiologist says at the levels he reads the echo at there is no reason for all the complicatons that I am getting and that I am suffering from a case of panic disorder. I have SVT, fatigue, edema (ankles), syncope and near-syncope episodes, and arrythmia's. The arrythmia's and syncope go hand in hand but have not been able to catch a syncope on the monitor. The arrythmia's that I have caught are a run of bigemini(?) PVC's for a run of about 15 sec's and lots of singles and doubles on the PVC's, also, I have caught a tachycardia of 160+ that slowed by throwing a run of 5 PAC's followed shortly by two pairs of PAC's. I have read that in multi-valve disorder especially when the two majors (aortic and mitral) are involved that the semi-quantitive measure of level of regurgitation is often misleading and appears to be less than it actually is and the only way to get a better idea is to use the jet height and volume/volicity as in the singh method. Is this correct? The other findings on my echos show that Im at the upper limits of normal except the LA which is now 4.5 cm and my ef has fallen from 70 to 55 along with my excercise limits. I really need help to understand all this which I dont believe is just a panic disorder.