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Pacific Medical Centers - Northgate
Seattle, WA
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Thursday: 8:00am - 5:00pm
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Pacific Medical Centers
Seattle, WA
Pacific Medical Centers - Renton
Renton, WA
About
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<P>I enjoy fly fishing, sailing, photography, running, and spending time with family.</P>
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
187 Answers
162 Agrees
The number of answers this doctor has agreed with.
A 32-year-old member asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Chest pains: Yes, they can cause chest pain that can mimic true anginal or heart pain and can sometimes be indistiguishable from heart attack symptoms. Severe spas... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 27-year-old member asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
No.: Not in any pathologic way.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 47-year-old member asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Depends: Depends on what your actual symptoms are and the severity. I would recommend that you be evaluated by your physician to determine if you need an echoc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 24-year-old member asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Not as of now: Not as of now. The only treatment currently is valve replacement.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A member asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Vitamin K: Vitamin k is what you need to be cautious of with coumadin (warfarin).
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A female asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
An : An angiogram is a way to take pictures of blood vessels, in this case your coronary arteries. There are two main reasons for doing this even when you ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A female asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
An : An echocardiogram is a procedure that uses high frequency ultrasound waves to evaluate your heart.Typically it will assess:
• the size of your heart... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A member asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Carotid: You are probably just feeling the heart beat being transmitted to your carotid artery in your neck.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 28-year-old male asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Fenofibrate: Brand name for Fenofibrate which is a cholesterol lowering medication.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 49-year-old male asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
It : It depends in part on how you were before the pacemaker was placed. If all of these signs and symptoms are brand new since having the pacemaker placed... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A female asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Historically : Historically what we know about heart disease risk came from data obtained through the framingham heart study (see link below) and it was typically fe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
CCB: This is a blood pressure medication in the class of calcium channel blockers which results in lower blood pressure by relaxing blood vessels through b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 30-year-old female asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Pleurisy: That is typically more related to your lungs and can be something as benign as pleurisy or something more serious such as a blood clot to the lungs. I... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 48-year-old male asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Unlikely : This is an unlikely cause for rectal bleeding.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Beta blocker: Metoprolol is a medication which blocks a molecule on the heart called the beta receptor. This results in slowing the heart rate, decreases the occurr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 30-year-old female asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Depends : Depends on whether your existing ecgs make the diagnosis or not. The cardiologist may need more information.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A female asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Heart : Heart "flutters" or more generically, palpitations, can range from very benign to very serious depending on what the actual cause is. Unfortunately th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 52-year-old female asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Generally : Generally no, as long as your heart function, specifically both the squeezing (systolic function) and relaxing (diastolic function) are normal. If tho... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 57-year-old female asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Call MD: If she was taken off of metoprolol and now hast rapid heart rate and high blood pressure then you should call her physician right away. Depending on t... 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. Joshua Buckleranswered
Cardiology 21 years experience
Or better Rx: You probably need better heart failure treatment. See your cardiologist. Additionally, make sure you are taking your medications regularly, and eat a ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
No: Mitral valve disease is complex and knowing which type of disease ( regurgitation/leaking or stenosis/narrowing) would help as would the severity but ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 56-year-old male asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Too early: It is too early to tell which is actually good news. With aggressive medical therapy people can recover quite a bit of function after a heart attack, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 24-year-old male asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Normal: Sinus arrhythmia is the normal speeding up and slowing down of your heart as you breathe so your heart can adjust to the changes in blood flow as the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A male asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
I : I would recommend that you see an endocrinologist. This is a doctor who specializes in hormones and also often does cholesterol as well. You would be ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A female asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Thank : Thank you for your question. Like many clinical questions asked, it is difficult to answer without knowing more about you and your overall health. Wha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A member asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Nothing : Nothing actually, and i know that it is often confusing. It is just the the difference between the old german spelling "elektrokardiogramm" and the en... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A member asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
As : As a cardiologist i see this concern quite frequently. Typically this is a benign process of skipped beats from either the top or the bottom of the he... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Flutter: Atrial flutter is an abnormal heart rhythm in the top of the heart in which the top of the heart beats very fast but very regularly (as opposed to atr... 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. Joshua Buckleranswered
Cardiology 21 years experience
Stress test: This is a type of stress test which uses exercise to increase the heart rate and stress the heart and then a tracer molecule is injected into an IV wh... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A male asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Library: Try a medical school library. If you need good basic info for a project try cardiosmart.Org.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 36-year-old female asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Trigeminy: Trigeminy and bigeminy which is every other beat are usually benign.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 53-year-old female asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Maybe: Chest tightness sometimes can be described as "band like" and can be cardiac in nature. You should call your doctor.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Red wine: There is some data to suggest that a glass of red wine a night can help but far from definitive.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 27-year-old male asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Whooping cough: Whooping cough is also increasing in certain areas. Recommend you see your doctor tomorrow.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years agoMerged
A 49-year-old female asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Vit k: Vitamin k is in dark green leafy vegetables and a lot of other foods. A balanced intake of vitamin k by eating a balanced diet and avoiding large fluc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 25-year-old female asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Endocrinologist: You need to see your endocrinologist and have some blood levels checked. It could be too high but other things can cause a rapid heart rate so you nee... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 37-year-old female asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Q wave: Many, but not all old heart attacks show up as a q wave which is an initial significant downward deflection but this can also be seen in some normal v... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Dual workup: Typically you should see both a cardiologist and pulmonologist individually to work this up since they will often take different but complimentary app... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 37-year-old female asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Yes: There is a close tie in with heart disease and depression. What you need to be aware of is that one of the medications used to treat a fib, beta block... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
AHA or ACC: American heart association: www.Heart.Org or american college if cardiology: www.Cardiosmart.Org.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 36-year-old male asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Control: Control your diabetes, cholesterol, weight, blood pressure, and don't smoke.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 38-year-old female asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Maybe: Atrial fib presents differently in everybody. Sometimes it can be completely asymptomatic. Other times it can be flutters in the chest, shortness of b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 49-year-old member asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Dyspepsia : It can also cause heartburn and dyspepsia in addition to the bleeding/bruising issues.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 42-year-old member asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Yes: Yes, but there can be subtle differences but not usually significant ones.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 37-year-old female asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Possibly: While there are no clear genes identified (and in fact we know relatively little about an issue that plagues so many people) there clearly are familie... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Yes: But if it becomes severe you will need surgery.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Swelling: It is swelling of the tissues and is usually a sign of cardiac conditions, venous insufficiency, or can be a side effect of some medications. Addition... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A member asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Symptoms: The level of exertion is often dictated by symptoms. Rest is ok, but staying active may help her be more in tune with her body and may allow her to re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 27-year-old female asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
PCP: See your primary care doctor and be checked out. You may need some blood work or an ecg.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 30-year-old male asked:
Dr. Joshua Buckleranswered
Cardiology 21 years experience
Generator change: Typically an outpatient procedure involving a small incision to access the old device, unplugging the leads and placing a new pacemaker generator into... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k 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.
7
Recommendations
386
Thank you notes
Aug 11, 2013
Dr. Buckler explains complex concepts in easily understandable ways, and offers caring support as he does this. He offers superb public service on HealthTap, and I recommend him.
Feb 27, 2013
I recommend this physician!
HealthTap member
Dec 16, 2012
It is rare that I have had a doctor that I respect and trust as much as I do Dr. Buckler. One of the reasons for my regard is that Dr. Buckler is a doctor who actually listens to what I am saying. I...Read More
HealthTap member
My heart rate has been continually been between 150/160bpm for 5 months now had several tests and my last one was heart monitor for 7 days.
HealthTap member
Thank you, your answer was very helpful! I will definitely take your suggestion since, I do consume it in large quantities.
HealthTap member
Thank you, your answer was very helpful! My BP drops and pulse increases by quite a bit it makes me dizzy
Education & Training
Medical/Graduate school
-
Graduated 2002MD
Medical/Graduate school
University of Michigan Medical School
Graduated 2001MD
Residency
University of Michigan Health System
Awards
Top Doctor, Seattle Metropolitan Magazine 2011
Special Service Award - Award for outstanding contribution, NIH
Top Doctor, Seattle Metropolitan Magazine 2012
Affiliations
American College of Cardiology
American Heart Association
American Society of Nuclear Cardiology
Publications
Recombinant Leptin Promotes Atherosclerosis and Thrombosis in Apolipoprotein E Deficient Mice
Organization of the Faciogenital Dysplasia (FGD1; Aarskog Syndrome) Gene
Mechanisms of urokinase-mediated vasoconstriction
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