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Dr. Joshua Murphy

Pediatric Cardiology
Saint Louis, MO
20 years experience male

Locations

Office

Saint Louis, MO

Address

One Children's Place, Campus Box 8116 - NWT 8th Floor, Saint Louis, MO
Directions

About

Bio

Pediatric Cardiology: - Board Certified in General Pediatrics - Sub-Board Certified in Pediatric Cardiology Training: - Loyola University Chicago Stritch School of Medicine - INOVA Fairfax Hospital for Children (Pediatric Residency) - Yale University, School of Medicine (Pediatric Cardiology Fellowship) - Washington University St Louis (Interventional Pediatric Cardiology Fellowship)

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.

Pediatric Cardiology

Doctor Q&A

51 Answers
5 Agrees
The number of answers this doctor has agreed with.
A 28-year-old male asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Beta-blocker: Atenolol is a relatively long-acting (24 hours) beta-blocker. Beta-blockers as a group of medications calm or slow the heart rate down. They stop th... Read More
A 28-year-old male asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Hole in the heart: An ASD is a whole between the two upper chambers of the heart, the atria. Depending on the size and location asds can be closed in the cath lab with ... Read More
A 45-year-old male asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Likely Normal: I'd recommend that your son see a pediatric cardiologist if the pcp feels the murmur is unusual or if it has changed. However, those vital signs are p... Read More
A 22-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Yes, It Depends.: Once a coarctation is repaired, surgically or by balloon dilation or stent placement the inside of the vessels grow and cover any foreign material (ca... Read More
A 29-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Fontan Procedure: The fontan is a surgery that connects the inferior venacava (ivc) to the pulmonary arteries. The fontan is the final surgery for patients who have a ... Read More
A 23-year-old male asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Possible SVT or Afib: The most common arrhythmia in someone young is supraventricular tachycardia (svt) in older people atrial fibrillation is a common arrhythmia that can... Read More
A 68-year-old female asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Could be normal?: Most doctors and nurses do a bad job at explaining what a "murmur" is... A murmur is simply an extra sound we hear when listening to the heart. Inst... Read More
A 18-year-old female asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Just a few seconds: I think if you need to ask how long is too long... Then something is going on. Most palpitaions are a single early beat, sort pause, then a stronge... Read More
A 18-year-old female asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Maybe?: If you had d-transposition, requiring an arterial switch procedure then things may be fine. 1. A low resting hr is normal in someone who does cardio... Read More
A 35-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
TOF is a spectrum: Tetralogy of fallot (tof) can be mild, "pink tet" meaning the outflow tract to the lungs is only mildly narrowed, or newborns can be more "blue tet" m... Read More
A 32-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Just ask!: The us military is pretty good at helping families get to places where there family members can be properly taken care of. Just ask! it's unusual fo... Read More
A 40-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Orthostatics: Heart rate and heart rate variability is a complex balance. We have pressure sensors that send signals to our brain, that in return sends signals to ... Read More
A 30-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Ventricular or Atria: Fibrillation is a random chaiotic electrical pattern. Atrial fibrillation is common an some older adults live in continuous a-fib and feel ok while o... Read More
A 48-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Not sure?: I'm not sure that "adf" is what was meant to be said? An ASD is a hole between the upper two chambers (asd = atrial septal defect) please ask you... Read More
A 39-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
ASD, A hole...: A secundum atrial septal defect (ASD) is a hole between the upper two chambers of the heart. Small hole are followed, monitored to determine if the h... Read More
A 44-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Absolutely!: Yes, yes, yes... The reason sub-specialties exist is there is too much information for any primary care physician to keep up with. There should be in... Read More
A 35-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Yes...: Svt can be taken care of, or cured without surgery. It is a relatively simple treatment that does require a catheterization. A relatively large IV... Read More
A 42-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Different issues: Mitral stenosis: essentially means the valve doesn't open all the way, the valve in narrow or narrowed... Mitral regurgitation: means the valve leaks... Read More
A 16-year-old male asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Calm Honesty.: Many people will never understand. Some people will understand. You have to determine how important is this person in your life. Unfortunately, some ... Read More
A female asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Nerves control HR: Essentially out heart rate is a balance between the "fight vs flight" side of our nervous system and the "rest and relaxation" side. Our heart rates... Read More
A 41-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Block vs Re-entry?: The av node is the electrical connection between the upper chambers (atria) and the lower chambers (ventricles) there is av block (1st degree, 2nd d... Read More
A 49-year-old female asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Brief runs?: arrhythmias often come and go. If it's happening nightly, a 24 or 48 hour Holter monitor should capture what your feeling. We often fel something tha... Read More
A 23-year-old male asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Sinus Tachycardia: This is likely sinus tachycardia, seemingly random swings in heart rate are not uncommon and rarely dangerous. These swings are worsened by poor hydr... Read More
A 31-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Innocent murmur: A heart murmur in a healthy, normal child is often and innocent "flow" murmur... Essentially, we heart the blood flow across normal heart structures.
A 43-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
PDA Age Dependent?: Pda closure (age dependent) babies and adults can have their pdas closed in the cath lab if needed... "hemodynamically significant" cath lab clo... Read More
A 34-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Size Matters in PDAs: A tiny, "silent ductus" is essentially one that can be ignored. No restrictions! other pdas may cause mild inefficiency in the work of the heart. ... Read More
A 33-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Causes the PDA: The PDA is a critical vessel that allows the blood to bypass the lungs and get to the placenta while babys are still inside, in mom's uterus. The lun... Read More
A 24-year-old male asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Age? Sorry!: A coarctation is approached surgically in babies and other kids with critical or near interrupted aorta. The surgical approach is through the left ch... Read More
A 40-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Channel Poisons.: All antiarrhythmic medications are targeted at the channels that allow sodium, potassium, and calcium into and out of cardiac muscles, myocytes. They... Read More
A 36-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
PDA Age Dependent?: Pda closure (age dependent) 1. Premature infants (medical therapy vs surgical ligation by a pediatric cardiothoracic surgeon) 2. Babies to adult... Read More
A 44-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Yes, however...: Congenital heart disease occurs everywhere. The problem is the treatments, by cath or surgery require a team that is trained in the care of babies and... Read More
A 42-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
It depends?: An ASD is simply a hole in the wall between the right and left atria (upper chambers of the heart) many, most can be closed in the cath lab by a pedi... Read More
A 65-year-old male asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Electrolytes: Chances are that your electrolytes got a bit out of wack when you drank all that stuff to clean yourself out for the colonoscopy. That liquid pulls... Read More
A 31-year-old female asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
They Drive the Heart: Your heart is a muscular pump with four valves that will not do anything without the electrical impulses that drives it. Sodium (na+) potassium (k+... Read More
A 48-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Many, Many Types...: Arrhythmias come in many different forms: sinus arrhythmia is the normal variation of the heart by inhaling vs exhaling. Premature, isolated beats ... Read More
A 23-year-old male asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Things to watch: The trace tricuspid and mitral valve regurgitation may be nothing, but should be followed, or monitored by an echocardiogram, every year or every othe... Read More
A 31-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Blood Pressure Issue: A coarctation in an adult means the arms and head have been getting higher blood pressure than the abdomen, kidneys, and legs. Unfortunately, it may m... Read More
A 27-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Possibly: If a coarctation is mild or there are many "collateral" vessels (vessels that bypass the narrowing) then the ECG that could show stress or strain on t... Read More
A 34-year-old female asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Possibly AVMs?: A condition called hht or osler-weber-rendu is associated with abnormal arteriovenous malformations (avms) these can occur in lungs, liver, head, and ... Read More
A 43-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Peds Cardiology: Pediatric cardiologists are trained in taking care of teenagers. The focus of most adult cardiologists is related to adult-onset coronary artery disea... Read More
A 29-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Ductus Arteriosus: A ductus arteriosus is a vessel that allows babies to survive while in utero... It allows blood to bypass the lungs which are full of amniotic fluid a... Read More
A 36-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
PDA -Age Dependent?: A PDA is required for a baby to survive before birth (allows the blood to bypass the lungs and get to the placenta) 1. Premature baby (medicine: Ib... Read More
A 47-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Age dependent?: Infants with aortic valve stenosis go to the pediatric cath lab for balloon dilation of the valve. The balloons are small, shaped like a hotdog, are ... Read More
A 44-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Only if ignored!: Infants with aortic valve stenosis go to the pediatric cath lab for balloon dilation of the valve. The balloons are small, shaped like a hotdog, are ... Read More
A 19-year-old male asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Abnormal Rhythm: 3rd degree av block = complete av block... Meaning the upper chambers are not in synch with the ventricles. The ventricular depolarization is abnormal... Read More
A 29-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Likely unrelated: Pericarditis is an inflamation of the sack your heart sits in... The pericardial sack. The injury to your rib made the doctors do some studies that s... Read More
A 40-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Yes, It Depends.: Once a coarctation is repaired, surgically or by balloon dilation or stent placement the inside of the vessels grow and cover any foreign material (ca... Read More
A 37-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Unlikely: It is unlikely that getting a tattoo can be therapeutic for joint problems... However, pain centers that focus on chronic pain do resort to other f... Read More
A 43-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Yes...: Tricuspid atresia is a congenital problem of the tricuspid valve, the inflow valve to the right ventricle. With this valve issue the right ventricle ... Read More
A 44-year-old member asked:
Dr. Joshua Murphy
Pediatric Cardiology 20 years experience
Foramen Ovale: A foramen ovale (pfo) is a small hole between the two upper chambers of the heart. It exists as part of the "fetal circulation, " when babies are ins... Read More

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

2
Recommendations
173
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Murphy is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Murphy is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you so much...makes me feel a little more at ease!
HealthTap member
Thank you, your answer or tip was very helpful!
HealthTap member
Thank you, your answer was very helpful!

Education & Training

Medical/Graduate school

Loyola University Chicago Stritch School of Medicine, IL , 2002
Graduated 2002MD

Awards

2005 Richard Schwartz MD, Resident Teaching Award, INOVA Fairfax Hospital for Children, Falls Church, VA
2005 Pediatric Resident Medical Student Teaching Award, University of Virginia and INOVA Fairfax Hospital for Children, Falls Church, VA
2007 Young Researcher Award, Best Clinical Poster, HHT Scientific Conference, Capri, Italy
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