Locations
Office
Orlando, FL
My office hours
Thursday: 9:00am - 5:00pm
Show morePhone
Practice website
Insurances accepted
Aetna Life Insurance Company
Blue Cross Blue Shield Of Florida
Cigna
Humana Insurance Company
UnitedHealthcare
About
Bio
When I’m not “being a doctor", I enjoy traveling with my family, hiking, camping, mountain climbing, skiing, reading history books about World War II, and photography.
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
Languages spoken
English
Doctor Q&A
104 Answers
37 Agrees
The number of answers this doctor has agreed with.
A 44-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Infection and LVAD: Yes, complete implantability of left ventricular assist devices will reduce the risk of infection.
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Heart rejection: Patients who have undergone cardiac transplantation are always at some risk for heart rejection. This is not dependent upon cardiac rehabilitation.
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Nuclear stress test: This is a specialized form of stress test used to confirm the presence of coronary artery disease in patients suspected of having this problem. It use... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Heart failure: Probably the 2 major conditions that contribute to the development of heart failure are high blood pressure and diabetes. Both of these conditions can... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Percutaneous MV rep: It's also important to realize that these percutaneous procedures do not fix the leak completely and that if the valve leak worsens after the percutan... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsAnswered >2 years ago
A 24-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Albuterol and HF: Patients with heart failure are prone to develop heart rhythm disturbances, some of which can be fatal. Albuterol can stimulate the heart and produce ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Cardiomyopathy: Start first with a good and detailed explanation from a cardiologist who then should be able to direct you to reliable resources. Beware of internet s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Herbs and CM: There are no clinical studies in reputable journals that support the use of herbal supplements to treat coronary artery disease.
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Coronary spasms: To my knowledge, there is no relationship between ingesting salt and water and the relief of "coronary spasms".
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
HCM: Hypertrophic cardiomyopathy doesn't occur in any particular frequency in one group of people over another. It is relatively uncommon, being seen in ab... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 52-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Cardiac output: In strict physiologic terms, cardiac output is determined by something called stroke volume and heart rate. Heart rate is self-explanatory. Stroke vol... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Cardiac output: In strict physiologic terms, cardiac output is determined by something called stroke volume and heart rate. Heart rate is self-explanatory. Stroke vol... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Treatment of LBBB: There is no specific treatment for left bundle branch block. However, treatment is directed at the underlying cause of this conduction disturbance.
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
HCM cure?: There is no cure for this condition. Treatment is aimed at symptom relief and protection from sudden cardiac arrest. There is a strong genetic compone... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 25-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
HCM: While i suppose anything is possible, these symptoms are not generally part of the clinical presentation of hypertrophic cardiomyopathy.
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 34-year-old male asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Paraganglioma: You may have a recurrence. You should return to the treating physician for further evaluation.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Verapamil: Verapamil is part of a class of medications called calcium channel blockers. It is a relatively "old" drug that was primarily used to treat high blood... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 41-year-old female asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Cardiac myxoma: These are the most common types of tumors that arise from cells within heart tissue. They occur more commonly in women and about 75% are located in th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 48-year-old female asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
RFA: By this, i assume you mean radiofrequency ablation or rfa procedures. These are highly specialized electrophysiology procedures used to treat specific... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Re-do CABG: It is a second or third operation to bypass blocked coronary arteries after previous bypasses fail or new blockages develop.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Sinus tach: It can be detected by doing an electrocardiogram (ECG) during an episode.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Pulm edema: A matter of semantics to some physicians. The terms are often used interchangeably to describe fluid build-up in the lungs regardless of cause. More d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Exam/echocardiogram: First of all, a complete history and physical examination is essential. If a "defective heart valve" is suggested by history or evident on physical ex... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 29-year-old male asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Bicuspid AV: Don't be terrified! but do follow-up with a cardiologist on a regular basis. This will require definitive surgical treatment at some point.
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Baby ECG: Haven't heard of that one! with the baby still in the uterus, the ECG electrodes would detect only your cardiac impulses.
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Big heart: This is a term used by radiologists to describe an enlarged heart on a chest x-ray.
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Age/carotid surgery: I don't think there is an age limit. Many factors besides age come into play when considering any surgery. Carotid artery stenting has certainly allow... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 29-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Cardioversion: You should be heavily sedated for a brief period of time or asleep completely for the procedure.
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Difficulty breathing: It depends very much on the cause. Get to your doctor.
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Severity of CM: Yes there is a gradation in severity. Two systems are used to describe the severity of cardiomyopathy (cm) both from a structural and functional stand... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 53-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Valve surgery: To my knowledge, any type of cardiac surgery generally precludes service in the military. You should contact a recruiting office for a specific answer... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Pericardium: The pericardium is a very thin membrane that surrounds the heart. When the pericardium becomes inflamed from various causes, it can become thickened a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Survival and LBBB: That is a difficult question to answer in a short space. Survival with left bundle branch block is not dependent on the block itself but what caused t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Calcified CAD: Plaque in coronary arteries is in a real sense abnormal tissue. Calcium tends to accumulate in abnormal tissues in our bodies. This phenomenon is call... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Stroke volume: Stroke volume is the amount of blood ejected from the heart with each beat. A higher stroke volume implies increased cardiac contractility which means... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Heart function: The two most common tests used to assess heart function are an echocardiogram and a treadmill stress test.
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 52-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
ARVC: Arvc is a cardiomyopathy that results in partial or total replacement of right ventricular muscle by fat or fibrous tissue. The principal problem is l... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
PAD: We usually start out with non-invasive studies such as an arterial ultrasound examination and proceed to angiography when symptoms are such that a mec... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Heart surgery: This is a tough question to give a general answer to. It depends on the type of surgery needed and its complexity. It should only be performed at cent... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Treatment of MVP: There are no specific treatments for mvp. Patients who have palpitations can be managed with a combination of both reassurance and beta blockers if ne... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
HCM: Hcm is an abnormal thickening usually of the wall (septum) that divides the right and left ventricle. This thickening occurs in the absence of other d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
PET scan: It depends on the question being asked. Cardiac pet scans use several different types of isotopes including rubidium-82, n-13 ammonia, and fluorine-18... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Heart rate: Depends on your level of physical activity. A resting heart rate of 100 in an otherwise healthy individual is not normal.
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 23-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Palpitations/dizzy: Could be many things. Start with a complete history and physical examination by an internist or family physician.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 24-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Lightheaded: There could be several reasons why you feel lightheaded in a colder climate. The air may be very dry and you could become lightheaded because of becom... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Irbesartan: This medication is part of a class of medications called angiotensin receptor blockers (arb's). Its primary use is the treatment of high blood pressur... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 57-year-old female asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Metoprolol: These are common problems seen in patients who have been on beta-blockers for a long period of time and then abruptly stop the medication. She should ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 30-year-old female asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Chest pain: It could be either or related to the chest wall. Complete history and physical is necessary.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
Heart attack pain: It can be. Most people who have had a heart attack describe an overwhelming sense of pressure in the chest that makes it difficult to breath and don't... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Mark Milunskianswered
Cardiology 39 years experience
NICE: Consult the nice website. It is the british national health system committee that rations healthcare in great britain.
Created for people with ongoing healthcare needs but benefits everyone.
5.9k 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
276
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Milunski is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Milunski is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thanks, this checklist made me feel good Thank You , you have helped me understand and explained well
HealthTap member
Thank you, your answer was very helpful! I have to have one I'm 65 and afraid never had surgery
HealthTap member
Thank you, this checklist was so helpful I'm grateful for your understanding and Help Diane Brady
Education & Training
Medical/Graduate school
Albany Medical College, NY
Graduated 1984MD
Residency
DUKE UNIVERSITY HOSPITAL
Awards
Certificate of Recognition American Heart Association/American Stroke Association/ National Committee for Quality Assurance Achievement of Recognition for Delivery of Quality Cardiovascular Care December 12, 2006 to December 16, 2009
Nominated for âTeamwork Value Awardâ Florida Hospital Orlando For help in securing a heart and lung transplantation program for Florida Hospital December 12, 2008
The Best Doctors in America© 2011
Publications
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
