Locations
Knight Cardiovascular Institute
Portland, OR
Phone
Practice website
Insurances accepted
Aetna
Blue cross blue shield
Cigna
United healthcare
Office
Portland, OR
About
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
Preventive Medicine
Doctor Q&A
26 Answers
14 Agrees
The number of answers this doctor has agreed with.
A 36-year-old member asked:

Dr. Michael Shapiroanswered
Cardiology 24 years experience
Usually asymptoamtic: A fasting cholesterol blood test is the most accurate way to understand whether or not you have abnormal cholesterol levels.
Best of luck!
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 38-year-old member asked:

Dr. Michael Shapiroanswered
Cardiology 24 years experience
Perhaps: This will only be helpful if you use these healthy oils to replace unhealthy oils/fats in your diet.
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 28-year-old male asked:

Dr. Michael Shapiroanswered
Cardiology 24 years experience
Beta-blocker: Metoprolol belongs to the calss of medications know as beta-blockers. It has many functions, including lowering pulse and blood pressure. It can also ... 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. Michael Shapiroanswered
Cardiology 24 years experience
Folic acid: Prenatal vitamins have most of the constituents of a regualr multivitamin but a higher dose of folci acid (at least 800 mcg). Folic acid is important ... 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. Michael Shapiroanswered
Cardiology 24 years experience
Needs treatment: Your good cholesterol is low and your bad cholesterol is high. This type of cholesterol profile is associated with the development of cardiovascular d... 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. Michael Shapiroanswered
Cardiology 24 years experience
Cholesterol carriers: Lipoproteins are small carriers of lipids in the blood. Lipids of clinical interest include cholesterol and triglycerides. These lipids (fats) are not... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A member asked:

Dr. Michael Shapiroanswered
Cardiology 24 years experience
This : This is a great question. Typically, with cholesterol lowering medications, it takes at least 6 weeks to see the maximum effects. It takes quite a bit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 34-year-old member asked:

Dr. Michael Shapiroanswered
Cardiology 24 years experience
Be careful: While Questran (cholestyramine) can be used to lower LDL (bad) cholesterol, it should not be used to lower trigylerices (fats in the blood). In fact,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 40-year-old member asked:

Dr. Michael Shapiroanswered
Cardiology 24 years experience
HDL-cholesterol: A basic cholesterol test quantifies the total cholesterol, LDL cholesterol, HDL cholesterol, and trigylcerides. The hdl-cholesterol is considered the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 42-year-old member asked:

Dr. Michael Shapiroanswered
Cardiology 24 years experience
It does not: Low hdl-cholesterol does not cause diabetes. However, diabetes is often associated with low hdl-cholesterol and other abnormalities of lipids and lipo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 21-year-old member asked:

Dr. Michael Shapiroanswered
Cardiology 24 years experience
Be careful: Diabetes is a major risk factor for the development of coronary (heart) artery disease. As such, we treat all coronary risk factors, such as cholester... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 39-year-old member asked:

Dr. Michael Shapiroanswered
Cardiology 24 years experience
Yes: If the gum you chewed contained a lot of sugar, this could certainly have an impact on your triglycerides. In general, your cholesterol test should be... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 43-year-old member asked:

Dr. Michael Shapiroanswered
Cardiology 24 years experience
Many things: Trigylcerides are very amenable to lifestyle changes. Weight loss and exercise will helpt to lower trigylcerides. Certain modifications in your diet c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 36-year-old male asked:

Dr. Michael Shapiroanswered
Cardiology 24 years experience
Yes: You do not need to be a vegetarian to follow a heart healthy diet. That being said, you definitely want to incorporate lots of fresh fruits and vegeta... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A male asked:

Dr. Michael Shapiroanswered
Cardiology 24 years experience
In : In large part the answer to your questions depends on the experience and technology available at the center that is performing the ct scan. Large clin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 38-year-old member asked:

Dr. Michael Shapiroanswered
Cardiology 24 years experience
Many ways: At common doses (1g epa/dha) of fish oil there are not major changes in lipids/lipoproteins. However, at higher doses (2-4g epa/dha), tirglycerides ma... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 31-year-old member asked:

Dr. Michael Shapiroanswered
Cardiology 24 years experience
Yes: While the vast majority of adults have high cholesterol acquired over time due to lifestyle factors (eg, poor diet, overweight, sedentary lifestyle), ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A female asked:

Dr. Michael Shapiroanswered
Cardiology 24 years experience
Have : Have you had blood tests done to evaluate your thyroid. High blood pressure and tachycardia can be signs of an overactive thyroid gland (eg, hyperthyr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 52-year-old member asked:

Dr. Michael Shapiroanswered
Cardiology 24 years experience
Fat: Trigylcerides are 3 fatty acids linked to a glycerol molecule. They are used as an energy source for the body and excess triglycerides are deposited i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 32-year-old male asked:

Dr. Michael Shapiroanswered
Cardiology 24 years experience
It can be treated: You are correct, the diastolic (bottom number) blood pressure is too high. However, we do not make a diagnosis of high blood pressure with just 1 read... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A member asked:

Dr. Michael Shapiroanswered
Cardiology 24 years experience
That : That is a perfect blood pressure. Keep up the great work!
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A female asked:

Dr. Michael Shapiroanswered
Cardiology 24 years experience
In : In general, at conventional doses, fish oil supplements will not reduce your cholesterol level. However, they reduce your risk of a future heart attac... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 48-year-old member asked:

Dr. Michael Shapiroanswered
Cardiology 24 years experience
LDL-cholesterol: A basic cholesterol test quantifies the total cholesterol, LDL cholesterol, HDL cholesterol, and trigylcerides. The ldl-cholesterol is considered the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 47-year-old member asked:

Dr. Michael Shapiroanswered
Cardiology 24 years experience
Big difference: Ldl, when found in high concentrations in the blood, can enter your artery walls and initiate an inflammatory reaction that culminates in the developm... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 22-year-old male asked:

Dr. Michael Shapiroanswered
Cardiology 24 years experience
High cholesterol: You may have a condition known as familial hypercholesterolemia. This is more likely if you have family members who have had heart disease at an early... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsAnswered >2 years ago
A 34-year-old member asked:

Dr. Michael Shapiroanswered
Cardiology 24 years experience
Mostly triglycerides: While modest amounts of alcohol are ok (1 drink per day for women and 1-2 drinks per day for men), larger quantities should not be consumed. These mod... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k 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.
9
Recommendations
87
Thank you notes
Mar 7, 2013
Excellent Lipidologist ! Should be a referral choice for complex and difficult to manage lipid cases. Give Dr. Shapiro my highest recommendation!
Nov 27, 2012
I endorse this doctor. Outstanding physician who always advocates for the patient's best interest.
Dr. Steven Guyton
Nov 27, 2012
I endorse this doctor. He is tireless in his pursuit of excellent clinical care.
HealthTap member
Thank you, your answer or tip was very helpful!
HealthTap member
Thank you, your answer or tip was very helpful!
HealthTap member
Thank you, your answer or tip was very helpful!
Education & Training
Medical/Graduate school
University of Medicine and Dentistry of New Jersey - School of Osteopathic Medicine
Graduated 1998MD
Residency
Beth Israel Medical Center
Residency
Montefiore Medical Center
Awards
Top Doctors, Portland Monthly Magazine
W. Proctor Harvey, M.D. Young Teacher Award, American College of Cardiology
Emerging Faculty Award, American College of Cardiology
Affiliations
Society of Cardiovascular Computed Tomography
American College of Cardiology
National Lipid Association
Publications
Guideline for minimizing radiation exposure during acquisition of coronary artery calcium scans with the use of multidetector computed tomography A re...
Incremental Diagnostic Value of Regional Left Ventricular Function Over Coronary Assessment by Cardiac Computed Tomography for the Detection of Acute ...
Cardiac computed tomography for prediction of myocardial viability after reperfused acute myocardial infarction
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