First the good news... On December 22nd, I had a successful surgical aortic valve replacement (Edwards 25 mm) for the second time (first was in 2014 with I believe was an Edwards 21 mm)) and results from yesterday's echocardiogram regarding that valve are excellent. However, I'm concerned about the section of the report relating to the right ventricle. The report reads "Right ventricle size is normal. Mildly reduced systolic function. TAPSE is abnormal". Right Ventricle Measurements - Dimensions: RVIDd 3cm, TAPSE: 1.5 cm (Range: 1.7)!: Function: RV Free Wall Peak S' 10 cm/s. I found it interesting and perhaps concerning that my cardiologist highlighted the TAPSE measurement and included an exclamation point (which I used red text). This is the first echocardiogram report that I've had over the past several years that showed any abnormalities regarding the right ventricle and am wondering about any short and long term concerns about the most recent report? I'm 71 years old, a borderline diabetic but otherwise in excellent health as prior to my recent surgery went to the gym 3 to 4 times a week lifting weights and doing an hour of cardio. I'm under weight restrictions currently but am now up to walking 3 miles daily at a brisk/aerobic pace. I've tried researching TAPSE abnormalities on line but have found the literature confusing and concerning. I've read terms such as "congenital heart disease", "mortality", etc. and am wondering if this echocardiogram report should raise concerns about my longevity? Also, are there any treatments, medications, etc. should the mildly reduced systolic function worsen? The new valve is 4 mm larger and am curious if that is a factor in decreased systolic functioning? My follow up with my cardiologist isn’t until next week so I’d appreciate The thoughts of forum readers.Thanks in advance!