Cardiac Evaluation

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 ?

Numbness/3Days/Weird Feel/Left Arm & Leg

I'm Experiencing Severe Weird Sensations or Numbness Maybe in Left Leg and Left Arm since last 3 Days started around Evening while getting Ready for Workplace. Thought would Vanish on its Own, still Struggling with this. Im Severe Hypertension Patient with last BP Reading 214/125 at Doc's Hospital who suggested to start Amlip 5 Once Daily and Mecofol Once a Day for both Numbness and Weird Sensations in Left Leg and Left Arm and for Severely High BP. I have No Other Issues apart from maybe Mild Chest Discomfort usually happening after I take a Meal or when I feel Stressed about this Numbness or after taking Amlip 5 due to its known side effects. My Leg and Arm both have Sensations as in I can feel Everything its not totally Gone. I can feel Mosquito Bite, or if I Pinch or Slap, I do feel the Pain or Sensation but its not the Usual Sensation as on My Right Side which is absolutely fine. Also, Sensations are most common whenever I Move, Walk, or Touch something. What should I Do?

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?

Lipid profile and hscrp

26-year-old female, gym-goer since 2018 with a weightlifting coach. Breathlessness on brisk walking, and occasional irregular periods. Mother has arthritis and diabetes. No family history of early heart disease. Took one emergency contraceptive pill 2 months ago. Reports (11 Oct 2026): Thyroid: TSH 4.24 (high), T4 4.52 (low), T3 72.8 (low) Lipids: total cholesterol 235, LDL 134.7, non-HDL 193, triglycerides 292, HDL 41.9, ApoB 129, ApoA1 137 hs-CRP 3.69 (high), ESR 10 (normal) Sodium 133.9 (low), B12 919 (high), lymphocytes 46% (high) Normal: HbA1c 5.2% fasting glucose 97, haemoglobin 12.8

I have LDL 154 ,HScrp -14 , hba1c -11

I have felt heaviness mildly in past 2 weeks and very mild and occasional chest pain and I had pain in my centre back for continuous 2 days 2 weeks back. .. what shall I do

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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