Hi, I am a 38 year male. i have had MVP since early teens which doctor explained is due overgrowth during preteens. Earlier this year after consuming energy drink i noticed very fast heart beat. Couple of weeks later it became a monthly occurrence with occasional palpitations. After visit to the doctor & echo in April'06 he diagnosed Valve leak. I was prescribed Concor 5mg (morning) & Tritace 2.5mg (night). The palpitations continued occasionally. Next visit the doctor prescribed additional later afternoon medication Marevan 3mg. Yesterday after follow up echo i was informed the leak is slightly increased and there is a slight enlargement of the heart from 5.5 to 6 ( i didn't understand it) He has asked to continue the medication and advised valve repair surgery. Currently i face a little breathing difficulty if i climb stairs. Cough is occasional. Is the surgery required? Natural remedy? Should the medication continue