Chronic rheumatic heart disease

Health Q&A
Unexpected Pain in Arms

My mother had pain like pins and needles in both arms from around 11 PM to 1 AM. The pain felt like pressure spreading through her arms. She felt fine later also could move both arms normally. it was more of a tingling sensation and when i put pressure on it she could feel it go through her hand and her finger She also mentions having "thick blood," but I'm unsure of ehat that means. Does she need urgent medical attention? She had no other symptoms other than this But her right arm was hurting more than the left though I read online and Im really concerned if I should get this checked

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?

PERIPARTUM CARDIOMYOPATHY

My wife is pregnant its about 8 months in last echo we found some impressions like Chambers look volume overloaded. Borderline dilated LV. Overall EF= 46%. Mild MR/ Mild+ TR. Mild PAH(PAP =43 mmHg) IVC normal size & shows normal respiratory variation. We are planning for c section Is she safe or there can be some serious situations.

Anxiety Related problem

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

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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