U.S. doctors online nowAsk doctors free

Dr. Claude Brachfeld

Cardiology
KS
40 years experience

Locations

Office

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

Languages spoken

English

Doctor Q&A

76 Answers
13 Agrees
The number of answers this doctor has agreed with.
A 49-year-old male asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Don't worry: In an otherwise healthy person without specific symptoms, low blood pressure does not represent a health problem that requires attention. I don't kno... Read More
A 22-year-old female asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
It can be constant: What you have described is quite typical for reflux pain. Treatments include medications such as proton pump inhibitors (eg omeprazole), h2 blockers ... Read More
A 23-year-old female asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Could be.: There are many causes for pain like this, and it's not possible to determine the exact cause without an exam and maybe some tests. Most causes are be... Read More
A 42-year-old female asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Common, not normal.: Depending upon how high exactly your BP is, this may represent a problem that would benefit from treatment. Everyone experiences some fluctuation in ... Read More
A 41-year-old female asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Don't take any: A healthy person with a satisfactory diet does not benefit from any of these supplements. It may be useful to eat a diet rich in fish for long-term p... Read More
A 46-year-old member asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
No: If these are prescribed by your physician to treat a medical condition, there is no reason not to take them together.
A 24-year-old female asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Yes: The electrocardiogram is a totally noninvasive test in which nothing of any kind (chemical, electrical, radiation) is put into your body. It measures... Read More
A 39-year-old female asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Variable: Recovery from the pe's can take anywhere from a few days to several months. There isn't really anything that speeds recovery in terms of shortness of... Read More
A 31-year-old male asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
It's not uncommon: This syndrome is common enough to have a name: micturition syncope. If you are not actually passing out, it's not a significant risk to you. If ther... Read More
A 46-year-old member asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Lifestyle: Regular, substantial exercise and a low-sodium diet. It's important to be carefully monitored of course because if these do not work you may still re... Read More
A 45-year-old female asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
A good choice: There are several new anticoagulants, including Xarelto, which are both safer and more effective than warfarin. Xarelto does not need to be adjusted ... Read More
A 39-year-old member asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Not usually: Deep vein thrombosis, if it causes any symptoms at all, generally presents with swelling and pain of the affected limb. "pyrexia" or fever would only... Read More
A 31-year-old member asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Blockage of arteries: Plaque consisting of cholesterol, fats, and calcium may build up inside of the arteries, usually those providing flow to the legs but also the kidneys... Read More
A 47-year-old member asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Probably not: Coronary spasm is a diagnosis which is extremely difficult to confirm. If in fact the patient really has coronary spasm, it is important to use a med... Read More
A 40-year-old member asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Possibly: It is not clear from your question whether you are asking whether any ultrasound would detect any aneurysm. In that case, the answer would be no; the... Read More
A 38-year-old member asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
No: This drug does not affect heart rate.
A 42-year-old member asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Probably not: It's hard to know exactly what you mean by phlebitis. Usually that term is used for superficial phlebitis, an inflammation of small veins in or just ... Read More
A 29-year-old member asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Not recommended: There is no medical evidence that taking edta is useful for any cardiovascular disease. It should be used only under medical supervision for problems... Read More
A 21-year-old male asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Many possiblities: Unfortunately without much more information (such as the circumstances of the discomfort, your age, and the presence of cardiovascular risk factors) t... Read More
A 28-year-old male asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Blood flow.: Perfusion usually refers to blood flow into an organ or organ system.
A 47-year-old female asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Not recommended: Regardless of blood pressure, the best way to lose weight is with diet and exercise. Using a stimulant, whether coffee or something stronger, is a sh... Read More
A 44-year-old female asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
See your doctor.: This could be nothing other than deconditioning and fatigue, but given your history of hypertension one must consider the possibility that this is an ... Read More
A 64-year-old female asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Probably nothing: It's hard to answer without knowing why you were on it in the first place, as there are several reasons why the drug is used. If you had rhythm distu... Read More
A 26-year-old male asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Not likely: It really depends upon how severe the ventricular septal defect is. Most VSD's are very minor, meaning that almost no blood is shunted from one ventr... Read More
A 55-year-old male asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Not advisable: Sudden cessation of therapy with a beta blocker like bystolic (nebivolol) can lead to a withdrawal syndrome including elevated heart rate and blood pr... Read More
A 44-year-old male asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Yes but don't: At worst the pills may have lost some potency. However, there is not good medical reason to use a beta blocker for PVC's. The extra beats are harmle... Read More
A 27-year-old male asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
None: I'm not aware of any heart diseases that would cause this problem. Some patients during an acute heart attack have severe belching, or feel as if the... Read More
A 37-year-old male asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Remember: Remember that the huge majority of patients with mitral valve prolapse NEVER experience any problems.
A 80-year-old male asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
It could be: It depends upon whether symptoms are present. If the aortic stenosis is causing chest pain, congestive heart failure, shortness of breath or blackout... Read More
A 36-year-old member asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Not usually: Atrial fibrillation may be a consequence of structural abnormalities of the heart, which can indeed be serious. However, if the rhythm disturbance is... Read More
A 82-year-old member asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Usually it's not: For most patients there is no advantage. A few patients have a severe cough taking an ace inhibitor, which does not occur with an arb. A very few pa... Read More
A 39-year-old member asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Electrocardiogram: If the atrial fibrillation is ongoing then an electrocardiogram will show it. If it only occurs from time to time, then there are different types of ... Read More
A 33-year-old member asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Electrocardiogram: If the atrial flutter is ongoing then a standard electrocardiogram will show it. If it only occurs on occasion, then home monitoring devices known as... Read More
A 23-year-old member asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Yes: There is no known interaction between these drugs. It should be noted, however, that there is also no known benefit in taking diltiazem, or any other... Read More
A 47-year-old member asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Not a good idea: Stroke is an acute medical emergency with the potential for permanent disability. Some patients are eligible for treatment with clot-disolving agents... Read More
A 22-year-old male asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
No, watch the salt: Many types of cuisine that are spicy are also very high in sodium. For most people, an occasional meal at an ethnic restaurant is not an issue. Howe... Read More
A 35-year-old member asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Possibly: Tricuspid stenosis is more likely to cause hypertrophy (thickening) of the right ventricle, whereas tricuspid regurgitation is more likely to cause di... Read More
A 24-year-old male asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Cause unknown: This is a very common complaint and a specific cause is rarely identified. Although this can be frustrating, this typically carries no risks of signi... Read More
A 28-year-old male asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Test for heart.: This is a substance known as a biomarker which becomes elevated in the blood if there is a problem with the heart. It can happen with an acute heart ... Read More
A member asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Organs reversed.: Dextrocardia means that the heart is on the right side of the chest rather than the left. Situs inversus means that other internal organs may be on t... Read More
A 24-year-old male asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Talk to your doctor: The risk of DVT recurrence depends upon the setting for the original dvt. If it was "unprovoked", occurring without injury or surgery , the risk of r... Read More
A 19-year-old male asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Don't worry: Notwithstanding the prejudices of practicing doctors, there is NO evidence that MVP causes any symptoms of any kind unless the valve apparatus is leak... Read More
A 23-year-old male asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Change your life: Sorry, but there is no plan or chart. The only path to sustained weight loss is a commitment to change your life. Become an active person, engaging ... Read More
A 24-year-old female asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Inflamed joint : The point where your ribs join your breastbone actually consists of a joint to allow freedom of movement in chest expansion. These joints can get art... Read More
A 37-year-old female asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Likely harmless: The type of discomfort that you describe is not characteristic of any significant cardiovascular disorder. One most often does not find a specific ca... Read More
A 17-year-old male asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Don't know: I have never heard a physician use that terminology and can't speculate as to what it might mean.
A 30-year-old male asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Sorry, can't tell: I am sorry to be unresponsive, but the phrase "moderate residual hyperplasia" could be used to refer to any organ system in the body. Without more co... Read More
A 47-year-old member asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Not so young: If this is you, you are at a very common age for hypertension to start. The cause is not really known. Exercise and weight loss (if you are overweigh... Read More
A 31-year-old male asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Could be, yes.: If you are well-conditioned, and if you do strenuous activity, it would be expected that your heart rate would go up, and a rate of 140 is not unusual... Read More
A 33-year-old male asked:
Dr. Claude Brachfeld
Cardiology 40 years experience
Normal values: As you note these measurements are at the upper limit of normal, which means they are within normal limits. Unless you are a very small person, thes... Read More

90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.

Ask doctors free
Answer emailed
in 24 hours or less

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

3
Recommendations
190
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Brachfeld is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Brachfeld is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Dec 1, 2016
How to treat pneumonia
HealthTap member
This was very helpful. Thanks! So if somebody with mvp developes symptoms it means he has another problem not just mvp?
HealthTap member
Thank you, your answer was very helpful! I'm gonna make a appointment about pain in leg. ...Thank you
HealthTap member
Found the answer from a previous person with the same question. Very reassuring. Thanks

Education & Training

Medical/Graduate school

UMDNJ-Robert Wood Johnson
Graduated 1982MD
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