Bill, we've had multiple cats over the years - -in fact, I have one at the Vet's now to have teeth cleaned and treat an abcessed canine tooth. A few years ago, my wife had a very favorite female cat which was also diagnosed with a heart murmur - she did quite well without medicine, died at 14 years old from old age - kidney failure - intestinal blockage.
I'd hold off a little while and see how the cat does. If the murmur worsens, the annual vet visit & checkup may see the difference. Would the proposed medicine prevent the possibility of a VERY unfortunate sudden death?
I really do think most Vets are very caring folks, but often propose all the possible tests in an effort to be as thorough as possible.
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