Dr. Joshua Buckler

Cardiology
Seattle, WA
21 years experience male

Locations

Pacific Medical Centers - Northgate

Seattle, WA

Address

10416 5th Avenue NE, Seattle, WA
Directions

My office hours

Thursday: 8:00am - 5:00pm
Show more

Insurances accepted

Aetna

Cigna

First Choice Health

Humana

Medicare

MultiPlan

PacifiCare

Premera Blue Cross

Regence

SecureHorizons

Tricare

Uniform Medical Plan

UnitedHealthcare

US Family Health Plan

Pacific Medical Centers

Seattle, WA

Pacific Medical Centers - Renton

Renton, WA

About

Bio

<P>I enjoy fly fishing, sailing, photography, running, and spending time with family.</P>

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.

Cardiology

Doctor Q&A

187 Answers
162 Agrees
The number of answers this doctor has agreed with.
A 36-year-old member asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Additional info: This is important because if the heart is depolarized externally during the wrong portion of the cardiac cycle, it can actually induce worse heart rhy... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Joshua Buckler
Cardiology 21 years experience
New data: There is new data that suggests that long term endurance athletes are at increased risk for atrial fibrillation and atrial flutter later in life, poss... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Joshua Buckler
Cardiology 21 years experience
It works: Nitroglycerin will dilate blood vessels and will lower blood pressure and can work quite quickly.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Possible: There are several large cardiac trials of statins that suggest that aggressive lowering of lipids may cause some regression but the long term data on ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Depends: A mild amout of leak or "regurgitation" is common and has no real effect. More significant regurgitation can lead to heart failure. I often explain to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Absolutely: There is a lot of data showing that patients who go through cardiac rehab after a heart attack, heart surgery, or stent do much better long term. The ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Cardioversion, meds: Use of anti-arrhythmic medications and shocking or resetting the heart (cardioversion) are non-invasive options.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Depends: Like so many things it depends on what you are experiencing. Many changes occur to the cardiovascular system during pregnancy so that you can support ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Joshua Buckler
Cardiology 21 years experience
It isn't : It isn't a symptom but an irregular heart beat that can be brought on by other heart problems, thyroid disease, high blood pressure, genetics, and man... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Usually cannot: Mitral valve disease is typically progressive regardless of what you do. What you can do is to live a heart healthy life style so that if you do need ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Palpitations: Flutters, or palpitations, are essentially irritated or overstimulated heart cells that can fire, much like a muscle twitch, and everyone has differen... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Additional: Additional risks of reaction to the contrast dye, renal failure, injury to a blood vessel requiring emergency surgery, stroke, heart attack, death.
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old member asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Heart support: Another way to explain this is that when the heart is resting in between beats, the balloon inflates pushing blood back towards the heart and increasi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Joshua Buckler
Cardiology 21 years experience
A : A heart murmur is nothing more than turbulent blood flow through the heart and can be caused by many different situations ranging from completely beni... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Joshua Buckler
Cardiology 21 years experience
The : The "whooshing" sound you are hearing is the computer's interpretation of the blood flow through your heart. It is completely normal to hear this duri... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Each : Each response is very individual but i usually like to wait at least several weeks to a month to see how diuretics affect blood pressure, sometimes lo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Heart : Heart valve disease certainly can be very serious, but what is also important to recognize is that the degree of severity is often over interpreted or... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Depends : Depends on your blood pressure and overall health. Many people are on varying doses of lisinopril, all the way up to 40mg twice per day, but the dose ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Joshua Buckler
Cardiology 21 years experience
EKGs : Ekgs are great screening tools to look for major heart problems, and in particular can show evidence of an old heart attack. An ekg is a measurment of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Joshua Buckler
Cardiology 21 years experience
I : I would add that there is recent conflicting research on the use of Niacin to increase hdl, and it is not clear if there is going to be benefit. Time... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old male asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Infection risk: The main risk is from infection. If you have heart disease at such a young age i suspect it may be congenital meaning you were born with it and if you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Over : Over the counter Loratadine which is the generic claritin, (loratadine) can often help. It will not provide immediate relief as many decongestants wil... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old female asked:
Dr. Joshua Buckler
Cardiology 21 years experience
More information: Newer findings suggest that our old thinking of high good cholesterol (HDL) will offset high bad cholesterol (ldl) was probably wrong. You should thin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Concerning: Fluid retention in the lungs is called pulmonary edema and can often be the result of heart failure. Fever could mean there is also superimposed infec... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Nitroglycerin : Nitroglycerin dilates the blood vessels around the heart to relieve heart pain or "angina". It comes in both a pump spray and tablet form. There are s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Blood delivery: Of or pertaining to the system of arteries and veins that deliver blood to the organs.
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Joshua Buckler
Cardiology 21 years experience
People : People can present different ways with fluid retention when they have congestive heart failure (chf). Many people will classically have edema (swellin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Narrow valve: Narrowing of the valve leaving the heart which is progressive, has no cure besides surgery. Once at least moderate needs yearly follow up.
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Joshua Buckler
Cardiology 21 years experience
I : I agree with dr. Guyton's excellent and thorough answer and would like to emphasize that with atrial fibrillation there are two main issues: 1) heart ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Beta blocker: This is a blood pressure medication in the class called beta blockers which has effect not only on the beta receptors which can result i lower blood p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Mild: Mild aortic valve disease is just that, mild, but assuming your son is fairly young, it will likely progress over time and should be followed closely.
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old male asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Depends: It depends on cause. Palpitations often are found to be not heart related. Only causes that are due to changes in the heart beat such as premature bea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Pressure at rest.: Diastolic pressure is essentially the pressure in the blood vessels in between beats when the heart is filling for the next beat, or the "resting pres... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Diet : Diet and exercise are a very large part of any high blood pressure management. Particularly a diet low in sodium (less than 2000mg) per day. Outside o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Extra beat: A premature ventricular contraction is an extra beat from the bottom of the heart. Any cell in the heart can cause a heart beat but most usually stay ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old male asked:
Dr. Joshua Buckler
Cardiology 21 years experience
CAD: Coronary disease can sometimes be missed without stress testing or other imaging.
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Joshua Buckler
Cardiology 21 years experience
If MR is severe: If mr is severe enough almost always will lead to heart failure.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Differently: Amiodarone is a medication with many known side effects, many of which are rare. It can help treat life threatening arrhythmias and is an imprortant m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Diabetes: There are also new warnings about the possibility of statins causing diabetes. Often however, the benefit of statins, which is well proven, far outwei... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Ask: Ask to see an endocrinologist. Diabetes care changes fast and many pcps are not up on all options.
Created for people with ongoing healthcare needs but benefits everyone.
A 58-year-old female asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Yes: But the surgical risk is higher.
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Every : Every cardiologist is different. I myself always be sure and talk with the patient and any family that is present before they are discharged that day ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Joshua Buckler
Cardiology 21 years experience
No problem: It means that there is probably some thickening of the valve or very early narrowing of the valve but not enough to actually block blood flow.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Many: Many options for medications and work with your doctor to find the best combo for you.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Symptoms?: If you are not symptomatic then probably not, but i would go have it rechecked.
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Maybe: Atrial fib presents differently in everybody. Sometimes it can be completely asymptomatic.
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Joshua Buckler
Cardiology 21 years experience
The : The short answer is that an echocardiogram can sometimes find an ascending aortic aneurysm if it is relatively close to the heart. It is a good place ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Unfortunately no: No studies have been able to find any way of slowing the progression of aortic stenosis. This is a know, progressive problem that should be followed b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Joshua Buckler
Cardiology 21 years experience
Cut: Cut out caffeine. A cup of coffee can raise BP by 10-20pts.
Created for people with ongoing healthcare needs but benefits everyone.

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

7
Recommendations
387
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.
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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