<s>[INST] i went to renew my lipitor and for the first time the dr said she heard a slight murmor. i was sent for an eco and that night the doctors office called and said i should at some point see a cardiologist since it sounds like i havean insufficient valve closing possibly? i am 59 5.7 150 in good shape work out etc...should i be worried,i will make an appointment because at 59 i should have a cardiologist i would think?? [/INST] Hi defective valve closure is called stenosis of valve there are four valves in your heart, you have not mentioned which out of four valves are stenoses and what's the degree of stenosis is it mild or moderate or severe. The treatment and prognosis varies from valve to valve and degree of stenosis .yes you should be worried about it, and get appointment as soon as possible and should start the treatment according to the severity of stenosis for any other comment in need to see the reports of your 2D echo, because without knowing which valve is involved it's very difficult to make any comment on prognosis and treatment.according to the severity patient can be managed medically or can be advised surgery thanks </s>