Patient: My mother is 66 years old and had an ambulatory ECG during her physical examination in January this year, which said that she had premature beats and ST changes. She often has a very bad cough, especially at night. Sometimes her throat feels numb and dry at night, but it gets better after a while. After the ECG, she has been taking Xin Yuan capsules and Kang Xin. She also has high blood lipids, high cholesterol, plaque in her carotid artery, and takes Atorvastatin and aspirin all year round. There was also a tongue cancer resection surgery last July, which was an early invasion of squamous cell carcinoma, and the doctor didn’t let her do radiotherapy after the surgery, and she didn’t need to take medicine. Cardiac ultrasound examination results: Examination equipment: PHILIPS-Envisor HD Examination site: heart Examination parameters: aortic annulus inner diameter 19mm, aortic sinus part anterior-posterior bead 28mm, ascending aorta inner diameter 38mm, aortic valve opening amplitude 14mm, left atrial anterior-posterior diameter 30mm, main pulmonary artery inner diameter 19mm, right ventricular anterior-posterior diameter 18mm, ventricular septal thickness 10 mm, left ventricular end-diastolic diameter 42 mm, left ventricular posterior wall thickness 10 mm, left ventricular ejection fraction 67%, mitral flow E peak 0.8 m/s, mitral flow A peak 1.1 m/s mitral flow 0.5 m/s, aortic flow 3.7 m/s, pulmonary valve flow 0.8 m/s, and normal range of atrial cavity internal diameter measurements and normal range of ventricular wall segmental thickness on examination The motion was coordinated. The aortic valve had lost three normal leaflet patterns and showed two upper and lower leaflet echos, and no aortic septal echos. The relationship and internal diameter of the aorta were normal. No abnormalities were seen in the pericardial cavity. Doppler examination: mitral orifice flow A-peak > E-peak, aortic valve antegrade flow velocity increased, transvalvular pressure difference 56 mmHg. Suggestions: aortic valve antegrade flow velocity increased at rest. Consider aortic valve functional diastolic function due to left ventricular diastolic function. Ventricular ectopy: Total beats: 689 Independent beats: 584 Triple rhythm beats: 105 Arrests >2.0 seconds Can you please help me to read the report of the examination? If further tests are needed, what other tests can be done besides the transesophageal test? Is surgery necessary for this disease? Cheng Duan, Department of Cardiac and Macrovascular Surgery, Xinjiang Cardiovascular and Cerebrovascular Disease Hospital