Hello Doctor, I have Echo report of my Dad who is 80 years old. Can you please suggest if it is something alarming and we need to go for an invasive procedure, He is suffering from a Chronic Renal Failure, but is not on Dialysis. his creatinine is 1.6. Here is the Echo report: IVS(d) 1.1 cm          LV(d) 4.2 PW(d) 1.1 cm IVF                INTACT IAS                INTACT AORTA                3.1 cm Pulm Veins           NORMAL Pericardium          NORMAL SVS / IVC / CS          NORMAL Doppler Study Mitral Flow          E = 0.69 m/sec          A = 0.92 m/sec Aortic Flow          1.17 m/sec Pulmonary Flow          1.0 m/sec                     RVSP = 31 mmHg Pulm Venous Flow          color doppler                     MR     TRIVAL                     AR     ABSENT                     TR     TRIVAL                     PR     ABSENT                     SHUNTS                     OTHERS Hemodynamic Data CONCLUSION: NORMAL SIZE CARDIAC CHAMBER NO RWMA SCLEROTIC AV/MV GOOD LV SYSTOTIC FUNCTION LVEF = 60% GRADE I DIASTOLIC DYSFUNCTION TRIVIAL MR/TR, RVSP = 31 mmHg NO PERICARDIAL EFFUSION