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The ECHO is better interpreted in clinical context, in correlation with examination and others...
You have not stated your age, gender, personal habits, family history or co-morbidities
There is Pulmonary Hypertension
(cause ?) / Leak of all the 4 valves (mild / degenerative?) / Arrhythmia
(Holter is needed)
See your doctor - you need more investigations...
Wishing speedy recovery