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Pacific Medical Centers - Northgate
Seattle, WA
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Wednesday: 8:00am - 5:00pm
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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>
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 member asked:
Dr. Joshua Buckleranswered
Cardiology 20 years experience
5.3k viewsReviewed >2 years ago
A 30-year-old male asked:
Dr. Joshua Buckleranswered
Cardiology 20 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
5.3k viewsReviewed >2 years ago
A 37-year-old female asked:
Dr. Joshua Buckleranswered
Cardiology 20 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
4.9k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Joshua Buckleranswered
Cardiology 20 years experience
AHA or ACC: American heart association: www.Heart.Org or american college if cardiology: www.Cardiosmart.Org.
5.2k viewsReviewed >2 years ago
A 37-year-old female asked:
Dr. Joshua Buckleranswered
Cardiology 20 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
5.3k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Joshua Buckleranswered
Cardiology 20 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
5.3k viewsReviewed >2 years ago
A male asked:
Dr. Joshua Buckleranswered
Cardiology 20 years experience
Library: Try a medical school library. If you need good basic info for a project try cardiosmart.Org.
5.2k viewsReviewed >2 years ago
A 25-year-old female asked:
Dr. Joshua Buckleranswered
Cardiology 20 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
5.3k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. Joshua Buckleranswered
Cardiology 20 years experience
Red wine: There is some data to suggest that a glass of red wine a night can help but far from definitive.
5.2k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Joshua Buckleranswered
Cardiology 20 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
5.2k viewsReviewed >2 years ago
A female asked:
Dr. Joshua Buckleranswered
Cardiology 20 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
5.3k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. Joshua Buckleranswered
Cardiology 20 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
5.4k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. Joshua Buckleranswered
Cardiology 20 years experience
Coarctation repair: Coarctation of the aorta is a narrowing in the aorta from birth and can impede blood flow to the organs and tissues below the narrowing. This can be r... Read More
5.4k viewsAnswered >2 years ago
A 30-year-old female asked:
Dr. Joshua Buckleranswered
Cardiology 20 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
5.4k viewsAnswered >2 years ago
A 49-year-old male asked:
Dr. Joshua Buckleranswered
Cardiology 20 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
5.3k viewsReviewed >2 years ago
A female asked:
Dr. Joshua Buckleranswered
Cardiology 20 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
5.4k viewsAnswered >2 years ago
A 28-year-old male asked:
Dr. Joshua Buckleranswered
Cardiology 20 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
5.4k viewsReviewed >2 years ago
A member asked:
Dr. Joshua Buckleranswered
Cardiology 20 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
5.3k viewsReviewed >2 years ago
A female asked:
Dr. Joshua Buckleranswered
Cardiology 20 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
5.4k viewsAnswered >2 years ago
A male asked:
Dr. Joshua Buckleranswered
Cardiology 20 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
5.4k viewsAnswered >2 years ago
A 59-year-old male asked:
Dr. Joshua Buckleranswered
Cardiology 20 years experience
It : It depends on what your heart rate and blood pressure are since this medication affects both. There are some patients on 75mg and others who can't tol... Read More
5.3k viewsAnswered >2 years ago
A 28-year-old male asked:
Dr. Joshua Buckleranswered
Cardiology 20 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
5.4k viewsReviewed >2 years ago
A 52-year-old female asked:
Dr. Joshua Buckleranswered
Cardiology 20 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
5.3k viewsReviewed >2 years ago
A female asked:
Dr. Joshua Buckleranswered
Cardiology 20 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
5.3k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Joshua Buckleranswered
Cardiology 20 years experience
Yes: But be aware of your blood pressure since viagra (sildenafil) can lower blood pressure and many people with afib are on medications to control the afi... Read More
4.9k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. Joshua Buckleranswered
Cardiology 20 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
5.4k viewsAnswered >2 years ago
A 30-year-old female asked:
Dr. Joshua Buckleranswered
Cardiology 20 years experience
Depends : Depends on whether your existing ecgs make the diagnosis or not. The cardiologist may need more information.
5.4k viewsReviewed >2 years ago
A 29-year-old female asked:
Dr. Joshua Buckleranswered
Cardiology 20 years experience
Changes : Changes in the vascular system during pregnancy can cause fluctuations in your blood pressure. Additionally sometimes the fetus can press against the ... Read More
5.3k viewsReviewed >2 years ago
A 27-year-old female asked:
Dr. Joshua Buckleranswered
Cardiology 20 years experience
5.4k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. Joshua Buckleranswered
Cardiology 20 years experience
ARB: This is a medication in a class of blood pressure medications called angiotensin ii receptor blockers (arbs). They work by blunting the effect of the... Read More
5.4k viewsReviewed >2 years ago
A member asked:
Dr. Joshua Buckleranswered
Cardiology 20 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
5.4k viewsAnswered >2 years ago
A 27-year-old male asked:
Dr. Joshua Buckleranswered
Cardiology 20 years experience
Whooping cough: Whooping cough is also increasing in certain areas. Recommend you see your doctor tomorrow.
5.4k viewsAnswered >2 years agoMerged
A 34-year-old member asked:
Dr. Joshua Buckleranswered
Cardiology 20 years experience
None: Unfortunately we are yet to find a non-surgical way to halt or reverse aortic stenosis. Current technology however is advancing the placement of new a... Read More
5.3k viewsReviewed >2 years ago
A 30-year-old male asked:
Dr. Joshua Buckleranswered
Cardiology 20 years experience
Lexiscan: The newer stress agent regadenoson (lexiscan) causes less headaches but some still do occur. Often you are told to have no caffeine for 24 hours prior... Read More
5.4k viewsReviewed >2 years ago
A 24-year-old male asked:
Dr. Joshua Buckleranswered
Cardiology 20 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
5.3k viewsReviewed >2 years ago
A 56-year-old male asked:
Dr. Joshua Buckleranswered
Cardiology 20 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
5.3k viewsReviewed >2 years ago
A 53-year-old female asked:
Dr. Joshua Buckleranswered
Cardiology 20 years experience
Maybe: Chest tightness sometimes can be described as "band like" and can be cardiac in nature. You should call your doctor.
5.3k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Joshua Buckleranswered
Cardiology 20 years experience
Possibly: Atrial fibrillation is one of many causes of an "irregular heart beat" but there are many other much more benign causes as well. Talk with your doctor... Read More
4.9k viewsReviewed >2 years ago
A 38-year-old female asked:
Dr. Joshua Buckleranswered
Cardiology 20 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
5.2k viewsReviewed >2 years ago
A 27-year-old member asked:
Dr. Joshua Buckleranswered
Cardiology 20 years experience
No.: Not in any pathologic way.
5.4k viewsAnswered >2 years ago
A 47-year-old member asked:
Dr. Joshua Buckleranswered
Cardiology 20 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
5.4k viewsAnswered >2 years ago
A 32-year-old member asked:
Dr. Joshua Buckleranswered
Cardiology 20 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
5.4k viewsAnswered >2 years ago
A 53-year-old member asked:
Dr. Joshua Buckleranswered
Cardiology 20 years experience
ID: They should always carry a card in their wallet identifying the device and the name of their cardiologist in case there are issues with security.
5.4k viewsAnswered >2 years ago
A 40-year-old member asked:
Dr. Joshua Buckleranswered
Cardiology 20 years experience
No: Aortic stenosis as a child is a problem you are born with.
5.2k viewsReviewed >2 years ago
A 24-year-old member asked:
Dr. Joshua Buckleranswered
Cardiology 20 years experience
Not as of now: Not as of now. The only treatment currently is valve replacement.
5.2k viewsReviewed >2 years ago
A 28-year-old member asked:
Dr. Joshua Buckleranswered
Cardiology 20 years experience
Often first line: It can be very effective, although there in increasing use of and data to support atrial fibrillation ablation as an alternative.
5.4k viewsAnswered >2 years agoMerged
A 23-year-old member asked:
Dr. Joshua Buckleranswered
Cardiology 20 years experience
Additional info: Additionally it is important to recognize that many of the causes are modifiable, thus why mds promote living a healthy life style and seeing your doc... Read More
5.4k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. Joshua Buckleranswered
Cardiology 20 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
5.2k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Joshua Buckleranswered
Cardiology 20 years experience
Yes: But if it becomes severe you will need surgery.
5.2k viewsReviewed >2 years ago
A female asked:
Dr. Joshua Buckleranswered
Cardiology 20 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
5.4k viewsReviewed >2 years ago
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
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
382
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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