I am twenty years old ,male .Dear doctor ,I have a heart problem for the last year and having a fatigue,dyspoea when I work hard not at the time of work but when I try to sleep and my heart beats so strongly that I can see it on the sheet covering my body ,and I am also feeling heaviness on my left back and having also heaviness on my abdomen while sitting in the class ,I have a fever for sometimes and can see clearly bounding peripheral pulses such as the carotid ,brachial and those on my medial part of my ankle