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Heart murmur, PVCs and multiple cardiac risk factors
I cannot believe your doctors don't know about it - even without you telling them, but then, anything is possible I guess. Be that as it may, your new symptoms are of concern and should be evaluated. I also think you are overmedicated with cardizem 240 mg/day and should ask to be have your meds changed for a start. Patients whose ablation procedures have failed are in a special category anyway and should be followed very carefully.
Any testing should include another (stress) echo of your heart as well as other tests. Any echo will automatically include an evaluation of your heart valves and since you have had stress tests before there is no way a valve problem would not have been noted. However, if there is a vlave issue I suspect either a floppy mitral or a bicuspid aortic valve to be the culprit of the heart murmur (unlikely to go away but also unlikely to present a clinical propblem at this point).
Thus, Yes! You need to get going with your doctors!
Hope this helps,
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