U.S. doctors online nowAsk doctors free

Dr. David Malpass

Pediatric Cardiology
Greenville, SC
34 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 18-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
Depends: If the palpitations are brief, lasting 1-2 seconds, and feel like a "skipped heart beat" or an "extra heart beat" then these are generally benign and ... Read More
A 31-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 34 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
A 41-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 34 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
A 31-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
Usually none: In the majority of patients, a successfully repaired (ligated) PDA carries no long term adverse consequences. If there are complications from the proc... Read More
A 18-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
Only some: The heart responds to stress by changing its structure. Athletes like weight lifters, rowers, and wrestlers often develop thicker heart walls. Enduran... Read More
A 46-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
Yes: Go to the emergency room tonight. There is the potential for a serious infection.
A 51-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
Need to follow: Advances in heart surgery and postoperative care have significantly improved survival for individuals with tga. Most do very well from a cardiovascula... Read More
A 38-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
Depends: Tetralogy of fallot is a complex type of congenital heart disease. Milder subtypes have a better long term survival than the more severe subtypes. Stu... Read More
A 37-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
Depends: If you listen with your ear applied to your child's chest, you may be able to hear the heart murmur associated with aortic valve stenosis.
A 27-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
Maybe: Depends on the cause. If chronic lung disease is the result of extreme prematurity (< 28 weeks), the pulmonary hypertension is largely due to an un... Read More
A 35-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
Genetics: Keep in mind that hcm is a genetic condition and there will be a 50% chance you will pass the abnormal gene to your offspring. You may want to conside... Read More
A 26-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
Depends: Absent pulmonary valve or pulmonary valve atresia? These are different conditions.
A 47-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
Maybe: This question would be best answered by a cardiologist with expertise in adults with congenital heart disease. Many women with ta have had successful ... Read More
A 22-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
2 answers: There is no real benefit to applying neosporin, vitamin e, mederma, etc to your scar. It is advisable to use sun block when outside. Pregnancy is cert... Read More
A 29-year-old male asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
Very few options: Total anomalous pulmonary venous return (tapvr) is a condition in which the pulmonary veins do not connect normally to the left atrium. Can be repaire... Read More
A 33-year-old male asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
Lifestyle changes: Exercise 30-60 minutes 5 days a week (walking, running, swimming, sports). If you smoke - stop! (please) high blood pressure? (treat it to keep it &lt... Read More
A 22-year-old male asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
No: Chest pain is a common complaint in young people and most of the time it is not heart pain. The testing that has been performed is more than enough.
A 21-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
Sometimes: Fast heart rates that occur through a normal mechanism will not generally harm the heart (exercise, pain, anxiety, fever, etc.). Tachycardia from an a... Read More
A 23-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
?physiologic: During exercise the heart rate, blood pressure, and cardiac output increase and can cause the ears to seem to be "stopped up" and cause the pulsations... Read More
A 33-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
Sometimes: Intraventricular conduction delay (ivcd) refers to a condition in which electrical conduction through the heart muscle is delayed or slowed. It can be... Read More
A 37-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 34 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
A 46-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
Yes: Tga refers to a type of congenital heart disease in which the aorta is connected to the right ventricle (instead of the left ventricle) and the pulmon... Read More
A 46-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
Not much: A single dose of lobazam will not have long term effects. Temporarily, it may make him sleepy and it can cause an upset stomach and can make him letha... Read More
A 40-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
Unknown: Kawasaki disease affects children of all races and ages and both genders. It occurs most often in children of asian and pacific island descent. The di... Read More
A 22-year-old male asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
Unclear: If by "jumps" you mean changes in bp, it may help. Midodrine is intended to maintain the BP and help prevent abrupt decreases in the BP with standing.... Read More
A 35-year-old male asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
Good question: Bifascicular block refers to conduction disturbances in which the right bundle branch and the left anterior fascicle or left posterior fascicle are bl... Read More
A 51-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
Musculoskeletal: This sounds like pain arising from the bones and muscles of the chest wall. Can be caused by an injury or overuse. Tylenol (acetaminophen) or Ibuprofe... Read More
A 29-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
Depends: How long have the symptoms been present? Any other medical problems? Any medications? Any behavior problems? Bowel movements? Many possible causes inc... Read More
A 42-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
No: Infective endocarditis occurs when bacteria gain access to the blood stream and then infect cardiac structures. Use of a pacifier would not be expecte... Read More
A 20-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
Possible: A common cause of chest pain is "heart burn" caused by excessive acid secreted by the lining of the stomach. The pain usually has a burning quality, a... Read More
A 49-year-old male asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
Left: A levocurvature of the lumbar spine refers to a leftward curve of the spine (scoliosis). Management depends upon the severity of the curve.
A 28-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
Maybe: The finding of LBBB on an ECG can be seen in cardiomyopathy, myocarditis, ischemic heart disease, left ventricular hypertrophy, and several other cond... Read More
A 50-year-old male asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
Unlikely: Vasodepressor syncope would be very unlikely to occur when sitting down and driving. This is concerning and another cause should be sought. No driving... Read More
A 18-year-old male asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
No: In young healthy people with strong hearts, especially if they are thin, it is not uncommon to be able to hear the blood flow sounds (korotkoff sounds... Read More
A 18-year-old male asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
Varies: All beta blockers have similar side effects but affect different people in different ways. Talk with your doctor about trying Nadolol or atenolol. At ... Read More
A 37-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
No: While we have not yet identified the cause of kd, we do know that kd is not a "genetic" disease. However, it is likely that certain genes confer an in... Read More
A 37-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 34 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
A 34-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 34 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
A 29-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 34 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
A 37-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 34 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
A 48-year-old male asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
Abnormal cholesterol: Dyslipidemia refers to a group of diseases characterized by abnormal lipids (fats/cholesterol) in the blood.
A 49-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 34 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
A 20-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 34 years experience
? Risk for toxicity: Aspirin (acetylsalicylic acid) and pepto-bismol (bismuth subsalicylate) are both salicylates. Taking both may increase the risk for toxicity.
A 33-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 34 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
A 38-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 34 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
A 26-year-old female asked:
Dr. David Malpass
Pediatric Cardiology 34 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
A 46-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 34 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
A 47-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 34 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
A 40-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 34 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
A 38-year-old member asked:
Dr. David Malpass
Pediatric Cardiology 34 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

90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.

Ask doctors free
Answer emailed
in 24 hours or less

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
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