<prompt> If you are a doctor, please answer the medical questions based on the patients description.25 years male,5.8 is my height,61kg is weight,wen i waz in 14 years i hadbad habit of hand pumping,after 1 year i had left it,but i was observing that from then high heart pulpitations,breathlessness,shivering,continious thirsty,hard to study,concentrateplease tel me the solution for my problemis my bad habit reason for it ameating at right timings  <response>: Hello, First the disease is not curable and its a progressive disease. In order to prevent the progression of the disease, injection pen com is given. While other medicine will prevent accumulation of water in lungs and shortness of breath. So they are needed otherwise shell get shortness of breath. Shell need to take medicine lifelong. Secondly at this there is no need of surgery, shell require yearly echo to monitor heart function. If heart function decreases and MR becomes severe she will need valve replacement. Hope I have answered your query. Let me know if I can assist you further. 