I had rheumatic fever when I was 12 years old. I am now 72. The pediatrician who treated me for the rheumatic fever said I had a heart murmur. Since then some doctors have said they have heard a murmur. Most have not heard anything. Because of the rheumatic fever and the doctors hearing a murmur, I have had two echocardiograms over the last 20 years. Both times I have been told I had mild mitral valve regurgitation. There were no recommendations of follow-up. I have had not other signs of heart problems. The last echo cardiogram one was probably 10 years ago. Is this something that should be followed up on regularly as I age? If so, how often. I also have Type II diabetes.