Locations
North Central Heart Institute
Sioux Falls, SD
Phone
Insurances accepted
Blue Cross Blue Shield of Minnesota
Medicare
Tricare
About
Bio
Dr. Rand is board certified in cardiology, nuclear cardiology, echocardiography, cardiac CT tomography, cardiac MRI, and internal medicine. He has additionally met criteria and been elected by his peers to Fellow status in the American College of Cardiology (FACC), American College of Physicians (FACP), American Society of Echocardiogaphy (FASE), American Society of Nuclear Cardiology (FASNC), and Society for Cardiovascular Magnetic Resonance (FSCMR). He is an advanced (Level 3) echocardiographer. His experience includes serving as faculty for training cardiologists, internal medicine physicians, and medical students.
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
Internal Medicine
Doctor Q&A
837 Answers
282 Agrees
The number of answers this doctor has agreed with.
A 40-year-old member asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Maybe a murmur?: Not sure what a tremor is on echo. I suspect they told you you had a murmur. A murmur is a vibration in the heart which may be due to a leaky heart v... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 42-year-old member asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Depends on food: Typically, if you take in too much salt, the water tends to follow the salt intake, with resultant increase in water weight. This can be stored in the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 31-year-old member asked:
Dr. Elden Randanswered
Cardiology 23 years experience
No.: If a patient has had viagra, levitra, (vardenafil) or cialis, Nitroglycerin can severely lower the blood pressure. Nitro can not be given to patients... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years agoMerged
A 28-year-old female asked:
Dr. Elden Randanswered
Cardiology 23 years experience
See pulmonologist: You may have exercise induced asthma or reactive airways.
A pulmonologist can do a pulmonary function test to test this.
Ensure you tell them you ha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Any concerning one: If you develop new or any concerning chest pain or pressure symptom, that should be further evaluated. If you have known heart disease and it now occ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 25-year-old female asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Doesnt make sense: This sounds like a nuclear stress test. The term "irreversible" and "ischemia" never belong together for this test. An irreversible defect is a scar ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Fat = calories: Fat is a very efficient way to intake calories which your body needs for energy, as well as a very efficient way to store energy.
The problem occur... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 37-year-old female asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Narrowing: Mitral stenosis is a thickening of the mitral valve leaflets. This results in narrowing that restricts blood flow through the valve.
Ms is rated a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 34-year-old female asked:
Dr. Elden Randanswered
Cardiology 23 years experience
More info needed: Cholesterol parameters appear favorable. Unclear what you mean by liver function low.
Sometimes the liver function tests are elevated, and since yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Different forms: Half-life elimination and duration of action are two different things.
Metoprolol given IV has a different duration of action from oral metoprolol ta... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsAnswered >2 years ago
A 22-year-old male asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Heartburn: Indigestion, heartburn, sensation of burping acid into mouth, and associated chest symptoms sound overall concerning for gastroesopheageal reflux dise... Read More
Created for people with ongoing healthcare needs but benefits everyone.
712 viewsReviewed >2 years ago
A 20-year-old male asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Rare but possible: There are certain heart defects which may not be evident until early adulthood such as septal defects or noncompaction cardiomyopathies.
Other heart c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsAnswered >2 years ago
A 24-year-old female asked:
Dr. Elden Randanswered
Cardiology 23 years experience
See a cardiologist: Many heart conditions are not considered genetic, and so would not be expected to be passed along to future offspring.
Talk with a cardiologist or a ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsAnswered >2 years ago
A 32-year-old male asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Neoplasm: A cancer that affects the heart muscle or valves would be considered a heart cancer. Most sources of cancer in the heart are a metastasis from anothe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
844 viewsAnswered >2 years ago
A female asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Abnl ECG: Although it can be a helpful indicator, chest Xray is never a definitive test for heart size. This is done with an echocardiogram, cardiac CT, or a c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
688 viewsReviewed >2 years ago
A 28-year-old female asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Yes, possible: Very high blood pressure can cause elevation of ck. Typically, they would have also checked troponin to see if you had notable evidence for heart att... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 28-year-old female asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Not unless symptoms: Young healthy females can run in this range. If you are lightheaded/dizzy with movement, then it may represent too vigorous of blood pressure control... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 44-year-old female asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Some types are.: Some CHF causes are reversible such as blocked coronary arteries which can be opened, or if due to rapid heart rate from atrial fibrillation. Hyperth... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 55-year-old female asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Not normal: You need to know the severity of mr. If it is severe and your ejection fraction is low, you likely need mitral valve surgery. Sometimes, hypokinesis c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 28-year-old male asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Lowers cholesterol: Crestor is the brand name for rosuvastatin. Its function is to lower the body's production of cholesterol and to stabilize current cholesterol plaques... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Depends on why: The type of abnormal rhythm determines the therapy.
Some can be treated with medications. Others may need to be cardioverted ("shocked") back into ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A member asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Lisinopril; ?liver: Lisinopril would not be expected to cause liver function enzyme abnormalities.
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Depends on procedure: A typical dose would be 81mg, but may be more if a recent cardiac procedure or surgery. You would need to talk with your cardiologist regarding specif... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 36-year-old male asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Take: Take a tourniquet or be very quick at how to make tourniquets when out camping.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Not necessarily: A murmur is a vibration of the heart heard by a stethoscope.
Some murmurs are normal, others may be due to a leaky (regurgitant) or a narrowed (sten... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 38-year-old female asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Depends: In most people, having pericardial fluid or a leaky heart valve does not predict an increased risk of heart attack. These conditions can exist without... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsAnswered >2 years ago
A 30-year-old member asked:
Dr. Elden Randanswered
Cardiology 23 years experience
No upper limit: Being overweight does not solely make one infertile. It could make it more difficult to become pregnant, if other medical conditions are present. Als... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 45-year-old male asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Yes: If a heart cath. Was done through the femoral artery ("groin access"), the catheter is inserted very close to the abdominal cavity. If there is bleedi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Maybe: Normal range resting heart rate is typically 50's-90's per minute- some may be right at 100.
An accurate resting heart rate is done by measuring aft... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A member asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Consider pacemaker: If someone's heart rate is too low, evalution for thyroid function or other metabolic cause or medication cause must be done.
If there is no other r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 53-year-old female asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Probably fine: Ziac (bisoprolol and hydrocholorthiazide) is a combination of a beta blocker and a thiazide diuretic (Bisoprolol and Hydrochlorothiazide). Typically,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsAnswered >2 years ago
A 52-year-old member asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Feedback system: A positive feedback loop occurs when the response causes the original stimulus to enhance.
Most feedback systems are negative, because typically the s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
664 viewsAnswered >2 years ago
A 26-year-old male asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Probably both: There are numerous causes for chest pain- some are worrisome, some are not lethal but important to assess.
For chest pain which a clear cause has not ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.3k viewsReviewed >2 years ago
A female asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Maybe helpful: Depending on the location, an abdominal ultrasound can be helfpul- typically more so for liver or kidneys rather than the stomach.
If a problem in th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsAnswered >2 years ago
A 40-year-old female asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Probably not: Cortrosyn is a synthetic acth (adrenocorticotropic hormone) administered to see if the adrenal gland can make cortisol when stimulated.
It would be v... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Can be hard :o): A new habit takes approximately 30 days to develop. The body will fight any changes.
The following will be helpful to consider:
1. Calendar to check... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5k viewsReviewed >2 years ago
A 31-year-old female asked:
Dr. Elden Randanswered
Cardiology 23 years experience
No but can feel same: Pain in the stomach or esophagus can feel like pain from the heart or the reverse- heart pain can be mistaken for indigestion.
A stomach problem re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 31-year-old member asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Home cuff: Get a good home blood pressure cuff and keep track of resting BP in standard state- sit for at least 5-10 min, feet flat on floor.
Bring in pressure ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Yes, but...: Most would consider this a fairly appropriate blood pressure, and indeed if one has the diagnosis of hypertension, this is in appropriate range.
Of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 45-year-old member asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Rule of 3500: Roughly there are about 3500 calories in a stored pound of fat.
To lose weight, you need to have a net loss of calories daily.
For 1 pound every t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Various symptoms: High blood pressure can make stroke, heart disease or kidney damage more likely.
Low blood pressure can result in lightheadedness/dizziness, fatigu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Depends on symptoms: It may be a sign of other condition such as a heart rhythm problem, thyroid dysfunction, adrenal gland problem, medication side effect, or dehydration... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Possible: Possible baby effects include increased risk for miscarriage, sudden infant death syndrome (sids), or fetal alcohol spectrum disorders including fetal... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Yes; it is important: Cholesterol is the basic molecule that is used to make many other necessary hormones such as estradiol, dhea, cortisol, aldosterone and many others.
... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 42-year-old female asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Edema: Edema can be due to many causes. It would be most common in the ankles at the end of the day due to venous insufficiency, which is not heart related.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 23-year-old female asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Need event monitor: Unsure if there is an associated heart rhythm problem.
An event monitor would be ideal to help assess this. It is essentially a small monitor you ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Elden Randanswered
Cardiology 23 years experience
61 years: Forever is best for your heart or you may find yourself with a second open heart surgery.
Otherwise if you wait 61 years and decide to restart, f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 23-year-old female asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Probably arrhythmia: A very fast heart rate with other symptoms such as face flushing may indicate an unusual type of fast rhythm. The general term for fast heart rate is... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 25-year-old male asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Yes, they can: Avacado and oregano both have vitamin k and can alter inr levels. If you take the same amount daily, the Coumadin dose will be adjusted around this. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 17-year-old male asked:
Dr. Elden Randanswered
Cardiology 23 years experience
Not normal: Abnormal findings in the testicle is not normal and should be evaluated promptly by your physician. This may require an ultrasound of your testes to m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k 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.
4
Recommendations
915
Thank you notes
Sep 26, 2013
Great answers!
Intelligent, respected expert.
Highly recommend.
HealthTap member
Mar 30, 2015
Dr. Rand is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Rand is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you for your message. Would removal be under local or general anesthesic? Is it painful? Also, I am currently pregnant, would the procedure been done after pregnancy? Many thanks
HealthTap member
hello doc honestly you and the other two doctors did not mention that obesity, and stress can also cause this. currently my doctor said that i do not have high blood pressure
HealthTap member
Thanks for your quick reply! I had the cath done yesterday @11am. The site looks good. Was constipated. Having sharp pain lower abdomen. Still feel a little constipated
Education & Training
Medical/Graduate school
Sanford School of Medicine of the University of South Dakota, SD
MD
Awards
Outstanding Housestaff Teacher Of The Year
Outstanding Senior Resident Of The Year
Bronze Star Medal
Affiliations
University of South Dakota Sanford School Of Medicine
Publications
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