### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello sir!My wife aged 25 years is having murmurs hence i consulted a cardiologist. He asked for 2-D Echo and an ECG which showed that she is having RHD with moderate MR with mild MS with trivial AR. the diameter of MVA is 1.3 cm2 and ecg shows p mitrale. Cardiologist started digoxin 0.125 mg od, frusemide 20 mg od and pentids 800 mg od. My wife is having mild breathlessness and palpitations on exertion. My cardiologist opines that pregnancy is high risk and nothing to do at present and advices valve replacement in future when symptoms develop. Please give your opinion.

### output:

Hi, This is Chat Doctor.  Moderate MR with mild MS does not require surgery at present, but it may progress in future & may require surgery. She will have mild breathing difficulty which is a normal disease natural history. Necessary medicine she is already taking. Pent ids is an oral penicillin which will prevent further damage to valve & has to be taken life long. Palpitations are also very common & these type of patients may developed irregular heart rate called AF which she is also prone to developed as she has a P Mitral in ECG which means enlargement of a chamber of heart (Left Atrium). Pregnancy is not contraindicated & can be proceeded with close monitoring of a cardiologist. But if the pulmonary pressure is higher than the pregnancy will be high risk. We also give beta blocker to such patients. So remember to ask this with your cardiologist on your next visit. Rest don't worry, be in regular follow up with your cardiologist, do echo every 6 months & keep taking the medicines, and she will be fine. Thanks