Patient: exertional chest tightness and dyspnea for more than 2 years. ultrasound diagnosis on March 31, 2008 revealed: 1. possible mitral tendon rupture, posterior leaflet prolapse and severe mitral valve insufficiency. 2. 2. Left ventricular systolic function at rest was measured in the normal range and showed pseudohypertension. The patient is now being treated for gastric ulcer. I am taking some cardiac drugs. He intends to have heart valve surgery after he is cured of his stomach disease. My father had a cerebral thrombosis in 2002, and after treatment, he has basically recovered. However, the blood clot still clogs his blood vessels slightly. In March 2008, my father was diagnosed with rheumatic heart disease, severe mitral valve insufficiency, and needed surgery. However, since my father suffers from many of the above diseases, he is very weak and old (50 years old), so we would like to ask the doctor if, according to the above description of his condition, he does not need to undergo surgery and take medication. What are the best medications to take for the above conditions? Yao Jianmin of the Heart and Lung Center of the General Hospital of Beijing Military Region: As long as the patient does not have serious lung, kidney and liver dysfunction, severe mitral valve insufficiency and symptoms of cardiac insufficiency such as shortness of breath after activity, in principle, need to operate as soon as possible, before surgery, you can use some cardiac diuretic drugs and actively control blood pressure. Hypertension and gastric ulcer are not absolute contraindications to surgery, but the weakness of the body is related to the cardiac insufficiency caused by valvular insufficiency.