Do i need to be followed by a cardiologist for my mitral valve prolapse and regurgitation?

Depends: Mitral valve prolapse (mvp) can occur with or without mitral regurgitation (mr). The mvp/mr may be s trace and trivial as to warrent follow up with an echocardiogram every 18-24 months or so. Conversely, it can also be severe requiring more intensive surveillance and attention as to timing of intervention. In the more advanced or severe stages it's best to be followed regularly by a cardiologist.

Yes: Mitral regurgitation, in the absence of symptoms, can cause the heart to become weakened and dilated. If the patient waits until symptoms arise, the heart may be sufficiently weakened and dilated that surgical repair becomes increasingly risky. If the mitral regurgitation is more than trivial, regular visits with a cardiologist and irregular echocardiography would be appropriate.