Dr. David Malpass

Pediatric Cardiology
Greenville, SC
35 years experience male

Locations

Office

Greenville, SC

Address

Children's Hospital Outpatient Center, 200 Patewood Dr Ste A200, Greenville, SC
Directions

About

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.

Pediatric Cardiology

Doctor Q&A

122 Answers
52 Agrees
The number of answers this doctor has agreed with.
A 37-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
No: As a ped cardiologist, i see this every year. Asds do not generally cause problems early in life. Unrepaired, they may lead to abnormal heart rhythms ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Not necessarily: Although patients with cardiomyopathy may experience chest pain, the symptom of chest pain does not necessarily indicate that cardiomyopathy is presen... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
A few: Coarctation of the aorta may have no symptoms and be diagnosed after hypertension is detected. When severe, infants may present with shock or congesti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Seek medical care: Kawasaki disease is a serious illness. A child with kd requires specific medical therapy (ivig and aspirin), after which there is prompt clinical impr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Bad Luck!: Food allergies occur when the body's immune system recognizes a substance as being "foreign" to the body and potentially harmful. It then "attacks" th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Genetics: Hypertrophic cardiomyopathy is a disease of the heart muscle caused by an abnormality in some of the genes that determine the structure of the heart m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Another possibility: Consider that this may be granuloma annulare and not ringworm. This usually resolves spontaneously after several months and treatment may not be requi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Not usually: It depends on the nature of the mitral valve abnormality and the type of repair. Since the mv is abnormal, it will probably not "age gracefully" and a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Both, sort of: An organ is a collection of tissues joined in a structural unit to serve a common function. The heart is made up of cardiac muscle, connective tissue,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old male asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Good advice: At your age with wpw, i would also recommend an electrical study of your heart to help evaluate your risk for developing serious heart rhythm problems... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old male asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
No: Your low resting heart rate is likely related to a combination of your intrinsic vagal tone (the way you are "wired") and the use of toprol (metoprolo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Yes: You may continue to exercise normally. It would be prudent to abstain from scuba diving. The enlargement of the right heart is caused by the extra vol... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Geneticist: If available to you, consultation with a geneticist would be very helpful. They can evaluate the two of you with regard to potential genetic condition... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old male asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Abnormal cholesterol: Dyslipidemia refers to a group of diseases characterized by abnormal lipids (fats/cholesterol) in the blood.
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
No: Dengue hemorrhagic fever is caused by one of four different dengue viruses and it is transmitted by mosquitoes. The cause of kawasaki disease remains ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Start slow: Start solids at 6-8 months of age. Cereal first, then vegetables, then fruit, then meat (by about 10-12 months). Start with one tbsp cereal mixed with... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Maybe, Maybe Not: This may be normal [caused by exercise, fear, fever, or pain]. They can also be caused by abnormal, premature heart beats or by an abnormal fast heart... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Uncertain: This is a difficult question to answer. It depends on the cause of the cardiomyopathy, the presence any additional medical problems, and the degree of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Rarely: A large vsd that is untreated can lead to the development of pulmonary hypertension during childhood. It worsens over time and ultimately results in s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Variable: There may be no symptoms or the patient may complain of chest pain, palpitations, dizziness, shortness of breath, fainting, or exercise intolerance.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Yes: An echocardiogram is the primary test that is used to establish a diagnosis of cardiomyopathy and to monitor the heart function over time.
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Guarded: Hypoplastic left heart syndrome is a complex heart defect. Untreated babies will not survive. Treatment requires either a heart transplant or a series... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Sometimes: Exposure to the sun and heat are not necessarily harmful to a person with cardiomyopathy. But performing strenuous activities in the sun/heat can be d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Yes: This term refers to a condition in which there is too little blood flow (ischemia) and inadequate oxygen delivery to the heart muscle, resulting in da... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
No: Glycyrrhizinic acid inhibits an enzyme in the kidney (11β-hydroxysteroid dehydrogenase). This enzyme inactivates cortisol in the kidney. Inhibition of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Depends: Heart surgery is never "easy". But closure of a PDA is one of the least complicated types of heart surgery. It has a very high success rate and low co... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
See a cardilogist: Hypertrophic cardiomyopathy (hcm) is a significant and lifelong type of heart disease that can potentially have serious complications. Everyone with h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Yes: Coarctation of the aorta (coa) refers to a heart defect characterized by a narrowing of the aorta that interferes with blood flow to the lower part of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Unknown: The heart is a very complex organ. We still do not fully understand how the normal heart develops in the fetus. We understand even less about what cau... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old male asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Not necessarily: Many different factors influence the resting heart rate and bp. The values you report are acceptable. Athletes who perform aerobic activities like run... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Need treatment: See your physician. Need to confirm the diagnosis. Treatment is very simple and safe.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Many symptoms: Cardiomyopathy can cause a variety of symptoms, including fatigue, shortness of breath, easy tiring, exercise intolerance, abnormal heart beats, swell... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
? Risk for toxicity: Aspirin (acetylsalicylic acid) and pepto-bismol (bismuth subsalicylate) are both salicylates. Taking both may increase the risk for toxicity.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Identify the cause: What occurs first? If you develop a fast heart rate first and then become anxious, the anxiety is secondary and not your primary problem. Need to esta... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Maybe: Your usual BP is good. During illness, the body is under stress and the BP can certainly increase. It should return to normal after the illness. Howev... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Caffeine: When you do not drink tea you are withdrawing from caffeine and that can trigger headaches in some individuals.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Yes and No: There are surgical procedures for tetralogy of fallot that are highly effective. In truth, however, they improve the heart; they do not "cure" the hea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Generally good: An adult likely underwent a senning or mustard procedure (atrial switch operation) for tga. The 20 year survival is reported to be about 90%, but many... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Cyanosis: This is an extreme type of tetralogy of fallot (tof with pulmonary valve atresia). It results in intense cyanosis and possibly respiratory distress, u... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Good question: Does she smile? Does she make other types of noises (squealing, raspberries, etc)? Cooing usually starts between 4-6 months of age and babbling by 6-1... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Soon: Atenolol will begin "working" within a few hours after taking the first dose, but its full effect will take 3-4 days. If your BP is not improved withi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Possibly: Having 2 affected family members is suspicious for familial cardiomyopathy. To be certain, it is necessary to determine the cause of the cardiomyopath... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
TN?: If you are referring to trigeminal neuralgia, it is not generally transmitted genetically so it is improbable that your child will also have tn.
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
It's complicated: Good question, but too complicated to answer in 400 characters or less. Consider taking a class or reading a book on human physiology. https://www.cou... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Several: Pediatric cardiologists are on staff at many different military facilities, including walter reed national medical center bethesda, fort bragg, ft sam... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
TOF: A type of congenital (present at birth) heart disease that usually causes cyanosis (blue baby). It is characterized by a large hole in the heart (vsd)... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Heart Surgery: Tof is a complex type of congenital heart disease characterized by a large hole in the heart (vsd) and obstruction of pulmonary blood flow (pulmonary ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Multiple factors: It is still unclear what causes tof. There are both genetic and environmental factors that appear to increase the risk: poor maternal nutrition; alcoh... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Depends: Pulmonary valve atresia causes intense cyanosis and possibly respiratory distress. An absent pulmonary valve (tetralogy of fallot with absent pulmonar... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 35 years experience
Probably normal: When we are excited, nervous, anxious, or angry and when we exercise, our heart beats harder and faster and pumps a larger volume of blood. The blood... Read More
Created for people with ongoing healthcare needs but benefits everyone.

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

2
Recommendations
147
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Malpass is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Malpass is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! This is her second episode if this. First one was 6 months ago.
HealthTap member
Thanks for your quick reply! It wasn't present in 2010, popped in 2011. No heart disease. EF 45-50
HealthTap member
Thanks for your quick reply! within normal limits in caliber with no evidence of dissection, aneury

Education & Training

Medical/Graduate school

University of South Alabama College of Medicine
Graduated 1988MD

Residency

Brooke Army Medical Center

Residency

Brooke Army Medical Center

Awards

Top Doctor, Third Place, Greenville Region, SC - Summer
2013
Thought Leader, Second Place, Greenville Region, SC - Summer
2013
Top Pediatric Cardiologist, First Place, South Carolina - Summer
2013
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