I am male, 74 years, 62 kg. Was told that there was 'murmur' in heart during routine checkup 12 years ago. 'Echo gram' then indicated 'mild' prolapse of Mitral valve. Four years later, echo indicated moderate MVP. One month ago, echo reveals moderate to severe eccentric jet mitral regurgitation, anterior and posterior mitral leaflet appear thickened, healed vegetation attached to anterior mitral leaflet? Flail posterior mitral leaflet? Mitral annular calcification, Aortic valve sclerosis, trivial aortic regurgitation, no significant aortic stenosis, trivial tricuspid regurgitation, no significant pulmonary arterial hypertension. Normal BP and lipid profile. Not diabetic. No symptoms till recently. However, now feel slightly breathless when I take stairs for 2 floors or when I walk for more than 1 km or do anything strenuous. What is prognosis? Is there medication for this condition. Would prefer to avoid surgery for valve repair or replacement. Your advice. Am on Ecosprin 75, Dynapres 0.4 and 5 mg Atorva only.