 - Echocardiographic finding of valvular dysfunction stenosis, leaflet thickening or nodules, restricted leaflet mobility, or prolapse, LV dysfunction, atrial or ventricular enlargement, mild or greater mitral regurgitation or aortic insufficiency, moderate or greater tricuspid regurgitation or pulmonic insufficiency, pericardial effusion, or other cardiac pathology as identified by echocardiologist; 