Locations
Office
Bend, OR
Phone
Practice website
About
Bio
I am a non-invasive cardiologist practicing in Bend, OR at Bend Memorial Clinic. I specialize in cardiac imaging and aggressive outpatient management of complex cardiac disorders. I also maintain an active inpatient practice. I enjoy working with my patients to give them a full understanding of their pathologies and symptoms so we can jointly come up with an appropriate treatment plan.
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
78 Answers
244 Agrees
The number of answers this doctor has agreed with.
A 31-year-old member asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Many things: The most frequent cause is mild dehydration. Other causes could included heart disease or rhythm disturbance, too man y medications, autonomic dysfun... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 72-year-old male asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Usually: The major complications with viagra (sildenafil) involve nitrates. Multaq should be ok.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 38-year-old male asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
And hydrate: I agree with the comments about caffeine. Additionally, dehydration can be involved, drink plenty of water. If the problem persists, see your doctor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 22-year-old female asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Better options: There are many long acting medications that are better options for chronic stable angina.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 45-year-old male asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Probably not: Although it depends on how his valve is functioning.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 32-year-old female asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Atrial fibrillation: Afib is a likely cause. Congestive heart failure, heart block which might need a pacemaker and coronary artery blockages are also concerns. He needs... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A member asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Maybe not needed: Amlodipine really shouldn't make you relaxed. If your BP is 120/80 you probably don't need a BP med.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A male asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Probably nothing: 1 Aspirin if your stomach is normal should be fine.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 46-year-old female asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Depends: On when your stent was placed, and how you are doing.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 23-year-old male asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
It depends: It really depends on the type and size of aneurysm.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 59-year-old female asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Blood pressure: Might be increased as well.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Adults: 60 to 80 bpm. Although very fit individuals frequently have heart rates in the 50s or even 49s.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 29-year-old male asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Caffeine : Stimulants such as caffeine and some decongestants can trigger act in some people. Dehydration, illness and stress are other common triggers.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Complicated: There are a number of complex interactions and a variety if vasodilators that affect the renin-angiotensin-aldosterone system and hypertension. Too m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Is it angina?: Angina, or pain from lack of blood flow to the heart, can frequently be strongly suspected from the discussion between you and your doctor. In some c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 18-year-old female asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Unacceptable: Clearly something fell between the cracks. Give the office a call.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Not usually: But any stress can trigger af in certain peopl.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
It depends: Appropriate management can lower the risk. Specifically, the heart rate needs to be controlled and stroke risk needs to be addressed. Specific guida... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years agoMerged
A 50-year-old member asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Yes within reason. : The caffeine does not affect the nuclear tracer or the dobutamine. However, most protocols want you to have not eaten or drank for 8 hours. Addition... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
No: It may be a sign of heart trouble, or it might be related to holding on to the bar, hyperventilation or other pre-existing issues.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsAnswered >2 years ago
A 30-year-old male asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Angina: Chest pain from your heart is a common severe problem. There are others but if this persists go to the er.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 33-year-old male asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Different names: For different organs. In fact some people have advocated calling a stroke a "brain attack" to motivate people to seek immediate treatment like they h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Very similar: Both are blood pressure medications in the same class. They lower BP without slowing hr. They can be used for anti-anginals as well. Nifedipine can... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Abnormal stress: Tests can have multiple causes. Some are from artifact, some are from blockages that could cause a heart attack, some are from old heart attacks. Th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A female asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Not necessarily: But aggressive investigation of the cause and appropriate treatment are very important.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 40-year-old female asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
It depends: Probably not but sustained fast heart rates might result in weakening of the heart. Some fast heart rates are from abnormal heart rhythms or other di... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 33-year-old female asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
PND: Is the need to suddenly sit up due to shortness of breath after being asleep or lying down for a while. It can be a symptom of decompensated heart fa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 63-year-old male asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Yes: You can safely stop Crestor (rosuvastatin) without a withdrawal reaction. However, you should talk with your physician about why you are on it and wh... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 58-year-old female asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Dehydration: Dehydration is a frequent cause of dizziness. As dr. Koch stated, this can lead to vasovagal symptoms.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 31-year-old female asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Difficult to say: It could range from heartburn or anxiety to heart problems. Please see your doctor.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 42-year-old male asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
It depends: If they are only replacing the pacemaker and leaving the old wires alone, not very risky. If they are going to remove the old wires there is addition... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Left ventricle: The left ventricle is dysfunctional either during systole (squeezing). Or diastole (relaxing) or both. In either case, forward flow of blood through ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Not common: Coumadin (warfarin) and milk don't interact as far as i know.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Mess that slow heart: Timolol is an eyedrop that can slow the heart rate. It is in the class called beta blockers. Other beta blockers such as atenolol and metoprolol als... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Yes: There are some side effects with some types of stress test. The chemical stress tests tend to have a few more side effects than exercise. Fortunatel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 40-year-old female asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Bp and hydration: Coffee has not been shown to have significant adverse effects, however it can raise BP a little and can also dehydrate you i'd you are not aware of h2... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A member asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Water: A frequent cause of increased heart rate is dehydration. Water can sometimes help. Decreasing caffeine can be effective as well.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 29-year-old member asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
It depends: It depends on what your concerns, symptoms and other risk factors are.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Most tests: Should have results available immediately (1-2 hours) if you wait. All should be finalized within 1 work day. You should get a call and your doctor ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Many: Takotsubo cardiomyopathy as previously answered, but other stress related cardiovascular issues include palpitations, arrhythmias, high blood pressure... 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. Gavin Nobleanswered
Cardiology 24 years experience
Unfortunately: Diabetes is frequently asymptomatic. Sometimes people have frequent urination. Your best bet for determining if you get diabetes is close follow up ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsAnswered >2 years ago
A 48-year-old female asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Fast: This is a normal heart rhythm that is faster than usual, by definition more than 100 bpm.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Many reasons: Angina, coronary artery disease, high blood pressure, chf, atrial fibrillation and other heart rhythm disorders, palpitations, public speaking anxiety... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 25-year-old female asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
It depends: On how you feel and what the cause is. Some people in that situation will feel dizzy or pass out. Some will need a pacemaker. Please see your docto... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 20-year-old member asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Caffeine: You are probably over-caffeinated. If you are truly disoriented you should get checked out at an urgent care.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A member asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Depends on your risk: Some chest pain is not worrisome, while some can be very dangerous. This really requires a physician with a full set of information to determine whet... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Hard to say: Many people get flushing, which is a minor side effect. Some people get an increase in HDL (good cholesterol) but the value of this change with Niaci... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Low blood pressure: These are both blood pressure lowering drugs. They work differently and have different side effects, but when taken together they will lower the BP f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 27-year-old male asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
Uncertain: While there is really no research on this question, the physiology would suggest that you should not drink these. The stimulant effect of caffeine an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 45-year-old male asked:
Dr. Gavin Nobleanswered
Cardiology 24 years experience
This surgery is: Currently best performed open heart. Minimally invasive surgery will not adequately address the aorta.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >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.
4
Recommendations
267
Thank you notes
Sep 5, 2012
Dr. Noble is a highly trained non-invasive cardiologist who is a nationally recognized nuclear stress testing authority. His interests center around preventive cardiology and the doctor-patient relat...Read More
Aug 2, 2014
A great doc!
HealthTap member
Mar 30, 2015
Dr. Noble is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This saved my life. Thank you. Having been previously diagnosed with left lower pulmonary edema and mild pulmonary hypertension with recent events, this made perfect sense,
HealthTap member
Thanks but also YIKES as my 1st nuclear stress test is scheduled less than 2 weeks from now. Glad the hospital is just across from my doc.
HealthTap member
I think my question was evaluated before I finished it. The question I was trying to write was what is the average life expectancy
Education & Training
Medical/Graduate school
State University of New York Upstate Medical University, NY
Graduated 1999MD
Awards
Young Inivestigator - American Society of Nuclear Cardiology
HealthTap Founding Doctor
Affiliations
Bend Memorial Clinic
St. Charles Medical Center
Publications
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