Waking up repeatedly at night, struggling to breathe. Mitral valve regurgitathion

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Hello, I've just turned 40. Very recently, after echocardiogram, was diagnosed with mild mitral regurgitation. This followed gradual worsening of symptoms after hospital admission for severe skin and joint inflammation and breathing difficulties in Jan '20.

I consider myself quite physically fit, running regularly. Since hospital admission, I have experienced elevated heart rate when exercising (over 200bpm during 'easy' running), huge fatigue, palpations, rash and, most disturbing, frequent nocturnal dyspnea. Echo has revealed mitral leakage.

GP advises I carry on as normal and that it's congenital. I disagree with this hypothesis and feel it's linked to inflammation and infection I had in 2020. Never been diagnosed with murmur and previous echocardiogram in 2011 after pneumothorax didn't flag any issue.

I guess my question is: Do I just go about my normal life and exercise routine and follow GP advice of "business as usual"? Or, should I ask for cardiologist referral due to symptoms I've described above actually getting more severe? Especially the high heart rate at quite easy and low intensity exercise, plus the fact that I'm woken up every night, several times, really struggling to breathe. Your advice would be really appreciated. I'm not someone to panic and fear the worst, preferring just to go with whatever's thrown my way. I just have a nagging doubt that this diagnosis could be progressive, has been caused by inflammation and that there's more to it than the "just get on with it" message my GP has given me.

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Thanks for your help!

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