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Dr. Alex Golden

Pediatric Cardiology
Cleveland, OH
22 years experience male

Locations

Cleveland Clinic Children's Hospital

Cleveland, OH

Address

9500 Euclid Ave - M41, Cleveland, OH
Directions

My office hours

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

About

Bio

Dr. Golden is a pediatric cardiologist specializing in catheter-based interventions for children and adults with congenital heart defects, including ASD, VSD, PDA, Coarctation of the Aorta, Tetrology of Fallot, Transposition of the Great Arteries, Truncus Arteriosus, HLHS and many other conditions.

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.

Pediatric Cardiology

Doctor Q&A

93 Answers
44 Agrees
The number of answers this doctor has agreed with.
A 54-year-old female asked:
Dr. Alex Golden
undefined 22 years experience
Anterior fontanelle: Should be easy to feel by gently touching with the soft part of the fingertips whether wet or dry. It usually closes at around a year of age, but the ... Read More
A 26-year-old female asked:
Dr. Alex Golden
undefined 22 years experience
That's quite slow: That's quite a low heart rate for a 2 yo. I would recommend seeing a pediatric cardiologist, who may want to place a 24-hour holter monitor.
A 49-year-old member asked:
Dr. Alex Golden
undefined 22 years experience
HLHS Surgeries: Norwood (stage i) glenn (stage ii) fontan (stage iii) some programs may do a hybrid version of stage i, called the "hybrid stage i". Occasiona... Read More
A 23-year-old male asked:
Dr. Alex Golden
undefined 22 years experience
Unclear: Although you give some details from the exam, it's still not enough info. That description could be consistent with normal or it could be consistent w... Read More
A 18-year-old female asked:
Dr. Alex Golden
undefined 22 years experience
Plants!: Vegetables of all types. Kale is especially excellent. Try to avoid processed foods including sugars, white flour, and oils. Oatmeal is phenenomenal. ... Read More
A 39-year-old female asked:
Dr. Alex Golden
undefined 22 years experience
Likely Normal: Palpitations ("my heart is beeping") and transient chest pain are very common complaints in 4 year olds, and odds are strongly in favor of this being ... Read More
A 25-year-old female asked:
Dr. Alex Golden
undefined 22 years experience
Need more info: Sorry, but questions about your future are best answered by your pediatric or adult congenital cardiologist. It's all in the details. There are severa... Read More
A 44-year-old female asked:
Dr. Alex Golden
undefined 22 years experience
Might be fine, but..: This sounds like the sort of thing that the computer in the ECG machine would say, and it is often wrong. He should have an echocardiogram and an exam... Read More
A 34-year-old female asked:
Dr. Alex Golden
undefined 22 years experience
No. : Kd is not contagious, but there are environmental factors that may include infections, perhaps viral. Viral infections can of course can be passed fr... Read More
A 38-year-old female asked:
Dr. Alex Golden
undefined 22 years experience
Probably normal : Albuterol definitely causes the heart to beat fast and hard. This quite normal and only rarely poses any problem though. There are alternative asthma... Read More
A 19-year-old female asked:
Dr. Alex Golden
undefined 22 years experience
Probably normal: Pauses are just when the time between beats is a bit longer than usual for you. The longest time between beats was 1.85 seconds, which isn't very long... Read More
A 26-year-old female asked:
Dr. Alex Golden
undefined 22 years experience
Second opinion: You have posted so many questions about murmurs and various diagnoses that it seems to me that you are having trouble trusting your doctor. It sounds ... Read More
A 26-year-old female asked:
Dr. Alex Golden
undefined 22 years experience
Unlikely: An normal thorough echocardiogram, especially a pediatric echo, generally rules out a vsd. It would be very unlikely to fail to identify a significan... Read More
A 24-year-old female asked:
Dr. Alex Golden
undefined 22 years experience
Odds are you're fine: Palpitations at rest are common in healthy young adults. Stay hydrated, get enough sleep and exercise, avoid caffeine. If you have experienced signifi... Read More
A 40-year-old member asked:
Dr. Alex Golden
undefined 22 years experience
Depends...: If you are asking about atriovisceral situs inversus, then heterotaxy, gut malrotation, and congenital heart disease is not uncommon. If it's situs in... Read More
A 48-year-old female asked:
Dr. Alex Golden
undefined 22 years experience
Nutrition Changes: The most effective treatment is radical improvement of diet, which has been shown to reverse heart disease in small studies. Watch the documentary, "f... Read More
A 19-year-old female asked:
Dr. Alex Golden
undefined 22 years experience
Difficult: The risks to you and your fetus would be very, very significant. Risks would also depend on details of anatomy and physiology in your specific case. ... Read More
A 25-year-old female asked:
Dr. Alex Golden
undefined 22 years experience
Sinus Venosus ASD: If the ASD is large enough to cause enlargement of the right heart (right atrium and right ventricle) it should be closed. This type of ASD cannot be ... Read More
A 43-year-old member asked:
Dr. Alex Golden
undefined 22 years experience
Propranolol: This sounds likely to be a proliferating infantile hemangioma (ih). Although the traditional teaching is watchful waiting, oral Propranolol is now kno... Read More
A 23-year-old male asked:
Dr. Alex Golden
undefined 22 years experience
Infantile Hemangioma: This sounds likely to be an infantile hemangioma (ih) and the scab is probably from ulceration due to stretching of the skin by the ih. If it is still... Read More
A 37-year-old member asked:
Dr. Alex Golden
undefined 22 years experience
A murmur is a sound: A murmur is a sound coming from the heart or blood vessels around the heart. The majority of these murmurs are normal, but some can be from an abnorm... Read More
A 44-year-old member asked:
Dr. Alex Golden
undefined 22 years experience
Nope. : If a pcp disagrees with a specialist's recommendations, they may want a second opinion from another specialist. There are several pediatric cardiology... Read More
A 54-year-old female asked:
Dr. Alex Golden
undefined 22 years experience
Beta Blockers: Both are selective antagonists (blockers) of beta-1 receptors. Metoprolol is shorter acting than atenolol, although there is a long-acting form of... Read More
A 29-year-old male asked:
Dr. Alex Golden
undefined 22 years experience
Propranolol: This sounds likely to be a proliferating infantile hemangioma (ih). Although the traditional teaching is watchful waiting, oral Propranolol is now kno... Read More
A 33-year-old member asked:
Dr. Alex Golden
undefined 22 years experience
See a cardiologist.: Just see a cardiologist and he or she will tell you if there's anything that needs to be done. Could be fine, or could require attention. It's all in ... Read More
A 61-year-old male asked:
Dr. Alex Golden
undefined 22 years experience
Some do.: Some people do suggest avoiding nuts and seeds, especially if you have heart disease. Of nuts, walnuts are probably the most healthy. Chia seeds have ... Read More
A 19-year-old male asked:
Dr. Alex Golden
undefined 22 years experience
Avoid cough medicine: I would not recommend cough medicines in babies with or without a history of vsd.
A 45-year-old member asked:
Dr. Alex Golden
undefined 22 years experience
Amazing Potential: We are a ways off from treating chd with stem cells, but i know of research that is ongoing to improve heart function after surgery using cardiac stem... Read More
A 22-year-old male asked:
Dr. Alex Golden
undefined 22 years experience
No.: Echocardiograms (ultrasound imaging of the heart) on all babies is cost-prohibitive. We do recommend screening all babies with pulse oximetry and in m... Read More
A 58-year-old female asked:
Dr. Alex Golden
undefined 22 years experience
No. : No, it is unthinkable that those could be related.
A 48-year-old member asked:
Dr. Alex Golden
undefined 22 years experience
Yes: Yes, it usually does cause a murmur unless it is really tiny. If it can be heard, it should probably be closed by catheter-based methods.
A 33-year-old member asked:
Dr. Alex Golden
undefined 22 years experience
Asymptomatic: Some people believe that mitral valve prolapse can cause chest pain, but I do not. Unless it causes severe mitral regurgitation (leakage if the valve)... Read More
A member asked:
Dr. Alex Golden
undefined 22 years experience
"My Breast Friend": The name is pretty goofy, but my wife likes this one the best. It's available online all over the place.
A member asked:
Dr. Alex Golden
undefined 22 years experience
Highly variable: There are many, many variants of tricuspid atresia, but the baby will require prostaglandin, an IV medication at first to maintain blood flow to the l... Read More
A 45-year-old female asked:
Dr. Alex Golden
undefined 22 years experience
Depends on age: Infants, even with down syndrome, rarely develop irreversible changes in the lungs. If the child is less than 6 months old, then the vsd should almost... Read More
A 34-year-old member asked:
Dr. Alex Golden
undefined 22 years experience
Tough to say: I've seen patients live into their 20's with hlhs, but it is hard to imagine how different things will be 20 years from now. An excellent surgeon is a... Read More
A 26-year-old female asked:
Dr. Alex Golden
undefined 22 years experience
Probably: Cardiologists would certainly know that diastolic murmurs are usually pathologic. There is one diastolic murmur that is benign: the diastolic murmur o... Read More
A 46-year-old member asked:
Dr. Alex Golden
undefined 22 years experience
Maybe: An echocardiogram would show whether or not the cardiac muscle is thick (hypertrophied). If it is thickened and you are a very serious athlete, the on... Read More
A 35-year-old female asked:
Dr. Alex Golden
undefined 22 years experience
Yes: A thorough echocardiogram would include evaluation of the mitral valve, and would easily show whether or not it prolapses.
A 45-year-old member asked:
Dr. Alex Golden
undefined 22 years experience
Exercise and diet: Strengthen your heart with regular exercise and lower your blood pressure by eating only very healthy food, and your resting heart rate will go down s... Read More
A 34-year-old member asked:
Dr. Alex Golden
undefined 22 years experience
Takes a while : Cardiac MRI always requires an IV for gadolinium contrast. Mri for small children will also usually require anesthesia. The patient goes in the scanne... Read More
A 31-year-old female asked:
Dr. Alex Golden
undefined 22 years experience
Nothing really. : This really doesn't mean much, just that the person reading the echo thought that the mitral valve tissue looks a little "floppy." nonetheless, it sou... Read More
A 45-year-old member asked:
Dr. Alex Golden
undefined 22 years experience
Kawasaki Disease(KD): Kd is a vasculitis, or inflammation of arteries. The cause is unknown, but perhaps partially related to an immune response after a viral infection. It... Read More
A 35-year-old member asked:
Dr. Alex Golden
undefined 22 years experience
On a baby?: If it is a growing hemangioma on a baby, what we call an "infantile hemangioma, " then it can be treated very effectively and safely with an oral medi... Read More
A 35-year-old member asked:
Dr. Alex Golden
undefined 22 years experience
Infantile hemangioma: For growing infantile type hemangiomas in babies, the treatment of choice is oral propranolol. This is far superior in efficacy and safety to steroids... Read More
A 32-year-old member asked:
Dr. Alex Golden
undefined 22 years experience
Many more than 5: There are many more than 5 types of congenital heart disease. Some of the most common are: asd vsd bicuspid aortic valve pda tetralogy of fallot ... Read More
A 17-year-old female asked:
Dr. Alex Golden
undefined 22 years experience
Not left open: The PDA will generally close on its own within the first couple days of life. If it does not close on its own and it is big enough to be audible with ... Read More
A 33-year-old female asked:
Dr. Alex Golden
undefined 22 years experience
ASD: These are really arbitrary, subjective terms, but i think of small as less than 8mm, medium as 8-16mm and large as greater than 16mm. However, the bot... Read More
A 32-year-old female asked:
Dr. Alex Golden
undefined 22 years experience
Acrocyanosis: Being cold causes vasoconstriction (tightening down) of the blood vessels in the periphery. This is called acrocyanosis. Hands and feet (and lips too)... Read More
A 36-year-old member asked:
Dr. Alex Golden
undefined 22 years experience
TOF repair: No. The only reasonable way to repair tof is with an open heart surgery. Depending on the specific details of the child's condition, additional surger... Read More

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

4
Recommendations
107
Thank you notes
I would recommend Dr Golden. He is not scared to take a stand and give people truly valuable advise. He also has an awesome name, its Golden!
Jul 2, 2013
Great responses. Accurate & impressive. Dr. Ali
HealthTap member
Mar 31, 2015
Dr. Golden is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Your answer gave me peace of mind. Thank you so much, may God continue to bless you and give you more wisdom to do your job.
HealthTap member
Thank you. That's the most encouraging thing we've heard. After an ECHO, my friend was told that the baby would die - not to hope. Thanks
HealthTap member
Thank you, your answer was very helpful! My sister is distraught not knowing what killed her son. Thank you!

Education & Training

Medical/Graduate school

Mount Sinai School of Medicine, NY
Graduated 1999MD

Residency

Columbia Presbyterian - Children's Hospital of New York

Awards

U.S. News and World Report/Castle Connolly Top Doctor
Top Pediatric Cardiologist, First Place, Ohio - Summer
2013
HealthTap Founding Doctor

Affiliations

SCAI
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