###Human: Can my height and weight play a role in aortic regurgitation? ###Assistant: Hello. I have evaluated your echo report. In your case, the echo clearly shows that AR (atrial regurgitation) is due to a localized prolapse of the anterior half of RCC (right coronary cusp). So it is not due to coaptation failure. By general rule, tallness has nothing to do with AR although there is a relation of large arm span (Marfan) associated with dilated aortic root producing AR. According to the guidelines, aortic stenosis should be surgically managed if associated with LVEF (left ventricular ejection fraction) less than 40% and dilatation of left ventricle cavity. Since you have only mild left ventricle dysfunction as of now, it is a wise choice to defer surgery. Grade 1 diastolic dysfunction is normal with someone with moderate AR. I would suggest changing Atenolol to Metoprolol sustained release 50 mg twice a day. For more information consult a cardiologist online -->