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Dr. Rick Koch

Cardiology
Bend, OR
23 years experience male

Locations

Office

Bend, OR

Address

1501 ne medical center drive, Bend, OR
Directions

About

Bio

Non-invasive, board certified Cardiologist in Bend Oregon. Enjoy partnering with my patients in achieving maximal quality of life while empowering them in managing their diagnoses. Did you know it is estimated that 80% of adverse cardiac events from CAD are preventable? CAD is #1 killer of men and women in the U.S. Let's partner together to change this!

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

Doctor Q&A

2.2K Answers
4.0K Agrees
The number of answers this doctor has agreed with.
A 67-year-old male asked:
Dr. Rick Koch
Cardiology 23 years experience
Travel shouldn't be: A problem but your heart rate is elevated & should be further discussed with your physician.
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Rick Koch
Cardiology 23 years experience
Unlikely stroke: Recommend a discussion with your physician.
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old male asked:
Dr. Rick Koch
Cardiology 23 years experience
Generally yes: Liver function may need to be monitored with antifungal.
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old male asked:
Dr. Rick Koch
Cardiology 23 years experience
Would recommend : Further evaluation. Increased hr with stress is normal but chest pain may indicate a more serious problem.
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Rick Koch
Cardiology 23 years experience
Dehydration: Due to vomiting could cause increase in heart rate a vomiting could also cause throat tightness ...You may need further evaluation.
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Rick Koch
Cardiology 23 years experience
Thyroid abnormality: Can lead to atrial arrhythmia but afib more common with hyper not hypothyroidism.
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Rick Koch
Cardiology 23 years experience
Not quite sure: Of your question as this is a normal reading. BP will fluctuate.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old male asked:
Dr. Rick Koch
Cardiology 23 years experience
A lot here: Abnormal ekg suggesting atrial arrhythmia , conduction delay and possible old heart attack. Talk to a cardiologist please!
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Rick Koch
Cardiology 23 years experience
Exercise, weight : Loss & good diet for starters.
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Rick Koch
Cardiology 23 years experience
Yes: Should be a problem but would avoid abdominal region if you have a aaa.
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Rick Koch
Cardiology 23 years experience
It can be but...: Would recommend discussing your particular case with your physician or rheumatologist.
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old male asked:
Dr. Rick Koch
Cardiology 23 years experience
Not serious: But should have periodic echocardiogram for surveillance.
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Rick Koch
Cardiology 23 years experience
Angina is chest: Pain related to lack of oxygen to heart muscle whereas CHF is fluid retention , sob or fatigue related to impaired heart muscle performance...Talk to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Rick Koch
Cardiology 23 years experience
They both equally: Hard...Just 2 or 3 leaflet design difference.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Rick Koch
Cardiology 23 years experience
Risk benefit of: Stopping Aspirin vs risk of bleeding with it on board....Talk to your physician.
Created for people with ongoing healthcare needs but benefits everyone.
A 57-year-old male asked:
Dr. Rick Koch
Cardiology 23 years experience
Do not increase : BP is likely too low already.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Rick Koch
Cardiology 23 years experience
Get evaluated: As your symptoms are concerning despite your young age...Don't delay.
Created for people with ongoing healthcare needs but benefits everyone.
A 55-year-old female asked:
Dr. Rick Koch
Cardiology 23 years experience
Yes quite good: Unless you've had a heart stent or bypass surgery.
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old male asked:
Dr. Rick Koch
Cardiology 23 years experience
Agree that probably: Ok...Keep well hydrated & follow closely with your physician.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Rick Koch
Cardiology 23 years experience
Not all fat is: Created equal...Walnuts & almonds can be beneficial is reasonable amounts.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old male asked:
Dr. Rick Koch
Cardiology 23 years experience
Pleurisy: Or pericarditis ? Get evaluated.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old male asked:
Dr. Rick Koch
Cardiology 23 years experience
Stress increases BP: Also known as "white coat hypertension".
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old female asked:
Dr. Rick Koch
Cardiology 23 years experience
Standard way of: Checking BP is fine.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Rick Koch
Cardiology 23 years experience
Vegan: Vegan means no animal based protein or products.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Rick Koch
Cardiology 23 years experience
Heart: Myth: heart attacks just happen. Fact: 80% of all cardiovascular events are preventable.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Rick Koch
Cardiology 23 years experience
Joints bear burden : Obesity resulting in more arthritis over long term.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Rick Koch
Cardiology 23 years experience
Hypothyroidism : Not usually related to high bp.
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Rick Koch
Cardiology 23 years experience
Depends on reason: For murmur. Some are benign flow murmurs in young patients. Get an echocardiogram to determine etiology.
Created for people with ongoing healthcare needs but benefits everyone.
A 57-year-old male asked:
Dr. Rick Koch
Cardiology 23 years experience
This is rare: & generally results in chest pain.
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Rick Koch
Cardiology 23 years experience
Diastolic BP: Is the lower number on BP reading measuring BP when arteries are "relaxed".
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Rick Koch
Cardiology 23 years experience
Do: Do read nutrition labels. Don't assume any fast food is healthy without knowing.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old male asked:
Dr. Rick Koch
Cardiology 23 years experience
Average?: Hard to say....Life long but reintervention could vary from less than 10% to 25% depending on type of stent.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Rick Koch
Cardiology 23 years experience
Most likely reflux: Try otc Prilosec & if ineffective talk to your physician.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Rick Koch
Cardiology 23 years experience
Not your heart rate: That determines calorie usage but intensity & duration of exercise.
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Rick Koch
Cardiology 23 years experience
Sounds encouraging : Stick with the treatment & good luck with your pregnancy.
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Rick Koch
Cardiology 23 years experience
Stress while: Affecting the body in many ways does not cause strokes.
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old male asked:
Dr. Rick Koch
Cardiology 23 years experience
Not to say you: Can't but moderation important.
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Rick Koch
Cardiology 23 years experience
Ablation?: Depends on type of rhythm...See an electrophysiologist.
Created for people with ongoing healthcare needs but benefits everyone.
A 58-year-old female asked:
Dr. Rick Koch
Cardiology 23 years experience
I think this would: Be best answered by your pulmonogist but what you have is not reversible so prognosis is not great...Sorry.
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Rick Koch
Cardiology 23 years experience
This should: Only be done under the direction of your physician.
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Rick Koch
Cardiology 23 years experience
It can if: Respiratory drive was affected but more likely copd.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old male asked:
Dr. Rick Koch
Cardiology 23 years experience
Depends how: Hard you are working out...Increased fitness will result in lower heart rate for given level of exertion.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old male asked:
Dr. Rick Koch
Cardiology 23 years experience
Congratulations : You've made great progress! fish oil likely beneficial but won't impact LDL much but yours is perfect!
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old female asked:
Dr. Rick Koch
Cardiology 23 years experience
This is highly: Variable...How is the aortic valve functioning? Is it steno tic or leaking?
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Rick Koch
Cardiology 23 years experience
Myth:: Myth: Nitroglycerin only relieves angina. Fact: it can alleviate musculoskeletal & GI pain as well.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Rick Koch
Cardiology 23 years experience
Muscle aches: For Lipitor (atorvastatin) & cough for lisinopril.
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Rick Koch
Cardiology 23 years experience
Murmurs: Are associated with blood flow and valves and arrhythmia is a generic term for electrical system abnormaility.
Created for people with ongoing healthcare needs but benefits everyone.
A 64-year-old male asked:
Dr. Rick Koch
Cardiology 23 years experience
Would recommend : A discussion with your physician as this may represent many things.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old male asked:
Dr. Rick Koch
Cardiology 23 years experience
Upper normal: But getting back to fit lifestyle will help!
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old male asked:
Dr. Rick Koch
Cardiology 23 years experience
Generally accurate: Not unusual to see lower BP at home. Next visit bring your unit to doctors office & compare readings.
Created for people with ongoing healthcare needs but benefits everyone.

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

32
Recommendations
2.9K
Thank you notes
Aug 20, 2013
Dr. Koch is a caring doctor who offers his patients his all. He's knowledgeable and experienced but, most of all, his spirit of service lives through his work. I have met him personally and would reco...Read More
Jul 21, 2013
Knowledgeable and caring, family man and doctor. I am comfortable sending patients that need a high caliber heart specialist.
Jul 6, 2013
I appreciate Dr. Koch's concise answers to complicated questions. He's a great doctor we're lucky to have on HealthTap!
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 or tip was very helpful! I'm lost and very afraid and I have no insurance here in Canada some one please help me my heart hurts I keep getting random pulses all ove
HealthTap member
Thank you, your answer was very helpful! Thank you for quick reply. I have an appt with a cardiologist in June & now I have a better idea of what's going on & can discuss w/doc.

Education & Training

Medical/Graduate school

University of Chicago Pritzker School of Medicine, IL
Graduated 1999MD

Awards

2002 University of Chicago Hospital’s “Best of the Best” nominee for Internal Medicine Housestaff 1999 Catherine Dobson Prize, Best Oral Presentation, 53rd Annual Senior Scientific Session, Biological Sciences Division, University of Chicago 1995 Hewlett-Packard Star Award for Outstanding Achievement 1989 Graduated Cum Laude Rensselaer Polytechnic Institute 1988 Tau Beta Pi, National Engineering Honor Society 1988 Eta Kappa Nu, National Electrical Engineering Honor Society 1985-1989 Dean’s List of Distinguished Students, all semesters
Patents: 5,161,535 “Medical Ultrasound Imaging System Having a Partitioned Menu”; Short and Koch; Nov. 10 1992. 5,322,067 “Method and Apparatus for Determining the Volume of a Body Cavity in Real Time”; Prater, Banta and Koch; Jun. 21 1994. 5,533,510 “Real-Time Endocardial Displacement Display”; Koch and Prater; Jul09 1996.
2002-12 Board Certified, American Board of Internal Medicine #214151 2005-15 Board Certified, Comprehensive Echocardiography #2005-453 2005-15 Board Certified, Nuclear Cardiology # 4007 2006-16 Board Certified, Cardiovascular Diseases #214151 2008-18 Board Certified, Cardiovascular Computed Tomography #0337

Affiliations

Saint Charles medical center
Bend memorial clinic
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