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Dr. Dipesh Pokharel

Cardiology
Vancouver , WA
18 years experience male

Locations

The Vancouver Clinic Cardiology

Vancouver , WA

About

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

echocardigraphy

Heart Rhythm Society

Internal Medicine

Nuclear Medicine

Languages spoken

Nepali

Doctor Q&A

40 Answers
44 Agrees
The number of answers this doctor has agreed with.
A 22-year-old female asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Many causes: Usually it is due to dehydration and electrolyte deficiencies in young adults. Rarely, it is due to leaky aortic valves. Sometimes it is due to certai... Read More
A 21-year-old female asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Depends: For your age of 21, maximum heart rate is upto 199 beats per minutes. It is not unusual to have your heart rate at 150 beats per minute if you are exc... Read More
A 60-year-old male asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Yes : If you are severely dehydrated or deconditioned (out of shape), your heart rate can quickly go up on treadmill test. You could still have normal heart... Read More
A 21-year-old male asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Dehydration: When your heart rate goes up that high with standing, you need to strongly consider dehydration. Check your blood pressure sitting and standing as wel... Read More
A 37-year-old male asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Ignore: Take aspirin and cholesterol medication every day. Exercise 60 mins a day and eat a balanced diet.
A 37-year-old male asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Ignore: Accept that change is needed. Evaluate what you eat and cut back on fatty foods and simple carbs.
A 37-year-old male asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Ignore: Eat a healthy balanced diet with low saturated fat and more nuts, chia seeds, flax seeds, fatty fish.
A 37-year-old male asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Ignore: How bad is my coronary artery disease? How can I prevent a heart attack and need for stents/surgery?
A 37-year-old male asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Ignore: DO: take aspirin, statins, exercise. Control diabetes, blood pressure. DON'T: smoke, eat fatty foods.
A 40-year-old member asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Yes: Cardiac ischemia causes lack of blood flow to the heart muscle and can trigger ventricular arrhythmia. Premature ventricular contraction is common. I... Read More
A 22-year-old female asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Same: Pacemakers have both capabiloties. Most pacemakers are programmed demand pacemaker. It will ensure the fixed lowest heart rate and it can increase hea... Read More
A 34-year-old female asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
No: It is not unusual to have low TSH during pregnancy . As long as t4/t3 is normal, i would not worry about tsh. Also, treating low TSH is going to make ... Read More
A 34-year-old member asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Pacemaker function: It is a way for a pacemaker to only pace your heart when your heart rate is below a set rate (usually 60 beats per minute).
A 23-year-old member asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Yes: With explosion of obesity in children, early coronary plaque is possible by their 18th birthday.
A 45-year-old member asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Not really: There is no cure for arteriosclerosis. Everyone is going to have some arteriosclerosis if you live long enough. You can slow progression of arterioscl... Read More
A 32-year-old male asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Yes: Once in a while beer is not a problem. Consider avoiding Salty snacks with beer which can elevate blood pressure. You may actually able to stop losar... Read More
A 37-year-old male asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Ignore: Eat more nuts, chia seeds, flax seeds and exercise. Avoid calorie dense dairy/animal fat.
A 46-year-old female asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Probably normal: Most likely, it means that your heart is pumping blood normally, however, you have a leaky aortic valve. Leaky aortic valve if mild, nothing to worry... Read More
A 20-year-old female asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
See a doctor: You need to see a doctor to conduct through investigation of your symptoms and physical examination. This could be anything or nothing.
A 36-year-old female asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Possible: Uncontrolled blood is one of the cause of heart failure (failing heart). Symptoms of heart failure could be chest tightness, but usually it is shortne... Read More
A 26-year-old female asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Most likely normal : The report should have commented on pulmonic valve as a standard practice. Sometimes pulmonic valve cannot be seen, but usually it is mentioned in the... Read More
A member asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Diet and watch first: Your recommended blood pressure is less than 140/90 mm hg unless you have heart disease, kidney disease or diabetes (< 130/80 mm hg) . I would start l... Read More
A 33-year-old female asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Limitation of ECG: Ecg is getting signal from your heart and is compared to a database. These are 70% accurate in predicting infarction. Echocardiogram are more sensitiv... Read More
A 33-year-old female asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Check heart pressure: Cardiac specialist would catheterize via jugular vein to get to the right side of the heart. It is most commonly done to put temporary pacemaker or to... Read More
A 34-year-old female asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Too slow heart rate: Pulse rate of 36 is not normal. She needs evaluation to see why her heart rate is that low. Sometimes natural pacemaker has problem (sick sinus syndro... Read More
A member asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Many causes: There are other causes of abdomen and leg swellings. Potential causes can be liver disease, pulmonary hypertension, undiagnosed or untreated obstruct... Read More
A 64-year-old male asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
No: Lipitor (atorvastatin) is to improve your cholesterol and has nothing to do with blood pressure.
A 37-year-old male asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Ignore: What should be my LDL (bad cholesterol) goal? Will statin therapy lower my risk of heart disease?
A 33-year-old member asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Yes: Depending on how dependent you are on pacemaker, taser may interfere with pacemaker function. Unless taser is directed over pacemaker pulse generator... Read More
A 29-year-old member asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
It is possible: Hypertrophic cardiomyopathy can cause palpitations. Some are benign. However, ventricular arrhythmia is possible. You need to discuss with your cardio... Read More
A 25-year-old male asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Curable by surgery: You have 4 pulmonary veins draining oxygen rich blood to left heart. Having anomalous drainage to inferior vena cava is like having "hole in your hea... Read More
A 37-year-old male asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Ignore: Live a normal life wIth good risk factors control, exercise, balanced diet and good medications.
A 42-year-old female asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Ear congestion : You are hearing your own heart beats. Most likely explanation is congestion which conducts your carotid pulse to your ear. If you feel dizzy "room spi... Read More
A 33-year-old male asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
No: Echocardiogram can evaluate aortic root and part of ascending aorta/arch and part of descending aorta. Depending on quality of images, echocardiogram... Read More
A 29-year-old member asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Depends: In emergeny, it is given as soon as possible to save life. During elective case, patient will be sedated and comfortable, before electric energy is de... Read More
A 42-year-old male asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Very low: If you have regular follow up of your aortic valve, good blood pressure and cholesterol control you should have normal lifespan. You may need aortic v... Read More
A 33-year-old member asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Usually few hours: If it is elective cardioversion, you can go home as early as 1-2 hours.
A 28-year-old male asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Keeps heart beating: It is an implantable electronic device that mimics ones own pacemaker to keep the heart beating at a normal range. It is a life saving device for peop... Read More
A 44-year-old member asked:
Dr. Dipesh Pokharel
Cardiology 18 years experience
Cause and result: Coronary artery disease (CAD) is presence of cholesterol plaque on arteries supplying the heart. If arteries are not blocked completely by the plaque,... Read More

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

2
Recommendations
75
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Pokharel is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Pokharel is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Your reply directly answered on #. Much appreciated!
HealthTap member
Thank you, your answer was very helpful! Have to put another online # out thyere.
HealthTap member
Thank you, your answer was very helpful!

Education & Training

Medical/Graduate school

University of Oklahoma College of Medicine, OK
Graduated 2004MD

Residency

O U MEDICAL CENTER

Awards

FACC
CCDS
Top Cardiologist , First Place, Washington - Summer
2014

Affiliations

ACC
HRS
AHA
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