Hello and thank you for using HCM.I carefully read your question and I understand your concern . I will try to explain you something and give you my opinion. I think we are talking about minimal mitral and tricuspidal regurgitation.This means that this two heart valves has a minimal problem, they leak or they turn back the blood.Normaly this should not happen but when it is a minimal regurgitation this is phsiological or it is not something to worry about.If it ks writen moderate or severe regurgitation than you need to follow this problem. According to holter rhythm monitoring, it says that you have some rhythm issues.They ate not significant but you can take medication to controll them. But to prescribe the right medication, if I was the treating doctor I would like to know your age, associated disease, a full blood analyze to exclude electrolyte imbalances,anemi, your thyroid hormones becouse this factors are sometime responsible for this rhythm issues. After this we can decide how to treat the problem Meanwhile avoid coffee and caffeine products becouse they exacerbate your arythmia. Hope I was helpfull. Best regards,Dr.Ervina. .