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Dr. Joel Gorfinkel

Cardiac Electrophysiology
Boynton Beach,, FL
57 years experience male

Locations

Cardiology Consulant

POTOMAC

Address

12430 PARK POTOMAC AVE, UNIT N240, POTOMAC
Directions

Fax

14844930102

Office

Boynton Beach,, FL

Cardiology

Boynton Beach, FL

About

Bio

Currently Clinical Professor of Medicine at George Washington University, in Washington, DC. and cardiology consultant to the Mercy Community Health Clinic in Gaithersburg, MD, and involved in telemedicine activities. Previously in private practice of cardiology for four decades with a special interest in coronary intervention ("angioplasty') in Columbus, with a Clinical Associate Professorship at the Ohio State University School of Medicine.

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.

Cardiac Electrophysiology

Cardiology

Clinical Lipidology

Licenses

United States: Maryland

Languages spoken

Hebrew

Doctor Q&A

135 Answers
10 Agrees
The number of answers this doctor has agreed with.
A 37-year-old male asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Ignore: If your heart skips a beat, See your doc so he/she may treat.
A 22-year-old male asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Very unfit: If u are healthy, but a real couch potato, perhaps over weight? You could start to fade after running five minutes. To be sure, see ur doc for a full ... Read More
A 71-year-old female asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
See ur doc ASAP: With those symptoms you need to see Ur doc immediately to be sure it is or is not heart related. In the meantime slow down your activity so you do not... Read More
A 37-year-old female asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Probably not, esp if: They let u go directly home from the ER. Y the difference in the 2 EGGs? Depends where they put the chest leads. If one set of leads was placed a litt... Read More
A 19-year-old male asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Dont know: But it is a great way to try :-)
A 47-year-old female asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Maybe: In a totally normal heart occasional PVCs may occur randomly. In some people stimulents such as caffeine may cause OCCasional. In someone with frequen... Read More
A 24-year-old female asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
With caution: Ibuprofen an NSAID, nonsteroidal antiinflammatory drug, can reduce the effectiveness of the bp lowering effect of metoprolol, probably less on heart r... Read More
A 59-year-old female asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Yes: Thyrotoxicosis can cause different kinds of arrhythmias. Increasing a thyroid dose may increase arrhythmias in those who have them as a consequence of... Read More
A 37-year-old female asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
See ur doc: There are some rather easy ways to determine if yur heart is beating funny (suggestive of a rhythm disorder). An ECG is only about 30 sec of monitorin... Read More
A female asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Moringa?: Had to look up Moringa. It is an herbal tea that is supposed to help a whole host of ailments. could not find any contraindications to use with any sp... Read More
A 51-year-old male asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Good question, lots: modify all risk factors. If you smoke, quit. If ur over weight, lose at.
A 29-year-old male asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
R > S in V1-2.: I assume u mean R taller than S is deep in V1-2. Could be normal, could indicate some true abnormalities. At your age more likely normal, BUT, rather ... Read More
A 29-year-old male asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Lots of things: If you are overweight, Diet, exercise and LOZE WEIGHT! This may help all the problems without meds. If your wt. is normal dietary changes and exercise... Read More
A 49-year-old female asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
One time, no, but: if it is reproducible and progressive and predictable it should be checked out by your doc. You do have one risk factor , high blood pressure, but if ... Read More
A 37-year-old male asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Ignore: Eating lots of licorice can cause low potassium.
A 37-year-old male asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Ignore: Bearing down real hard for 20 or so seconds and then resuming normal breathing may stop it.
A 37-year-old male asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Ignore: Avoid stimulants (caffeine, nicotine). Meds helpful, if not, discuss "ablation" with ur doc.
A 22-year-old female asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Probably nothing.: For someone your age who is in good condition a heart rate in the 50-60s is normal. In your case I don't know how low low is. I assume you discussed t... Read More
A 31-year-old female asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Yur orobably ok: If the rest of your cv exam is normal and If you have been inactive slowly progressively increasing your exercise time and level should be the way to ... Read More
A 52-year-old female asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Cud b a # of thingsi: Could be a number of things, including your heart. Not enuf space here to ask u all the questions needed to steer me in the right direction. Pls see u... Read More
A 32-year-old male asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
BP ok, but: He's too heavy, cholesterol may be too high. Need to know bad cholesterol (LDL) ), good cholesterol (hdl) and triglycerides. Also fasting blood sugar.... Read More
A 24-year-old male asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
I know what it isn't: It isn't your heart. Could be musculoskeletal. Since you've already seen a doctor, you should go back and have him/her look for other causes, none of ... Read More
A 33-year-old female asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
WPW not causing your: Described symptoms. See your doc if these symptoms continue.
A 33-year-old female asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Probably not: But check with ur doc so he can ask pertinent questions and examine ur leg, edpecilly if it stops progressively improving.
A 44-year-old male asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Gravity: If u are otherwise in good health. Especially if it is worse at night and much better in AM. Calcium channel blockers (eg. amlodipine) for bp control ... Read More
A 34-year-old member asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Any doc: By measuring your pulse and BP with you supine, abruptly sitting, and standing. Once diagnosis made your doc my need help in Ur management with the ai... Read More
A 26-year-old female asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Yes, too high.: you should see your doctor ASAP. If you can't get in soon go to Urgent Care or an ER.
A 47-year-old female asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Not neccesarily: Your BP and normal stress test r separate issues. Best screening test would be an event monitor, a device u wear that records Ur heart rate and rhyth... Read More
A 35-year-old male asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Sounds like: anxiety, caused by too much heart awareness. See your doc to discuss this and together you can develop a plan to alleviate the problem. Mainly, what w... Read More
A 26-year-old female asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Probably not: unlikely that HTN would cause back pain. See your doc so both situations can be evaluated.
A 26-year-old male asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Yes but: The MRI can be used to visualize the coronary arteries. But that is still work in progress. A contrast CT of the heart does visualize the coronary ana... Read More
A 38-year-old male asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Interesting: Are you resting every day around that time when you would be more likely to notice it then when you would be more active? They could be occurring at ... Read More
A 31-year-old male asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
2 complex 4 shrt ans: Need to ask u many questions about chest and armpit Sx to parse out possible causes. Too little info to say whether or not your heart may be involved.... Read More
A 39-year-old female asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
No: your BP is too high. Certainly not an emergency, However, you should see your doc in the near future so you can be evaluated and treated accordingly.
A 19-year-old female asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Check Sx with----: an ECG monitor during sexual activity. I assume ur doc has checked u out and found nothing wrong. Checking your heart rhythm during sex does not mean ... Read More
A 49-year-old female asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Hmmm: Not knowing anything more bout you, is hard to be specific. Assuming you r a healthy 49 y/o woman on no meds for chronic diseases, non smoker, no fami... Read More
A 38-year-old male asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Probly nothing more: If it is fleeting, ie. Almost gone before you know it, it is likely musculoskeletal in origin. It is likely not serious since you have seen your doc w... Read More
A 48-year-old male asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Unusual symptom, but: coffing soon after chest surg hurts like h---. The pt may think he can hear and feel his bones shifting. But they probably are not. There is a condit... Read More
A 28-year-old female asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Probably not: But, some questions. What were the circumstances that broke your nose? Clean or dirty surroundings. Bleeding? Irrespective of this you should be exami... Read More
A male asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Yes: There are many alternatives to digoxin, but this depends on the reason digoxin was being used. Depending on the reason it was being used (eg. Rate or ... Read More
A 52-year-old male asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Weak heart?: Very non term Usually refers to heart that does not pump normally. Many causes, different treatments. See your doc for clarification and for soecfic t... Read More
A 25-year-old female asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Probably, BUT: Most important to know WHY u have LVH. There are a number of causes, HTN being the most common, and this should be treated optimally before working ou... Read More
A 26-year-old female asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Too high: Not an emergency but see your doc within the next few days. Many causes, some can be treated by diet, weight loss and exercise. Others will require me... Read More
A 20-year-old male asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Mostly,: There are some rhythm problems such as Brugada syndrome that won't show up on an echo as a structural issue. A complete history. Physical, appropriate... Read More
A 49-year-old male asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Probably normal. but: Ur doc can easily tell one from the other, usually by doing no more than a careful physical exam. Good luck.
A 43-year-old female asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Yes, but: Need to be sure the "PVCs" are not just ventricular aberration. This occurs when the rate is fast with a pause and the next beats are wider (aberrant)... Read More
A 27-year-old male asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
ARBs can be used: Safely in patients with renal disease, as they have many beneficial effects even tho they may increase the Creat a bit more. With creatine of 1.7 ur d... Read More
A 27-year-old male asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Apixaban: Much more effective than the ASA and plavix (clopidogrel) combo in preventing stroke, and safer than warfarin. I assume that he is not warfarin (Couma... Read More
A 61-year-old female asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Same drug: Valsartan is generic Diovan (valsartan). Assuming the generic comes from a reputable pharmaceutical company, there should be no problem in switching.
A 24-year-old female asked:
Dr. Joel Gorfinkel
Cardiac Electrophysiology 57 years experience
Too fast: yes, but need to know the condition(s) when this occurs. Always present (consider hyperthyroidism)? Sometimes occurs, of recent onset, associated othe... Read More

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

3
Recommendations
140
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Gorfinkel is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Gorfinkel is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Nov 26, 2015
Thanks
HealthTap member
This was very helpful. Thanks! There is a direct reason why most HTN meds are not refilled by so many patients and it is not cost related. Cardiologists know this. It is Rx side effect related. Well, ...Read More
HealthTap member
This was very helpful. Thanks! Thank you because I was about to go to the ER and I'm young I'm only 27 so I'm sure this is normal then. Thank you very much again !!
HealthTap member
thanks, they said they want pet scan because bp was lower after exercise. I think BP was was elevated because I was anxious. thaanks again

Education & Training

Medical/Graduate school

University of Illinois College of Medicine, IL
Graduated 1965MD

Residency

Michael Reese

Awards

Top Cardiologist, Second Place, Florida - Spring
2015
Top Cardiac Electrophysiologist, First Place, Florida - Winter
2015

Affiliations

American College of Cardiology, American Heart Association, Society for Cardiac Angiography and Intervention
American College of Physicians
Amer. Heart Assoc.
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