So things have moved on with my valve issues over the weekend!
Having gone to bed I was woken an hour later by palpitations and a pain my chest. I'd had a bit of breathlessness going uphill this week and have been really fatigued and off my food. Nothing like I had experienced before so 111 and a trip to A&E later I'm now booked for an angiogram and repeat echo and then on the waiting list for valve surgery. Various tests were done (chest xray, ecgs, bloods) and luckily no heart attack and other blood results were fine. I have bigeminy which has increased across more of my heart muscle and my heart is enlarged (which I knew from the TOE). Phew!
Our A&E was really busy with a 2 hour wait in an ambulance and 6 hours before I saw a doctor.
The main thing was I was told off for was not ringing an ambulance earlier as I thought it would 'all go away' so my advice to anyone is don't suffer, get seen and don't worry - the system works - it might take a bit longer that's all! Listen to your body - if it doesn't feel right it probably isn't!
I'll post my journey going forward as this forum has really helped me so I hope it will help others. For me the decision has been made now - did I want to live with increased symptoms in the hope of the medication helping and a keyhole procedure in the distant future or bite the bullet and go for it? - no brainer now and it has been a weight off my mind (even though I'm scared stiff of the open heart surgery).