<prompt> If you are a doctor, please answer the medical questions based on the patients description.I had a mitral valve repair in July of 2009. Last Wednesday at my annual physical my PCP said I had an abnormal EKG he said it showed a possible problem with the right side of my heart . I have felt pressure in my chest especially when I exercise just a little bit when at rest for about the last 6 weeks which I ignored until my EKG result. I have an appointment with my cardiologist in 9 days. What do you think are the possibilities? Thank you in advance for your thoughts. Howard Watt  <response>: Hello, More and exact information about the status of mitral repair and the right heart will be available as we get a 2 D echocardiography done. The cause of the same depends on the reason why mitral valve repair was done. Generally the possibilities are 1 Higher lung pressure causing right valve leak, dilatation or decreased pumping 2 The repair has lived its time as its 7 years, and the disease might have progressed 3 Any new mitral disease 4 In previous era, tricuspid valve was not repaired even if it had moderate to severe disease considering its self healed after mitral repair. So the same may have progressed 5 Fall in function of left beret post mitral repair. There can be Hun Chat Doctor. The treatment for the same is based on etiology. Regards 