Bidirectional Glenn Shunt

Health Q&A
Lower chest discomfort

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 ?

CT calcium score is 70

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?

Mitral valve DT time

In my echo ...DT time shows 941 ms... Which is extremely high...what is this... Something serious In echo it says normal Please guide

Regarding bp issue headache with bp medi

I am taking ctd t 12.5:80 and ciplar la 40.but feeling dizzy and suffering from headache most of the time.previously taking amloz at. But bp one day shoot upto 180/110 . doctor changed the medicine.but not comfortable.please suggest

1 Stent implantation last week due to he

My father got a heart attack last week, and stent implantation was done. Now he has suffered with loose motions, can I use sporlac or lopermide for controlling that.

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Doctors
Dr. James Michael Kleman - Internal Medicine
Dr. James Michael Kleman Internal Medicine (Residency, Medical School, Fellowship in Cardiovascular Diseases, Residency in Internal Medicine, Class of 1987) 39 years experience OhioHealth Heart & Vascular Physicians
Glen Echo, COLUMBUS
Dr. Albert J. Kolibash - Internal Medicine
Dr. Albert J. Kolibash Internal Medicine (Fellowship, Medical School, Internship, Residency, Class of 1967, Internship, Transitional Year, Residency, Internal Medicine, Medical Education) 59 years experience Delivery OSU hospital
Weinland Park, COLUMBUS
Dr. Allan J Nichols - Internal Medicine
Dr. Allan J Nichols Internal Medicine (Fellowship, Residency, Medical School, Medical Education, Fellowship in Cardiovascular Diseases, Residency in Internal Medicine, Medical degree, DO) 46 years experience OhioHealth Heart & Vascular Physicians
Glen Echo, COLUMBUS
Dr. Judson S Millhon - Internal Medicine
Dr. Judson S Millhon Internal Medicine (Medical School, Residency, Fellowship in Cardiovascular Diseases, Residency in Internal Medicine, Fellowship in Interventional Cardiology) 36 years experience OhioHealth Heart & Vascular Physicians
Glen Echo, COLUMBUS
Dr. Nicholas James Davakis - Cardiologist
Dr. Nicholas James Davakis Cardiologist (Medical School, Residency - ID, Fellowship in Cardiovascular Diseases, Fellowship 2) 45 years experience Mount Carmel Grove City
South Central Hilltop, COLUMBUS