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General comprehensive cardiovascular medicine
SpecialtiesDoctors 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.
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
Doctor Q&A
112 Answers
20 Agrees
The number of answers this doctor has agreed with.
A 31-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
Yes: Catheter ablations for cardiac arrhythmias are now well-established procedures. The specifics in terms of likelihood for success and/or complication... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
Cholesterol plaque: It means the aorta has some cholesterol plaques on it. When noted on a x-ray or ct scan, this typically means that some calcified plaques are present... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
Probably long-term: Most people with heart surgery require some degree of medication for life following the surgery. I'm not too familiar with the particular medications... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 40-year-old male asked:
Dr. James Straderanswered
Cardiology 24 years experience
No: Pacemaker implantation is a routine procedure for experienced operators. While there are risks to any procedure, the risk of serious adverse events... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
Heart rate / stroke: Two issues with afib. The first is stroke. Afib is a risk for stroke, and thus all patients with afib need some sort of blood thinner. Whether that... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
No easy way: Rarely do cholesterol plaques regress. There are a couple of studies showing that very high-dose statin use (crestor (rosuvastatin) or lipitor) can c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
Lots of things: We have about 100, 000 heart beats / day. It is typically to have a few dozen to few hundred extra / skipped beats, just by the law of averages. The... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
Big heart : Cardiomegaly simply means a big heart. If found dictated on an x-ray report, it can be due to the x-ray technique and not an abnormality, per se. At... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
Need to get seen: If you have concerns over having a long qt on a prior ecg, the best approach would be to take that to a cardiologist and have them do a new ECG at tha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
Lots: Cardiac ablations are highly successful procedures to help manage and sometimes cure cardiac dysrhythmias. The key is to find a really good ep doc.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
Rhythm control: Sotalol is an antiarrhythmic medication to treat certain types of heart rhythm disorders. Paradoxically it can cause potentially lethal cardiac rhyt... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 53-year-old male asked:
Dr. James Straderanswered
Cardiology 24 years experience
It might: Typically an enlarged aorta is due to an anuerysm. The anueysm may or may not contain cholesterol plaque. Aortic aneurysms are repaired once they... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
Watch dietary salt: Some people have salt-sensitive hypertension. It has to do with how the kidney's process and handle sodium levels in the blood (there are a few key h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
Caffeine, alcohol: Some people - but not all - with arrhythmias are sensitive to caffeine and alcohol. Other common triggers include stress, lack of sleep, sugar, slee... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
Avoid sweets & pasta: It's what you shouldn't eat: sweets and pastas are what typically cause elevated triglycerides. Good quality fish oil supplements and exercise he... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 29-year-old male asked:
Dr. James Straderanswered
Cardiology 24 years experience
Depends: If you have heart or vascular disease, or diabetes, your LDL goal is 100 or less (optimally 70). If not, an ideal LDL is 130 or less, but 160 is con... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
Rhythm control: Sotalol is an antiarrhythmic medication to treat certain types of heart rhythm disorders. Paradoxically it can cause potentially lethal cardiac rhyt... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 27-year-old female asked:
Dr. James Straderanswered
Cardiology 24 years experience
No!!: A bav puts a person at higher risk for needing heart valve surgery in middle age and older. But heart valve disease does not cause seizures. Seizure... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 24-year-old male asked:
Dr. James Straderanswered
Cardiology 24 years experience
Various: The biggest risk with low blood pressure is that you'll get dizzy, lightheaded, or pass out.
The biggest risk with high blood pressure is that if ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 52-year-old female asked:
Dr. James Straderanswered
Cardiology 24 years experience
Yes: It is not uncommon for high blood pressure to have effects on the ventricles. But this does not happen unless the BP has been quite high for some ti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
No pseudofed: Alot of sinus medications contain pseudofed, which can dangerously raise the blood pressure in people with hypertension. Look for labels that state ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 18-year-old female asked:
Dr. James Straderanswered
Cardiology 24 years experience
Take his Meds: Your dad has lots of risks for heart and vascular disease, but having those issues is not a guarantee. The best advice is to take his medications rel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 47-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
No: No relationship at all.
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 32-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
Yes: In overweight individuals, loosing weight can significantly reduce the symptoms and episodes of chf. It can make a huge difference. Good luck!
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 21-year-old male asked:
Dr. James Straderanswered
Cardiology 24 years experience
Yes: BP usually goes up during exercise, and during recovery it usually goes a bit lower than it was before you started exercising. It then typically will ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
they can be: But....If you are pregnant and having palpitations, it's important to get it checked out; go to your OB right away. If you are having palpitations an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
Sort of: The right atrium tends to enlarge somewhat with both conditions; it is more so with tricuspid stenosis. Technically though it is an enlargement, not... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years agoMerged
A 42-year-old male asked:
Dr. James Straderanswered
Cardiology 24 years experience
Normal: Bav is very common: 1-2% of all males are born with it. It increases the risk of needing valve surgery in mid-later life (40-60). With the advent ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
PVC's: Pvc's are early, extra beats. They can be followed by a slight pause as the heart beat "resets.". However, some pauses are caused by failure to con... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
40-70: Most young men have relatively low resting hr's. As low as 35-40 is common for young men who play sports or work out regularly.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
Yes: If the palpitations are fast or frequent enough, it can sort of be like running a race while you're sitting still. So yes, they can make you quite ti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
Low bp and dizziness: Nitrates cause lowering of bp, which can cause dizziness and a feeling as if one might faint. It can also cause headaches.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
200 or less: 150 or less is ideal. Tg's go up in response to sweet and pasta intake (cakes, pies, deserts, processed grains like pasta, etc). It also goes up wi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
Yes: Commercial airliners are usually pressurized at about 10, 000 feet, which is high enough to reduce the oxygen tension mildly. This can sometimes trig... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
Backflow: The mv prevents blood from backing up into the lungs during left ventricular contraction.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
Depends : Depends on how low, and if you are on blood pressure or heart medications. Most people are on some sort of medication following heart valve surgery... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
Aerobic: The aha recommends 150 minutes / week of moderate aerobic activity spread over 4-6 days for optimal cardiovascular health.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
Yrs: Vascular bypass surgery is common and can treat diseases on the legs. You should see a vascular surgeon.
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
Gravity: The short answer is the effect of gravity. When you stand up, your blood will "pool" in your lower extremities. The body has to increase the heart r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
Heart and kidney: Ace inhibitors are blood pressure medications used for blood pressure treatment. They also have effects independent of the blood pressure effect on t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
Very Abnormal: This is highly abnormal and worrisome, particularly for someone your age. I would strongly recommend a full cardiovascular evaluation with a practici... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
MVP: Mvp is a condition where the collagen fibers of the mitral valve aren't laid down properly. It leads to breakdown of the valve. People with mvp ar... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 34-year-old female asked:
Dr. James Straderanswered
Cardiology 24 years experience
NO!!!: Stopping steroids suddenly, without tapering down the dose, can cause sudden cardiovascular collapse. If you are on a high dose for more than a few... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
None: Rbbb is a slight cardiac condition abnormality. It causes no symptoms, is not associated with any other conditions, and is really of no significant ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
Yes: People live fine without a pericardial sac. It is often removed, or partially removed, with bypass surgery, which is quite common.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 26-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
Get to ER now!: This is potentially dangerous. You should go to an er or to your doctor now, without delay!
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
Lower BP and lipids: Amlodipine is a good blood pressure agent, and Simvastatin a cholesterol agent. There is no interaction between the two. In fact, there is at least ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
V-fib???: V-fib that lasts more than a few seconds is typically lethal and results in sudden death. Atrial fibrillation (a-fib) is a different thing entirely, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. James Straderanswered
Cardiology 24 years experience
Rare serious risks: The complication rate for serious adverse events with a routine heart cath is on the order of 1/1000 to 1/10000. While rare, when they do happen t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A male asked:
Dr. James Straderanswered
Cardiology 24 years experience
Yes: You need a sonogram of the site to ensure that it's nothing more than swelling / bruising. I'd either call your cardiologist to arrange it or go to t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
297
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Strader is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Strader is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
My family phycian hasn't said anything about the blood pressure and she said no need to see a specialist yet, my kidney function was 51:
HealthTap member
Thank you, your answer was very helpful! Thank you very much, I just did mine this morning. The one was 2.3 hope it will be good.
HealthTap member
Thanks so much. It gives me peace of mind to know something caused it that I can avoid.
Education & Training
Medical/Graduate school
Emory University School of Medicine, GA
Graduated 1999MD
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