Dear Doctor,
I would like to seek your advice regarding my 80-year-old father.
In 2025, he was admitted to the same hospital with heavy breathing and discomfort in his lower chest and upper abdomen. He was diagnosed with acute gastritis, and we were told that his breathing difficulty could be related to the gastric problem.
In 2026, he was admitted again with almost identical symptoms, including heavy breathing and chest discomfort, but without pain or cramps in his chest, jaw or arm. This time, he was diagnosed with acute left ventricular failure (LVF).
We are confused as to why similar symptoms led to different diagnoses on these two occasions. He continues to experience these episodes, particularly after lunch and his afternoon sleep.
Could you please advise whether these recurring symptoms could be related to gastritis or acid reflux, or a cardiac condition ?
Hi,
I am 47 yrs ,male with hypertension,on medication Telmisartan 40 mg.
My CT calcium score is 70.
Coronary artery
Agatston score
Left main (LM) 8.2
Left anterior descending (LAD) 32.3
Left circumfex (LCx) 30.5
Right coronary artery (RCA) 0.0
TMT
Stress test is negative .
My BP 140/ 90 remain constant during 9 min TMT
2D Echo
Normal .except ,Left atrium 300 mm
I am on medication for hypertension Telmisartan 40 mg.
Lipid profile,all normal except HDL 34
Please suggest how critical is CT calcium score and overall heart health?
My Triglycerides are 485. Cholesterol 236.I dnt have gestational diabetes. Gestational thyroid on 12.5 mcg. No fatty liver. Hb1ac 5.3. Avg glucose 105. Is it normal in pregnancy or need medication?
In my echo
LA - 40 mm
E/A - 1.5
Tr velocity- 2.3
No pah
Ef- 64%
Lv wall - 1.1 cm
All chambers normal
My concern is why my LA is that bigg like upper limit...does this is a sign of progressing RCM...because I have read that RCM is the one of the reason of increasing of LA...
Please guide
Sir, is it okay to take 30 mg propranolol a day. 10/10/10 mg throughout the day. My bp genreally stays little lower not much without medication. So is it safe to take this much dose in a day? Please replyyy I am having ongoing anxiety
