Conversation: The conversation between human and AI assistant.
[|Human|] my doctor told me i have sinus tach, poss POTS, AORTIC INSUF. I AM ON TOPROLXL 100MG TWICE A DAY. I HAVE CHEST PAIN AND MY DOCTOR SAID IT IS ATYPICAL NOT HEART RELAIED. IHAVE A HEART MURMUR THAT I HAVE BEEN TOLD IS A GRADE 4 WHAT DO I DO? I AM 56 YEARS OLD I WEIGH 125 AND AM 52 NO OTHER HEATH PROBLEMS
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. Heart murmurs are sound coming from heart due to turbulent flow of blood. Normally blood flow in the heart don't make any sound. But when there is turbulence in the flow of blood (mostly due to valvular diseases), murmur is heard. Since you are having aortic insufficiency (aortic regurgitation), this is the likely cause or your murmur. Grade 4 murmur is suggestive of severe valvular defect. So better to consult cardiologist and get done expert 2d echo to know the severity of aortic regurgitation. If it is severe then you will need surgical repair of this aortic valve. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.