I am a 35-year-old female with symptoms that include shortness of breath, chest pain (worse with exertion), and exhaustion for approximately 1 year. I had an echo done which showed a small pericardial effusion, mildly dilated right ventricle, and mild tricuspid and mitral valve regurgitation. I had a cardiac MRI and coronary CT which were normal. I had a pulmonary stress test which showed low Vo2. The cardiologists and pulmonologists I have seen do not know what is wrong with me. I am worried I have pulmonary hypertension or another serious cardiac or pulmonary disease. Are there any experts out there with any advice? Thanks.