Conversation: The conversation between human and AI assistant.
[|Human|] Hello Dr Gopi, this is Dr M Dutta from Bnagalore. My father in law has undergone an echo test which suggests that he has severe MR of mitral valve. he is diabetic and under medication. his age is 72 yrs. what treatment would you suggest for him? and how much will be the total cost?
[|AI|]  Hi persevere MR (Mitral Regurgitation) needs to be confirmed by multiple methods on echo as severity can vary and Left ventricular function is also important for determining treatment. Mitral valve repair or replacement (by artificial/prosthetic valve) is recommended for severe MR patients who are symptomatic or have LV dysfunction TMT test can be done if symptoms are not clear coronary angiogram is done before surgery if patient age is more than 40