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

### input:
I recently had a ultrasound on my heart due to palpitations and feeling very fatigued, extremely sluggish, chest pressure, numbness down my arms at times, and feeling like i could not go for days on end. Hard to breathe, etc. The results of my ultrasound came back saying this: Report Pulmonic Valve: Trace pulmonic valve insufficiency is noted. Pericardium: No evidence of hemodynamically significant pericardial effusion is noted. Venous: The IVC is normal in diameter. Conclusion: Otherwise normal echocardiogram. At the time of interpretation, no previous studies were available for comparison. Summary 1. Estimated Ejection Fraction of 55 to 60%. 2. No tricuspid stenosis. 3. Trace mitral regurgitation. 4. Trace pulmonic valve insufficiency. 5. Trace tricuspid valve regurgitation. I would like to know if all this is normal or something I need to be watching or monitoring?

### output:

Hi, Mild tricuspid regurgitation or pulmonary regurgitation or mitral regurgitation may be seen in hematological heart disease or pulmonary hypertension or ischemic heart disease with dilated cardiomyopathy etc. If it is mild no problem but if it is moderate to severe lead to pulmonary edema, palpitations, dyspnea or cardiac failure. So you have to control your blood pressure and diabetes. Regular exercise and eating green leafy vegetables are useful. Please consult your cardiologist, he will examine and treat you with medication to prevent further progression. Hope I have answered your query. Let me know if I can assist you further. 