Locations
Office
Bend, OR
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!
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
Doctor Q&A
2.2K Answers
4.0K Agrees
The number of answers this doctor has agreed with.
A 40-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Yes: See your physician & get checked out. A chest ct will show if you have signs of pf.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
No..not really: And benefits of red wine are often marginal compared to potential risks (more is not better).
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
No because : These devices are shielded...Ok to use microwave & cell phones as well.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 46-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Amyloid : Is not related to dietary intake.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Talk to MD: Talk to your physician & get appropriate screening of cardiovascular risk factors.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsAnswered >2 years ago
A 23-year-old member asked:
A 44-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
They can with: Appropriate lifestyle modification & medication.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Stenosis?: Or regurgitation? Highly variable.
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago
A 42-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
It is designed: To terminate life threatening arrhythmia & can also serve as a pacemaker.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
They supply: Oxygenated blood to the heart muscle.
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Beta agonist: Which enhances cardiac contractility.
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Age is #1: Risk factor. Our arteries stiffen as we age. Obesity & sedentary life style as well as excessive alcohol.
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago
A 50-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Diet, exercise, : Maintain lean body mass, control blood pressure & blood sugar & don't smoke...Plus get screening with your primary as appropriate.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 45-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
No: Lasik is a vision correction surgery & Lasix (furosemide) is a diuretic medication.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Yes: Propanolol is a beta blocker.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Yes : Steroids can promote arrythmias.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Generally no: But anyone who is vulnerable for having afib is more at risk with hypovolemia due to increased heart rates and possible electrolyte disturbance.
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 40-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Yes: Palpitations can worsen with hormonal shifts.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Common? no: But what is the definition of "common"?
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Arrhythmia coming : From top chambers of the heart (atria)...Can be serious depending upon symptoms. See a cardiologist and get evaluated as many treatments are availabl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
A rather: Non-specific finding on ecg. Often benign in young otherwise healthy patients.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Excess fluid but: Also things like potassium.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Specialists: The fact you had endocarditis previously complicates your pregnancy as far as needing appropriate specialists involved in your care. Echocardiography... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Generally: When they have recovered sufficiently from surgery or procedure to start exercise.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 26-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Giddiness...no: Palpitations...Possibly due to increase in heart rate related to anemia.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 31-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
A nuclear stress: Test designed to evaluate blood flow during rest and stress conditions. The radioisotope in this case would be thallium.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 24-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
No: Pvd is caused by cholesterol plaquing of the arteries.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 27-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Variable: Depends on the valve and severity of the leakage. Sometimes none.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 24-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Not necessarily: But if bothersome or lasting more than a couple of seconds further evaluation may be warranted as this could be many things.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Yes and: Frequently benign but sometimes not...Talk to your physician.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 24-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Hydration: And increased salt intake for starters. If ineffective talk to your physician.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years agoMerged
A 39-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Yes...: Absolutely. It is a known risk factor.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Get evaluation: Asap . You may be hydrated with dynamic outflow gradient or having arrythmia.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 24-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
In general: Yes but if you have supplemental oxygen needs or concerns talk to your physician.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Usually....: None. Especially any anti-arrhythmics or anti-coagulants.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 46-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Stress of: Hypoxia and increased nutritional needs.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 54-year-old female asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Coronary Calcium....: The best non-invasive test for measuring the amount of heart disease and consequently estimating an individual's risk is a coronary calcium score perf... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 29-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Calcium scoring: Coronary calcium scoring is useful in patients at intermiste risk for coronary events who are asymptotic. These individuals are men over 40 & women o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Wouldn't recommend : It is class c in pregnancy and is excreted in breast milk http://www.Drugs.Com/pregnancy/flecainide.Html
talk to your cardiologist & ob.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Ischemia: Is one of results of advanced CAD usually in blockages greater than 70% where the heart muscle is not getting enough blood flow with increased work lo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsAnswered >2 years ago
A 47-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Not related to : Mitral stenosis. Laying on the left side places the heart closer to the stethoscope.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 25-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Absolutely: Consequences depend on valve, severity & symptoms.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 40-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Possibly in mildest: Stages by aggressive lifestyle modification including aggressive lowering of ldl. But once more significant atherosclerosis is present it is generall... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 23-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
It completely: Depends on the cause..Talk to your cardiologist.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
You need: Higher BP when standing to supply the brain with blood and overcome effects of gravity....Systolic should also rise.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
There isn't just one: Sometimes none. Other times diuretics, ace inhibitors or beta blockers ....Really depends on situation.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 25-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Left main: Left anterior descending, left circumflex and right.
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
Same as you: Would your systolic...Diet, exercise & weight loss for starters...Medication if that fails and hypertension is present.
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
They do not per se: In treatment of cardiomyopathy they take strain off the heart so it can heal & regain strength over time and in that way can eventually improve cardia... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. Rick Kochanswered
Cardiology 24 years experience
It is an inatrope: Which increases contractility.
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >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.
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 Hospitalâs âBest of the Bestâ 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 Deanâs List of Distinguished Students, all semesters
Patents: 5,161,535 âMedical Ultrasound Imaging System Having a Partitioned Menuâ; Short and Koch; Nov. 10 1992. 5,322,067 âMethod and Apparatus for Determining the Volume of a Body Cavity in Real Timeâ; Prater, Banta and Koch; Jun. 21 1994. 5,533,510 âReal-Time Endocardial Displacement Displayâ; 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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