I had OHS for aortic valve replacement last September along with a pacemaker at age 78. I have exercised and always led an active lifestyle. Being back on the golf course in April was an encouraging sign of my recovery. A few weeks ago I ended up in the ER with chest pains and high heart rate. Many tests done and the echocardiogram showed the tricuspid now at 3+ (moderate to severe) and pulmonary hypertension. The aortic valve was great and EF 60. The tricuspid has never been an issue before for me. Any advice, suggestions or recommendations from fellow heart warriors would be appreciated.