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Doctor Q&A for Dr. Howard Rubin

A 58-year-old female asked:
Dr. Howard Rubin
Cardiology 47 years experience
High LDL: More information is needed to determine your individual risk for cardiac event such as smoking history, history of diabetes, and hypertension.. Such a profile would help determine the need to treat the high LDL cholesterol with medications..
A 42-year-old member asked:
Dr. Howard Rubin
Cardiology 47 years experience
Atherosclerosis: Calcium scoring from CT scan of coronaries is adding up radio graphic sum of calcium found. A score of greater than 400 is high so 2100 is extremely high suggesting great amount of atherosclerosis in the coronary arteries. Some studies suggest greater risk of heart related problems with a higher score. I would recommend some close follow up with a cardiologist.
A 50-year-old female asked:
Dr. Howard Rubin
Cardiology 47 years experience
Mitral valve: for mitral regurgitation , repair by a surgeon with lots of experience, is preferred as you keep your natural valve and would most likely not require a lifetime of anti-coagulants.
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A 65-year-old female asked:
Dr. Howard Rubin
Cardiology 47 years experience
Chest pain: this needs evaluation as could be arrhythmia
A 22-year-old male asked:
Dr. Howard Rubin
Cardiology 47 years experience
Palpitations: stop caffeine and alcohol first but if problem persists then you may need a Holter monitor
A 21-year-old female asked:
Dr. Howard Rubin
Cardiology 47 years experience
Exercise: regular exercise improves the efficiency of the extraction of oxygen by your muscles so that the heart becomes more efficient as a pump..
A 46-year-old female asked:
Dr. Howard Rubin
Cardiology 47 years experience
Hypertension: that is high and should be treated
A 61-year-old female asked:
Dr. Howard Rubin
Cardiology 47 years experience
Dyspnea: this isn't a symptom defined as shortness of breath. There are multiple causes of such symptom including cardiac and pulmonary causes.
A 42-year-old female asked:
Dr. Howard Rubin
Cardiology 47 years experience
Angiogram: angiogram of the legs is for diagnosis of arterial blockage and angioplasty might be done if there is blockage sufficient to cause compromise of the circulation to the affected extremity.
A 47-year-old female asked:
Dr. Howard Rubin
Cardiology 47 years experience
Chest pain: constant burning pain sounds like esophageal reflux from your brief description but check it out with your primary physician.
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