U.S. doctors online nowAsk doctors free

Dr. Nathan Ritter

Cardiology
Rochester, NY
25 years experience male

Locations

UCVA

Rochester, NY

Address

101 Canal Landing Boulevard, Suite 8, Rochester, NY
Directions

Practice website

About

Bio

I have a busy cardiology practice in New York. I am an expert in helping people prevent the development of heart disease. I also specialize in diagnosing and treating heart disorders.

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

116 Answers
19 Agrees
The number of answers this doctor has agreed with.
A 32-year-old member asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Transfats get turned: into LDL chol, which in turn gets stuck on the sides of arteries and causes blockage.The trans-fat itself no longer exists in the body after it has be... Read More
A 48-year-old member asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Reflux: When my patients report these symptoms to me, the most obvious thing is Reflux, which is stomach acid coming up into the esophagus. It is provoked by... Read More
A 29-year-old female asked:
Dr. Nathan Ritter
Cardiology 25 years experience
A pin prick: sensation in the chest is almost never a dangerous symptom. The bad things that cause chest pain (heart attack, ruptured aneurysm, blood clot to lung... Read More
A 44-year-old member asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Several: Lipids include triglycerides and cholesterol. Triglycerides are tiny droplets of fat in the bloodstream. They are formed from fat absorbed from intest... Read More
A 48-year-old member asked:
Dr. Nathan Ritter
Cardiology 25 years experience
HDL is the good: cholesterol. It transports cholesterol to the liver, where it is processed an eliminated via the intestines. High HDL levels generally help decrease a... Read More
A 31-year-old female asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Variable significanc: It depends on how large the fistulas are. A small coronary fistula can be without major effect. However, I have seen large coronary fistulas that requ... Read More
A 32-year-old female asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Depends: If u are on medication for cholesterol, it should be checked a minimum of once a year. If not on meds, and level is normal, check once every 5 yrs. If... Read More
A 52-year-old member asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Older patients: As people age, the diastolic pressure usually decreases, so for an 80 year old, for example, the blood pressure will be 140/60. Nothing is done about... Read More
A 40-year-old member asked:
Dr. Nathan Ritter
Cardiology 25 years experience
See below: The structure of the current st jude valve, the most commonly used valve, is made of graphite with a prolytic carbon coating. There is a sewing cuff w... Read More
A 27-year-old member asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Depends on cause: I advise people with low blood pressure and symptoms to consume salty foods, because the higher sodium content can bring up the pressure. U should dri... Read More
A 34-year-old member asked:
Dr. Nathan Ritter
Cardiology 25 years experience
No.: These two conditions are not related.
A 33-year-old member asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Several things: Get enough sleep. Do aerobic exercise for at least 30 minutes a day, 5 days a week. Limit sodium to less than 2 grams (u could still have high sodium ... Read More
A 49-year-old member asked:
Dr. Nathan Ritter
Cardiology 25 years experience
A lot, say 30 points: Pressure varies a lot throughout the day. When a person exercises, the pressure can normally go up from 110/70 to 180/90. Many people have higher pre... Read More
A 31-year-old female asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Could be either: I have seen these two diagnoses mixed up several times before. Pericarditis would be more likely to be worse with lying backwards, reclining. It can b... Read More
A 35-year-old member asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Recycled& eliminated: Cholesterol you eat (eggs, animal fats) is absorbed in the intestines and is transported to the liver. The liver makes bile with the cholesterol and t... Read More
A 48-year-old member asked:
Dr. Nathan Ritter
Cardiology 25 years experience
No effect: Iron should not affect your pressure. I have never seen that side effect, nor is it listed in the information about the medication. The classic side e... Read More
A 36-year-old male asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Beating: Beating diabetes starts with knowing your child's blood glucose. Check it often. I check my son 10-15 times a day.
A 37-year-old member asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Yes: Statin medications (atorvastatin, simvastatin, pravastatin, and others) can cause muscle aches and cramping. In my experience they cause this symptom ... Read More
A 27-year-old female asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Probably not: Fainting is an important symptom. To be head related, it would have to be a seizure, and this is very unlikely based on what u describe. Because u had... Read More
A 42-year-old male asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Not bad numbers: Your numbers aren't terrible. They are both at the upper limit of "normal" for your age group. What you should do depends on your other risks for hear... Read More
A 20-year-old female asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Important symptoms: The symptoms you describe could be a pneumothorax. That is probably the worst thing it could be. It is worth it to get checked out. You should see a d... Read More
A 32-year-old member asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Yes.: I know of many patients who have taken clopidogrel for more than 10 years, and they have done fine with it. I use long term clopidogrel in patients wh... Read More
A 21-year-old male asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Need more BP checks: You should check your pressure at the pharmacy / grocery once a wk or so over the next couple months, and record the values. Your doc will probably be... Read More
A 30-year-old member asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Nothing: When people ask me about what their target hr should be when working out, i tell them that the workout intensity is more important than heart rate. So... Read More
A 21-year-old male asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Types of Coarctation: There are 3 types of aortic coarctation. If there is blood flow from the pulmonary artery to the aorta, the infant has preductal coarctation. This ca... Read More
A 34-year-old member asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Yes: This is at the top end of the recommended intake. But you probably don't need to take it. Just make sure u eat plenty of fruits and veggies. Also, sto... Read More
A 35-year-old member asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Several: Angina is chest, jaw, arm, back or shoulder pain that comes from the heart due to lack of proper blood flow to heart muscle. The classic cause of angi... Read More
A 36-year-old male asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Many possibilities: Dangerous: heart attack, blood clot to lung, ruptured aorta, cancer, pneumothorax, pneumonia, pericarditis. Not dangerous: reflux (acid), costochon... Read More
A member asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Meloxicam?: No, Meloxicam is a pain killer in the group of medications known as nsaids. Ibuprofen is another example of this type of medication. Meloxicam is sup... Read More
A 36-year-old male asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Either: You could use either, whichever you tolerate better or works better for you. The standard is the potassium chloride.
A 27-year-old female asked:
Dr. Nathan Ritter
Cardiology 25 years experience
If rest HR is > 140 : There are many causes of high hr. Svt comes out of nowhere, results in fast palpitations, and usually hr > 140. Sinus tachycardia can occur with a... Read More
A 30-year-old member asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Eat low sat fat diet: Do the best you can with eating low saturated fat diet, and exercising. Modest alcohol intake can decrease the LDL (bad cholesterol), one to two beers... Read More
A 40-year-old female asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Impotence?: I think you mean impotence, as in, can't get an erection. If so, the answer is yes, this can be a side effect of that medication.
A member asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Several possibilites: Hiatal hernia gerd esophageal dysfunction rarely, blocked coronary artery causing angina or heart attack.
A 22-year-old female asked:
Dr. Nathan Ritter
Cardiology 25 years experience
MIGHT help some: Celery supposedly helps decrease blood pressure by two effects, by dilating the arteries, and by increasing urine output (diuretic effect). To my know... Read More
A 33-year-old member asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Preeclampsia?: Some women get preeclampsia after delivery, this involves high bp. Also, if you received a lot of IV fluids with delivery, your pressure could remain ... Read More
A 18-year-old male asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Yes.: However, one should not share Flonase spray bottles with others.
A female asked:
Dr. Nathan Ritter
Cardiology 25 years experience
No, If you have had: many tattoos and are very comfortable with the process, you would probably be ok. But if you have never had a tattoo, or have any difficulty with the ... Read More
A 18-year-old female asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Tough one: Because you are on Immunosuppressants, gp was concerned about pneumonia, which is usually accompanied by cough, phlegm, and fever. Can't tell from wha... Read More
A 41-year-old female asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Yes: Any stress can increase the symptoms of irregular heartbeat, which usually refers to "PVCs" or "PACs." Irregular heart beat could also mean atrial fib... Read More
A 72-year-old male asked:
Dr. Nathan Ritter
Cardiology 25 years experience
About 20% over 10y: If you have ever had a heart attack before, and you are not having major heart symptoms now, then your risk for a heart attack or stroke over the next... Read More
A 32-year-old female asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Ok but not great: Assuming you don't smoke or have high BP, your risk for a stroke or heart attack over the next 10 years is very low, less than 1%. So generally you w... Read More
A 34-year-old member asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Slow heart rate: The typical reason to get a pacemaker is slow heart rate *hr), say, below 40 beats a minute. Some people get pacemakers because their hr won't increas... Read More
A 43-year-old member asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Not much: We use LDL and HDL chol #s to understand a person's risk for heart disease. If u have a very low LDL level (bad chol) and very low HDL (good chol) you... Read More
A 27-year-old female asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Very Different: Pericarditis is due to inflammation around the heart. It causes chest pain that worsens with breathing or change in position. Angina his pain typical... Read More
A 41-year-old female asked:
Dr. Nathan Ritter
Cardiology 25 years experience
No: Pressure of 130-140 systolic is on the high end of normal and typically doesnt require treatment. So if most of the time your pressure is below there ... Read More
A 40-year-old member asked:
Dr. Nathan Ritter
Cardiology 25 years experience
A couple days: Most blood pressure medications take about 2 days to have most of their effect, although every patient is different. After a week, all blood pressure... Read More
A 35-year-old male asked:
Dr. Nathan Ritter
Cardiology 25 years experience
Yes: Eating about a handful of walnuts each day can lower your LDL cholesterol (bad cholesterol) by 10%. It also increases HDL (good chol) by a few percent... Read More
A 45-year-old member asked:
Dr. Nathan Ritter
Cardiology 25 years experience
It's called: pericardial fluid. It is a lymphatic fluid that is a transudate, basically a watered down version of plasma. Usually, there is only a small amount of... Read More
A 83-year-old male asked:
Dr. Nathan Ritter
Cardiology 25 years experience
No.: Unfortunately, rib strains and xiphoid process strains are treated only with avoidance of straining, and waiting. You can use otc analgesics to lessen... Read More

90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.

Ask doctors free
Answer emailed
in 24 hours or less

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

2
Recommendations
136
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Ritter is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Ritter is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This was very helpful. Thanks! Thank You! I'm going to get it looked into before I start picking up the pace. I appreciate the input and I'll check out your webpage.
HealthTap member
This was very helpful. Thanks! Thank you. I think if the pain continues for a few more days I will contact my Rhuemtologist. You've been great. Keep it up!
HealthTap member
Thanks for your quick reply! Thank you. It was a home BP machine but is usually accurate. My BP has been increasing on thyroxine but this is 3 rd spike.

Education & Training

Medical/Graduate school

University of Alabama School of Medicine, AL
Graduated 1997MD

Awards

Top Doctor, First Place, Rochester Region, NY - Summer
2013
Thought Leader, Third Place, Rochester Region, NY - Summer
2013
Top Cardiologist , First Place, Rochester Region, NY - Summer
2013

Affiliations

CardioGauge.com
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