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Dr. Edward Hoffer

Cardiology
Framingham, MA
53 years experience

Locations

Office

Framingham, MA

Address

655 Concord Street, Framingham, MA
Directions

About

Bio

Undergraduate at MIT, Harvard Medical School and post-graduate training at the Massachusetts General Hospital. Private practice internal medicine and cardiology. Associate Clinical Professor of Medicine at Harvard

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Cardiology

Languages spoken

English

Doctor Q&A

101 Answers
6 Agrees
The number of answers this doctor has agreed with.
A 19-year-old female asked:
Dr. Edward Hoffer
Cardiology 53 years experience
This is not reflux!: You are describing a different type of pain - acid reflux should not be made worse by breathing. I'd see your doctor and get re-evaluated.
A 23-year-old female asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Begin slow, supervis: Regular aerobic exercise is actually very good for patients with heart failure, and recent studies have shown it to be safe and increase well-being. ... Read More
A 45-year-old member asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Varies, but some: What you are describing is your basal metabolic rate - the number of calories you burn at rest. This will vary depending on your gender, age, heredit... Read More
A 38-year-old female asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Probably esophagus: Chest pain that only occurs when you bend over, and not when you run or carry things upstairs, etc, is very unlikely to be heart-related. It could be ... Read More
A 44-year-old member asked:
Dr. Edward Hoffer
Cardiology 53 years experience
120/80: Textbook normal is 120/80. Lower is better. Cut-off for concern is 130/90. If you are high normal, losing weight, reducing salt intake and regular aer... Read More
A 39-year-old female asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Probably normal: If you recorded a full range of activities, including sleep and vigorous exercise, this range of pulse may be quite normal!
A 41-year-old member asked:
Dr. Edward Hoffer
Cardiology 53 years experience
No: prevent new ones: The traditional 'blood thinners' prevent the formation of new clots, but do not dissolve existing ones. That is left to the body's own natural defenc... Read More
A 23-year-old female asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Really enlarged?: Hard to answer without more info. First, why do you think your heart is enlarged? If this was from a chest x-ray, it could simply have been taken at... Read More
A 37-year-old male asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Acetominophen/narcot: If you are worried about bleeding, you should avoid Aspirin and all of the 'nsaids' - ie, aleve, (naproxen) motrin, etc. About the only otc pain relie... Read More
A 47-year-old member asked:
Dr. Edward Hoffer
Cardiology 53 years experience
No relation: Neutrophils are the white cells that fight bacterial infection, and the number go up wih an infection. If you have mvp and a chronic fever, one could ... Read More
A male asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Malabsorption: The major concern with long-term use is poor absorption of nutrients such as magnesium and many vitamins. Stomach is there for a purpose - it helps i... Read More
A 22-year-old female asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Yes and unlikely: An overactive thyroid makes the heart beat faster - this is usually sinus tachycardia, but it can also cause aftrial fibrillation or other supraventri... Read More
A 16-year-old female asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Uncommon but possibl: High cholesterol has two major sources: diet and heredity. If you 'picked the wrong parents' you can do everything right and still have high cholester... Read More
A 58-year-old male asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Ribs, lung: It sounds as if you have had detailed cardiac testing and all normal. Sharp chest pain can be from rib or muscle in chest wall, an irritated surface ... Read More
A 29-year-old female asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Many things!: The most worrisome cause of chest pain is, of course, heart problems, but the esophagus is a common source of chest pain, and some chest pains can ori... Read More
A 22-year-old male asked:
Dr. Edward Hoffer
Cardiology 53 years experience
No: This sounds like musculo-skeletal pain, almost certainly unrelated to the heart, and would have no implications for future heart trouble.
A 37-year-old member asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Test hormone levels: The symptoms of pheochromocytoma are caused by the sudden release of adrenaline and similar hormones from the tumor. They can mimic panic attacks. Th... Read More
A 29-year-old member asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Muscle aches: Vytorin (ezetimibe and simvastatin) combines Zetia with simvastatin, and the most likely side effects would be muscle ache from the statin component. ... Read More
A 28-year-old member asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Yes, but at a price: Daily Aspirin clearly reduces the risk of both heart attack and stroke, but also makes you more likely to bleed. If you have coronary disease, you are... Read More
A 28-year-old member asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Walk!: If symptoms are severe or you are in danger of amputation, re-vascularization by surgery or angioplasty is needed. For most, you need to reduce your ... Read More
A 45-year-old member asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Breathlees, confused: Symptoms depend on the speed at which it happens. A sudden drop in oxygen causes anxiety, breathlessness. A more gradual onset allows the body to adju... Read More
A 25-year-old member asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Nothing you did!: Cushing's syndrome, which is caused by an overactive adrenal gland (or both glands) is an "auto-immune" disorder, which can happen to anyone, regardle... Read More
A 44-year-old member asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Very little!: Rapid heart rhythm can have many causes. The most important difference is between those starting in the ventricles, v tach or v fib, which are often ... Read More
A 24-year-old member asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Medication: A slow heart rate can be normal in fit individuals at rest. Many medications, notably beta blockers, slow the heart rate. A slow heart rate can also b... Read More
A 35-year-old member asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Orlistat: Weight loss drugs tend to be only modestly effective, and most carry risks. Several have been taken off the market because of heart problems. Amphet... Read More
A 44-year-old member asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Any heart problem: Troponin is an enzyme released by damaged heart muscle. While the major cause is a heart attack, and large increases are usually due to this, almost ... Read More
A 47-year-old female asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Might be heart attac: "crushing" chest pain has to suggest a heart attack first and foremost. It may not be, but that has to be considered promptly. Classically, heart pa... Read More
A 40-year-old member asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Nothing to severe: Left bundle branch block (lbbb) is a pattern on the ECG that indicates that the heart's electrical waves are following an unusual path. It is common i... Read More
A 33-year-old member asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Yes - or any drug: Questran (cholestyramine) is a old medication for lowering cholesterol by binding bile salts in the intestine, and thereby removing cholesterol from t... Read More
A 44-year-old member asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Inject radioactive: A perfusion lung scan is done by injectecting a low-dose radioactive tracer into a vein and taking images showing where blood flow is going in the lun... Read More
A female asked:
Dr. Edward Hoffer
Cardiology 53 years experience
It depends...: An occasional skip can be quite normal, and in a young otherwise healthy person is best ignored. If it happens a lot, your best bet is to see your doc... Read More
A 32-year-old female asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Not add - ?subsitute: If you are overweight, you certainlly don't want to add anything sugary. While some evidence suggests dark chocolate decreases heart attack risk, it i... Read More
A 36-year-old member asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Slow pulse, constipa: The most common side effects of verapamil relate to an excess of what it is prescribed for: a too-slow pulse and/or too-low blood pressure. Many peop... Read More
A 48-year-old male asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Generally, yes: At any given level of total and LDL cholesterol, the higher the HDL the lower the cardiac risk and vice-versa. The reason doctors tend to focus on low... Read More
A 36-year-old male asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Just: Just start the conversation. You will find everyone has been thinking along the same lines.
A 49-year-old member asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Lowers chol + TG: Niacin lowers cholesterol, raises the "good" HDL and lowers triglycerides - but at much higher doses than 250. You need to get up to 1500 mg/day or m... Read More
A 30-year-old member asked:
Dr. Edward Hoffer
Cardiology 53 years experience
No!: The LAD is a major supplier of blood to the heart, and blockage can cause serious damage. We now believe that most heart attacks occur when a 'vulnera... Read More
A 35-year-old member asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Generally yes: Once the insertion site has healed, there is no reason why you cannot swim or particpate in other water sports, assuming your heart function is health... Read More
A 20-year-old male asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Cut caffeine: First, a question: did you have a stress test? If these only happen when you have your heart going fast, a resting ECG might not help. If not, i'd re... Read More
A 26-year-old member asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Possibly nothing: Many ecgs in healthy people have minor differences from normal - the 'axis' may be unusual; some t waves may be down instead of up; there may be a rar... Read More
A 23-year-old male asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Central chest: 'textbook description' of heart-origin pain is heavy pressure in the center of the chest, under the sternum (breastbone). It may also be felt in the j... Read More
A 17-year-old female asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Fatigue, short breat: A pericardial effusion limits the ability of the heart to fill and so to pump blood. There can be chest pain, worse with breathing, shortness of breat... Read More
A 32-year-old member asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Depends: Very brief chest pains (seconds) are almost never due to heart disease. Chest pain that comes when you are very active but eases off in minutes when y... Read More
A 25-year-old male asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Possibly: Mvp alone is usually of little concern, but if there is leakage across the mitral valve it may be. A 25 yo can get hr up to 190 with extreme exertion... Read More
A 37-year-old female asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Possibly: An elevated high-sensitivity CRP has been shown to be a risk factor for coronary disease. In the jupiter tiral, people with normal LDL cholesterol and... Read More
A female asked:
Dr. Edward Hoffer
Cardiology 53 years experience
No and no: Mvp (mitral valve prolapse) in young people is usually a harmless finding. It has no connection to sinusitis. There is no 'cure' for mvp other than c... Read More
A 44-year-old member asked:
Dr. Edward Hoffer
Cardiology 53 years experience
No: If you are using a combination inhaler with Flovent and a 'beta agonist, ' the latter can cause a tremor, but Flovent by itself should not do this.
A 25-year-old member asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Sometimes none: Coronary disease may have no symptoms until a heart attack occurs. The most common symptom is chest tightness, felt under the breastbone, though it ma... Read More
A 38-year-old member asked:
Dr. Edward Hoffer
Cardiology 53 years experience
In good hands, no: Ptca has become very routine, and is now routinely done in centers without cardiac suregry back-up as was formerly recommended. However, like any comp... Read More
A 43-year-old member asked:
Dr. Edward Hoffer
Cardiology 53 years experience
Chest pain: "cardiospasm" usually refers to spasm of the esophagus, which can produce chest pain very similar to the pain of a heart attack. It is often a diagnos... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

3
Recommendations
308
Thank you notes
HealthTap member
Jan 20, 2013
Dr. Hoffer is a very fine doctor!!! I have been his patient for about 10 years now and I am very satisfied with him.
HealthTap member
Mar 30, 2015
Dr. Hoffer is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Hoffer is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This was very helpful. Thanks! I've taken. Beta blockers. For it. Made more unpredictable occurrences ended up In wreck. IJust deal with it. Now circulation. Bad and veins blow.
HealthTap member
Thanks for your quick reply! What do you mean could be the source?!? Can you please comment?
HealthTap member
Thanks for your quick reply! I definitely learned something new. Enjoy your weekend. Bye!

Education & Training

Medical/Graduate school

Harvard Medical School, MA
Graduated 1969MD

Awards

AOA at Harvard
Top Cardiologist , First Place, Massachusetts - Summer
2013
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less