Locations
Michigan Heart Group
Troy, MI
Phone
Practice website
Insurances accepted
Aetna
UnitedHealthcare
Aetna Life Insurance Company
Blue Cross Blue Shield of Michigan
Guardian Life Insurance Company of America (The)
Health Alliance Plan
Office
Troy, MI
Western Wayne Heart Group
Novi, MI
About
Bio
A clinical and interventional cardiologist for 20 years, affiliated with William Beaumont Hospital and a faculty at the Oakland University William Beaumont School of Medicine. CEO of the Michigan Heart Group, PC. Interests in general and interventional cardiology, coronary risk prevention, and new device technology. Board member and consultant for several startup companies and medical device venture funds
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
Licenses
United States: Michigan, Ohio
Doctor Q&A
368 Answers
330 Agrees
The number of answers this doctor has agreed with.
A 45-year-old member asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Obesity: Many types of food frequented by obese individuals (like fast food) are particularly high in sodium, as well as trans fats.
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Heart contusion: Observation and monitoring for arrhythmias, blood tests to monitor cardiac damage, and an echocardiogram to assess wall motion and rule out pericardia... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Midodrine: Midodrine is a vasoconstrictor typically used for patients with difficult neurally-mediated syncope or significant orthostasis . As such, it can driv... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 71-year-old female asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Eval for ulcer: Coumadin (warfarin) by being a blood thinner can put you at risk for bleeding and of particular concern is the GI tract. Mild gastritis can turn into... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 43-year-old member asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Intracranial bleed: Typically a intraventricular hemorrhage in the brain can cause gradual neurological changes with an alteration in mental status (less responsive) due ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 33-year-old male asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Yes: Prazosin is an Alpha blocking agent that is effective in lowering bp. While it would not be first line therapy in patients with coexistant cardiac c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 24-year-old female asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Avoid stimulants/med: Can reduce risk of heart racing by avoiding caffeine/alcohol/stimulants. If it occurs vagal maneuvers (cold compress to forehead, light pressure on c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
ARB's vs ACEI: Benicar (olmesartan) an arb works similarly in many ways to lisiniopril (acei). They both block at different points in the renin-angiotensin system. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Acidosis: The body compensates for metabolic acidosis by increasing the respiratory rate in order to alkalinize the blood by removing carbon dioxide. Acute tr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Arrhythmia: Av dissociation is a disorder of conduction that in some cases (3rd degree av block) can lead to bradycardia (slow hr) and syncope.
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Heart physiology: A gallop is an extra heart sound triggered either by early ventricular filling of a volume overloaded ventricle (s3), or by late atrial filling during... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsAnswered >2 years ago
A 32-year-old member asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Heat stroke: Hydration (aggressive) and cooling--possibly even intravenous systemic cooling. Labs to look for tissue damage (multiple systems from muscular damage... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Hypertension: Angiorensin ii is a potent vasoconstrictor and proinflammatory chemical that has effects on vascular endothelium that contribute to atherosclerosis an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsAnswered >2 years ago
A 44-year-old member asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Athletic heart: Typically a well-conditioned athlete's heart will run slower than normal because of well-conditioned autonomic reflexes as well as a larger stroke vol... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Cardiac physiology: Blood moves from the heart into the aorta as oxygenated blood under the force of the systolic contraction. Arterial blood passes through the nonpulsa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Echo: An echo is designed to provide structural and functional data on how the heart contracts and performs as a pump. It also provides valuable informatio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Normal physiology: 60-100 beats per minute, though heart rates at times can easily be outside this range if other factors are present.
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Diabetes cv risk: Two factors that influence cv risk the most in diabetics include HTN and hyperlipidemia. Caduet contains amlodipine for BP and Atorvastatin for lipid... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 20-year-old male asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Consider sleep apnea: Sudden jolts to waking in early phases of sleep might signify sleep apnea where the trigger is a lack of ventilation resulting in low oxygen levels in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 32-year-old female asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Pleuritic pain: CP that occurs with chest movement or lung expansion suggests an inflamed pleura or airway spasm, associated wheezing suggests a potential asthmatic ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 17-year-old male asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Meds / cardiology: Lvh in most cases is a physiologic response to increased impediment to forward flow (hypertension or valvular obstruction most commonly). Occasional... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 45-year-old female asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
See doc. : Those bp's are quite high and a concern. Catapress is a BP med that can cause rebound elevations in BP if a dose is missed-it sounds like you need a ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 34-year-old female asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Yes: Pain and nxiety raise BP and increases the heart rate. They are tressors produing a catecholamine response. Feeling relief may produce the opposite e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 34-year-old male asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
BPH/dehydration/blad: Lack of volume results in less urine production. If the prostate is enlarged (BPH) it can delay urination or reduce the force of the stream. Finally... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 30-year-old male asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Weight loss, BP f/u: You are mildly hypertensive by BP readings but your ECG /echo reports already show signs of LVH at age 30. This implies that the effects of high BP h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 45-year-old member asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Cardiac transplant: Transplant survival rates have been improving over the past several years as better options exist in preventing rejection (better than 60% live 10 or ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 38-year-old male asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Heart Disease: Common heart problems include coronary artery disease (heart attacks), CHF (failing heart), valvular problems (aortic and mitral disease for the most ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Meds/conduction abnl: Heart rate can be slowed by medications (beta blockers, nondihydropyridine calcium blockers, digoxin), or natural vs acquired abnormalities of conduct... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Renal failure: A buildup of acid occurs in renal failure as the kidneys are central in acid-base balance and regulation. Acid is a byproduct of metabolism and the i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Cerebrovascular: Tia's or stroke like symptoms. Often seen in patients w signs of hypertension and vascular disease elsewhere.
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 46-year-old female asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
See doctor: Multiple possibilities (in the absence of additional information), including hormonal (menopause, thyroid, blood sugar), anxiety disorders/depression... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 40-year-old member asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Heart disease: Increasing intake of saturated fats/trans fats typically drives up the cholesterol and in particular the bad cholesterol (ldl/triglyceride) components... 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. Steven Ajlunianswered
Cardiology 37 years experience
ASAP: The time after symptoms begin is directly associated with the amount of scarring and damage. Heart tissue can withstand only short periods of time (m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 19-year-old male asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Unknown: The theoretical benefits on omega-3 supplements (antiplatelet effects, lowering triglycerides, membrane potential stabilization ) have not been subst... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 20-year-old female asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Depends : Depends of course on the type of ECG abnormality. Higher heart rates and lower BP often imply relative low volume in the bloodstream. Make sure you ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 30-year-old female asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Chk thyroid status: Fast hr's in the setting of hyperthyroidism imply that thyroid levels might still be high. If graves disease was treated w radioactive ablation of th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 25-year-old male asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Sl increased risk: Diclofenac is a NSAID which primarily are used as antiinflammatories and analgesic agents in patients with acute or chronic inflammation. As a class... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 23-year-old male asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Yes: Heart attacks represent sudden occlusion of a coronary artery. This happens most commonly because of atherosclerotic plaque rupture, although other t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A member asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Pleuritic pain: Sharp pains on inspiration are pleuritic and not cardiac-- they imply the kind of discomfort brought on by movement of either the chest wall or expan... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsAnswered >2 years ago
A 42-year-old male asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Nothing known of: While a diet low in saturated fats and high in omega 3 fish oils (rich in fish) lowers ones incidence of cad, nothing currently available suggests con... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 17-year-old male asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
SBP<90/ in shock: Shock is typically defined as a systolic BP less than 90. This is usually inadequate an explanation because the physiologic definition implies a dro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Not very: Ptca w stenting has come a long way in recent years with better equipment and easier to place devices (smaller caliber stents). Drug-eluting stents ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 72-year-old female asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Increased cv risk: Troponin i is a highly specific enzyme released by cardiac cells that, if elevated might suggest myocardial injury. It can be released in the setting... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 46-year-old female asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Safe if needed: The risks of a heart catheterization are small (<1:1000 serious complications). Any invasive procedure carries risk, but these procedures ave small ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 24-year-old female asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Discuss w doc: One expects a physiologically appropriate increase in heart rate with exercise. This could be magnified if your volume state is low (intravascular de... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Evaluate with doc: High pulse typically occurs in response to physiologic stressors. Some of these can be apparent (pain, anemia, dehydration, excessive thyroid, anxiet... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago
A 25-year-old male asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Yes: Electrolyte abnormalities can generate ectopic beats or trigger tachycardia. Potassium and magnesium depletion can result in tachycardia by their eff... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 25-year-old female asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Salt a bigger issue: If you have normal kidney function, your kidneys can discard excessive fluids you might drink. The bigger issue for water retention is salt intake wh... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
Yes: Women and men alike benefit from exercise with improved stamina, increased strength, and improved weight balance.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Steven Ajlunianswered
Cardiology 37 years experience
CAD: Inflammatory changes first involving the intima and then the deeper layers of the blood vessel wall.
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years agoMerged
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.
6
Recommendations
1.0K
Thank you notes
Feb 27, 2013
I recommend this physician!
Feb 6, 2013
I recommend this Physician
HealthTap member
Jan 13, 2014
This physician has an excellent bedside manner and a skill-set that sets him aside from his colleagues. If you are looking for a cardiologist because of a recent problem, a second opinion, or just wa...Read More
HealthTap member
This was very helpful. Thanks! I have all of the symptoms of (CMD) for 4 months now. But, the doctors in my area are very ignorant and arrogant. The EKG and Echocardiogram have missed this. But, I kno...Read More
HealthTap member
Thank you, your answer was very helpful! Since 2008 after the diagnosis of pericarditis, I have been in colchicine, ,ibuprofen, ,prednisone,&painkillers daily.but symptoms remains
HealthTap member
Thanks for your quick reply! My lung doctor called and they are reveiwing my echo strip and they are sending me to a interventaliogst cardiologist.
Education & Training
Medical/Graduate school
Wayne State University School of Medicine
Graduated 1986MD
Medical/Graduate school
Wayne State University School of Medicine, MI
Graduated 1986MD
Residency
University of Michigan Health System
Awards
Most Influential, First Place, Royal Oak, MI - Winter
2013
Thought Leader, Third Place, Royal Oak, MI - Winter
2013
Top Cardiologist , Second Place, Michigan - Winter
2013
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