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Dr. Diana Metzger

Cardiology
Indiana, PA
31 years experience female

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.

Cardiology

Languages spoken

English

Doctor Q&A

136 Answers
7 Agrees
The number of answers this doctor has agreed with.
A 46-year-old male asked:
Dr. Diana Metzger
31 years experience
Yes: Tapering dose is appropriate, but rate of taper varies with each individual patient, depending on reasons started and reasons for stopping. It may be... Read More
A 37-year-old member asked:
Dr. Diana Metzger
31 years experience
Biocompatable stuff: There are multiple components, but all must be nontoxic, not cause immune sytem to react, sterilizable, and able to work in wet, warm and mobile envi... Read More
A 35-year-old member asked:
Dr. Diana Metzger
31 years experience
All: Nothing magic about any particular vegetable. No vegetable has cholesterol, an animal fat. There are high amounts of other sterols in oily vegetable... Read More
A 34-year-old member asked:
Dr. Diana Metzger
31 years experience
Serial exams: The natural history of bicuspid aortic valve is to progressively deteriorate over years and narrow (stenosis) or leak. Many need to have valve replac... Read More
A 35-year-old member asked:
Dr. Diana Metzger
31 years experience
Depends on age: Formula for maximum heart rate is 220 - age. Determine goal then multiply that number by the percentage listed: maintain healthy heart 50% - 6... Read More
A 40-year-old member asked:
Dr. Diana Metzger
31 years experience
Sometimes: Nothing available for the mitral or tricuspid valves yet, but the aortic valve can be replaced with a transcatheter inserted valve. This is not for e... Read More
A 25-year-old member asked:
Dr. Diana Metzger
31 years experience
Yes, but maybe other: Beta blockers (of which, Lopressor (metoprolol tartrate) is one) are mostly category c during pregnancy. This means that there have been no studies i... Read More
A 29-year-old member asked:
Dr. Diana Metzger
31 years experience
Time for a check: Pain can be caused simply because of the fast heartbeat, but may also be because there is a blockage in an artery that isn't allowing enough blood flo... Read More
A 52-year-old member asked:
Dr. Diana Metzger
31 years experience
I guess it could: While not one of our usual suspects, a drop in blood sugar can stimulate the release of catecholamines (adrenaline). Stimulants such as adrenaline, c... Read More
A 32-year-old member asked:
Dr. Diana Metzger
31 years experience
Yes, mostly: As the body needs more oxygen delivery, the heart rate increases. Exercise and overall good health make the body more efficient in use of that oxygen... Read More
A 31-year-old member asked:
Dr. Diana Metzger
31 years experience
Protection: Statin drugs do lower total cholesterol and ldl, but degree of decrease in cardiovascular events is more than the degree of cholesterol lowering. Som... Read More
A 27-year-old male asked:
Dr. Diana Metzger
31 years experience
Lots: At one time, before there were echos, mris, catheters, etc. This was the only way to know what was happening in the chest, and i admire my mentors who... Read More
A 32-year-old member asked:
Dr. Diana Metzger
31 years experience
Liquids not cause: Liquids do not cause retention of fluid. Kidney failure, salt intake, heart function, protein levels in blood, liver function, lymphatic circulation ... Read More
A 21-year-old female asked:
Dr. Diana Metzger
31 years experience
See a doctor: Shortness of breath can occur for many reasons, including congestive heart failure (fluid in lungs), pneumonia (infection), asthma, inflammatory proc... Read More
A 28-year-old male asked:
Dr. Diana Metzger
31 years experience
No reason why not: Omega 3 helps lower triglycerides more than other lipids. It is healthy in your diet. Consider eating more seafood where this is more abundant, but ... Read More
A 36-year-old member asked:
Dr. Diana Metzger
31 years experience
Perhaps: Pain at the site of an immunologic injection (vaccine) is usually showing that your immune system is working well and the vaccine is having its desire... Read More
A 40-year-old member asked:
Dr. Diana Metzger
31 years experience
Depends: Sicker patients need closer attention. The ratio would be very different from say, recovery room, to icu, to telemetry unit, to med/surg floor, to ch... Read More
A 32-year-old member asked:
Dr. Diana Metzger
31 years experience
Specific/general: Flu or influenza is a specific virus which affects the lungs and airways. Pneumonia is a syndrome of an infection in the airsacks of the lung and may... Read More
A 42-year-old member asked:
Dr. Diana Metzger
31 years experience
No: High blood pressure actually does not refer to narrowing at all. It is a measurement of the forces on the artery. High pressures lead to increased t... Read More
A 54-year-old male asked:
Dr. Diana Metzger
31 years experience
What other meds?: Most statins are metabolized by same pathway. Two notable exceptions are pravastatin and rosuvastatin. Choices will depend on your other medications... Read More
A 27-year-old female asked:
Dr. Diana Metzger
31 years experience
Perhaps: 5 days of pain is usually not cardiac, but not definite. If any question that it may be related, the time to get attention is now.
A 80-year-old female asked:
Dr. Diana Metzger
31 years experience
Prob. normal variant: The intraatrial septum is the divider between the left and right atria (top chambers of heart). There is normally a hole there in fetal development t... Read More
A 43-year-old member asked:
Dr. Diana Metzger
31 years experience
Unknown: Red yeast rice, which is often recommended to lower cholesterol actually works through same pathway as statin drugs and although less effective than t... Read More
A 37-year-old male asked:
Dr. Diana Metzger
31 years experience
Definitely, yes: Alcohol dilates blood vessels and works as a diuretic (increases fluid loss). These 2 factors can lead to drop in blood pressure which can cause fain... Read More
A 38-year-old female asked:
Dr. Diana Metzger
31 years experience
May be conduction dz: Wall motion reflects more than coronary disease. Abnormal contraction of the heart muscle may occur because of weak muscle (myopathy), poor circulati... Read More
A 39-year-old member asked:
Dr. Diana Metzger
31 years experience
Usually, none: Most hypokalemia (low potassium) is not associated with any symptoms, but may have abnormal heart rhythms, constipation, fatigue, muscle weakness or s... Read More
A 31-year-old male asked:
Dr. Diana Metzger
31 years experience
Maybe: My question would be what are you doing with your arm and jaw while exercising? Using arms (perhaps elliptical, ergometer, or rowing machine) may br... Read More
A 36-year-old member asked:
Dr. Diana Metzger
31 years experience
Salt: Salt does cause fluid retention and therefore increases blood pressure. Very low blood sugar can cause release of adrenaline which raises blood press... Read More
A 44-year-old female asked:
Dr. Diana Metzger
31 years experience
Heart disease: Non obstructive implies that there are changes seen from cholesterol deposits in the arteries, however, not sufficient enough to require stenting. Ta... Read More
A 41-year-old male asked:
Dr. Diana Metzger
31 years experience
Check for myositis?: Doubtful that there would be sudden increase in CPK from consistent dose of statin. May result when dose changed, or other medications that affect me... Read More
A 18-year-old female asked:
Dr. Diana Metzger
31 years experience
See a doctor: That level of blood pressure is obviously too high no matter what the age. Some options include medications (hctz, beta blocker, calcium inhibitor, A... Read More
A male asked:
Dr. Diana Metzger
31 years experience
Attention to detail.: To become a cardiologist in the us requires after high school: 4yr college degree (or combined program) with minimum science, math, and other requirem... Read More
A 45-year-old member asked:
Dr. Diana Metzger
31 years experience
Yes, but less likely: Coronary artery disease definitely increases in prevelance with aging. There are less common cases of CAD in younger people and are more associated w... Read More
A female asked:
Dr. Diana Metzger
31 years experience
Monitor: At 22, your maximal heart rate is predicted to reach 198 bpm. I don't know what you mean by "not working out at 80%" but if this heart rate is occurr... Read More
A 32-year-old member asked:
Dr. Diana Metzger
31 years experience
Not too much: Cholesterol in the blood stream is measured, but LDL (bad cholesterol) is calculated: LDL = total chol - ( 5 x triglyc) - hdl no studies have shown... Read More
A 44-year-old male asked:
Dr. Diana Metzger
31 years experience
Need monitor: At 44 yo, maximum heart rate is estimated at 176. If heart rate goes significantly higher than that (190 +) there may be other rhythms occuring, incl... Read More
A 36-year-old female asked:
Dr. Diana Metzger
31 years experience
Many things: It is pretty clear that this is not coronary artery disease (heart attack) due to the duration of the symptoms. A lump may be caused by: hematoma (br... Read More
A 66-year-old male asked:
Dr. Diana Metzger
31 years experience
Yes: Aspirin and statins are two of the most common drugs used in the treatment or prevention of cardiac events. There is a great deal of experience using... Read More
A 31-year-old member asked:
Dr. Diana Metzger
31 years experience
Maybe ICD: In addition to medication, possible catheterization, angioplasty, or bypass, would also consider adding implantable defibrallator to list due to 20% e... Read More
A 30-year-old male asked:
Dr. Diana Metzger
31 years experience
Any are fine: Main methods of cessation include: behavior modification (counseling, hypnosis) nicotine replacement (patches, gum, electronic cigarettes, spray, .... Read More
A 22-year-old male asked:
Dr. Diana Metzger
31 years experience
Diet, exercise, meds: The acceptable level of cholesterol depends on other cardiac risk factors and medical history. In general, lifestyle modification is recommended, if ... Read More
A 33-year-old member asked:
Dr. Diana Metzger
31 years experience
Often, none: While medicine has come a long way, there are things we cannot predict. Often the first sign of coronary artery disease is a heart attack. Things th... Read More
A 46-year-old member asked:
Dr. Diana Metzger
31 years experience
Not completely: "supra-ventricular" means 'above the ventricle' and the sinus node is indeed above the ventricle, so st is one type of svt. Atrial fibrillation, flut... Read More
A 43-year-old member asked:
Dr. Diana Metzger
31 years experience
Usually doesn't: Atrial fibrillation can be aggravated by medications such as stimulants, decongestants, caffeine, alcohol. Daily nutrition usually does not affect r... Read More
A 37-year-old member asked:
Dr. Diana Metzger
31 years experience
Yes: If medications are not successful in controlling symptoms without intolerable side effects, there is another option: ablation. This is done by an ele... Read More
A 43-year-old member asked:
Dr. Diana Metzger
31 years experience
Yes: Hoodia inhibits the cyp3a4 pathway, a common metabolic pathway for pharmaceuticals. In addition, there can be competition for protein binding which a... Read More
A 30-year-old member asked:
Dr. Diana Metzger
31 years experience
Yes: A heart transplant isn't an easy procedure, and doesn't end with the surgery. Many lifestyle changes need to be made to live with a donor heart. The... Read More
A 48-year-old member asked:
Dr. Diana Metzger
31 years experience
Yes, any "D" drug : The "d" in claritin-d, or Mucinex (guaifenesin) - d and others, all stand for decongestant. Decongestants are medications that stimulate the adrenal... Read More
A 35-year-old female asked:
Dr. Diana Metzger
31 years experience
Consult your doctor: Palpitation is any awareness of your heart beat, so, yes, this is palpitation. Fast heart beat can be due to many causes including low blood count, l... Read More
A female asked:
Dr. Diana Metzger
31 years experience
Generally, no: New guidelines published in jacc 2008;52:676-685. Do not indicate need for treatment with pacemakers. The exception to this may be in a very new pa... Read More

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

2
Recommendations
218
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Metzger is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Metzger is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer or tip was very helpful! Thank you for your time & answer. Part of my worry is that it doesn't hurt with any kind of movement, it's just constant. Again thank you.
HealthTap member
I do think I have anxiety but it's secondary to a larger problem. I suspect I have an endocrine disorder, likely Pheochromocytoma. Thanks for caring Doctor.
HealthTap member
Thank you, your answer was very helpful! thank you for your awesome answer. i am very happy and very thankful.

Education & Training

Medical/Graduate school

University of Pittsburgh School of Medicine, PA
Graduated 1991MD

Awards

Top Cardiologist , First Place, Pennsylvania - Winter
2013
HealthTap Doctor Mom
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