Conversation: The conversation between human and AI assistant.
[|Human|] Hi This is Jeeva from Bangalore. I am rhumatic heart patient since 1987 onwards. Recently I came to know I have sivere AR and PH. But day to day life and sexual life is normal. I am doing excersie and yoga. Shall I go for operation or medication is enough for this. Please advise me. Severe AR is there since 2007 onwards. due to my life sytle and yoga I am feeling good.
[|AI|]  Hi, You need a surgical intervention when you have cardiac symptoms. Tiredness, breathlessness, chest pain, difficulty doing routine work, frequent lung infection and there is increased pulmonary congestion. Also, check for Ejection Fraction in the echocardiogram report. Less 45 % means you are going for cardiac failure - needs surgical attention. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. R. Raveen