Hello Doctor I am asthmatic and on foracort 400 twice a day along with Montair 10 for allergic rhinitis. For the last few years I have to put some extra efforts to breathe in due to which I get easily exhausted. I also noticed palpitations and pounding heart beats . Most of the time I hear my heart beat clearly and feel on my neck. Some times feel Uneasyness even. Echo report says mild tr and  mild mr. Please suggest whether such mild tr and Mr may cause fatigue and out of breathe or this would be due to asthma only. Thank you