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Dr. Lee Marcus

Cardiology
New York, NY
32 years experience male

Locations

Preventive Cardiology of New York

New York, NY

Address

307 E 63rd Street, New York, NY
Directions

Fax

(646) 661-2347

About

Bio

I am a Cardiologist that has specialized heart failure and circulatory physiology training, and that also worked closely in the early stages of the LVAD program at Columbia University. I completed my Cardiology training in 1999 at Yale University, and started to practice clinically in 1999. I have been active as a primary and secondary investigator in multiple phase II and phase III clinical medical trials, and was the founder and director of the Heart Failure Unit and program at Vassar Brothers Medical Center in Poughkeepsie, NY. I was listed in the Castle, Connolly National Physician Directory of "Top Doctors" from 2006-2009, and was Board President of the Dutchess and Ulster county chapter of the American Heart Association, in addition to serving many other leadership roles. I am a passionate and persuasive speaker who is widely viewed as an invaluable resource to my peers and patients. My practice, located on the Upper East side of Manhattan, is dedicated to the prevention, early detection, and aggressive treatment of cardiovascular disease. Disease based medicine is expensive and inefficient, and I think that there is a better way. By teaching my patients to invest in their health pro-actively and identifying disease states before they become clinically manifested, I intend to help guide my patients on a path to a happier and fuller life. The approaches I use are evidence based, and integrate the most advanced noninvasive diagnostics and testing with the most appropriate therapeutic interventions. Each patient is unique, and treatment approaches are tailored to each specific clinical scenario. My practice, however, is not limited to Preventive Cardiology, and also covers all aspects of general clinical Cardiology, and I especially enjoy helping patients with congestive heart failure to improve their symptoms and outcomes. I feel that I have an outstanding bedside manner, and am able to explain complicated conditions to patients while putting them at ease.

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

Licenses

United States: New York

Doctor Q&A

81 Answers
56 Agrees
The number of answers this doctor has agreed with.
A 34-year-old female asked:
Dr. Lee Marcus
Cardiology 32 years experience
Yes: PACs are simply isolated early extra beats that originate from the upper chambers of the heart (above the bundle of his). Some make it through to the... Read More
A 60-year-old male asked:
Dr. Lee Marcus
Cardiology 32 years experience
To be expected: Beta-blockers slow down the heart rate, so this is to be expected. As long as you are not dizzy, fainting, or excessively fatigued then there really ... Read More
A 60-year-old male asked:
Dr. Lee Marcus
Cardiology 32 years experience
Not surprising: Bisoprolol is a Beta-blocker, and these work partly by slowing the heart rate. When one stands the heart rate usually increases. Conversely, when one... Read More
A 23-year-old female asked:
Dr. Lee Marcus
Cardiology 32 years experience
Need more tests: The three tests you describe are by no means a complete enough work-up based on the severity of your symptoms. You need to rule out both a cardiac ca... Read More
A 61-year-old male asked:
Dr. Lee Marcus
Cardiology 32 years experience
Excellent Question: Statins- and other drugs and nutritional supplements that lower your LDL particle number and favorably alter your LDL pattern as much as possible. Om... Read More
A 30-year-old male asked:
Dr. Lee Marcus
Cardiology 32 years experience
Yes: If your dad had a heart attack in his thirties, you need to be screened with a thorough cholesterol profile for Familial Hypercholesterolemia, which h... Read More
A 39-year-old female asked:
Dr. Lee Marcus
Cardiology 32 years experience
Many possibilities: From what you report there are many possibilities. If your blood pressure is under poor control that can lead to feelings of fatigue. Your being ove... Read More
A 34-year-old male asked:
Dr. Lee Marcus
Cardiology 32 years experience
What tests?: How were you "cleared"? For your symptoms and age, not knowing your risk factors or blood pressure, you should have had a blood panel for chemistries... Read More
A 36-year-old male asked:
Dr. Lee Marcus
Cardiology 32 years experience
Ignore: Most heart attacks occur in people without severe blockages of their coronary arteries.
A 37-year-old male asked:
Dr. Lee Marcus
Cardiology 32 years experience
Ignore: Keep yourself well hydrated and liberalize salt in your diet. Avoid rapid rising- dangle legs first.
A 35-year-old female asked:
Dr. Lee Marcus
Cardiology 32 years experience
Usually not: Many patients tolerate high doses of carvedilol. If you are not feeling dizzy or lightheaded for the next several hours, I recommend lying down and t... Read More
A 37-year-old male asked:
Dr. Lee Marcus
Cardiology 32 years experience
Ignore: Request that your physician refer you for an "ABI" study. Can tell if you have PAD and risk for CAD.
A 55-year-old female asked:
Dr. Lee Marcus
Cardiology 32 years experience
Usually not: The main reason for fatigue in this situation would be if the high INR were resulting in bleeding and your blood count were low. Therefore, that need... Read More
A 28-year-old male asked:
Dr. Lee Marcus
Cardiology 32 years experience
Potentially: Avapro (irbesartan) belongs to a class of medications called "angiotensin receptor blockers" or "ARBs" that are often used to treat high blood pressur... Read More
A male asked:
Dr. Lee Marcus
Cardiology 32 years experience
Any other symptoms?: Palpitations are a very common symptom and in the absence of fainting or structural heart disease are usually benign. I recommend an Echocardiogram a... Read More
A 19-year-old male asked:
Dr. Lee Marcus
Cardiology 32 years experience
Gastroenterologist: Sounds like reflux or some other problem with stomach or esophagus. Would discuss seeing a gastroenterologist with your primary care physician.
A 18-year-old male asked:
Dr. Lee Marcus
Cardiology 32 years experience
Probably not: this is likely occurring while you are lying in bed and not distracted. It is usually nothing to worry about. If it is associated with headaches or ... Read More
A 39-year-old female asked:
Dr. Lee Marcus
Cardiology 32 years experience
Check TFTs: If you are in regular sinus rhythm, I would start by checking an Echocardiogram, thyroid blood work, and a CBC and go from there. Also check your tem... Read More
A 30-year-old female asked:
Dr. Lee Marcus
Cardiology 32 years experience
Not at all: A CXR is minimally helpful in the diagnosis of right sided HF. An echocardiogram is the test of choice along with a thorough history and physical exa... Read More
A 43-year-old member asked:
Dr. Lee Marcus
Cardiology 32 years experience
All the same: They are all different names for the same drug- perindopril- a BP drug of the ACE inhibitor class. So no- I would not take all of them together. I w... Read More
A 61-year-old female asked:
Dr. Lee Marcus
Cardiology 32 years experience
Yes: CoQ10 is certainly safe to take with those medications, and some would advocate using it with the Lipitor, (atorvastatin) although the data is mixed. ... Read More
A 27-year-old female asked:
Dr. Lee Marcus
Cardiology 32 years experience
Yes: This is considered a normal blood pressure.
A 17-year-old female asked:
Dr. Lee Marcus
Cardiology 32 years experience
Depends: It is common to have ectopic beats when checking one's pulse or EKG (sometimes they are asymptomatic, sometimes they are manifest clinically as palpit... Read More
A 37-year-old female asked:
Dr. Lee Marcus
Cardiology 32 years experience
Yes: Definitely- I use Carvedilol in my heart failure patients many of whom have some forms of lung disease on Advsir and it is tolerated fine.
A 37-year-old male asked:
Dr. Lee Marcus
Cardiology 32 years experience
Ignore: If you are on warfarin you can still eat healthy greens- just keep it consistent week to week.
A 26-year-old male asked:
Dr. Lee Marcus
Cardiology 32 years experience
Sugar OK: Your fasting blood sugar is normal, but more information about your cholesterol components needs to be reviewed before I can comment on the clinical r... Read More
A female asked:
Dr. Lee Marcus
Cardiology 32 years experience
No: It is in the normal range.
A 52-year-old female asked:
Dr. Lee Marcus
Cardiology 32 years experience
Absolutely: Do not leave persistent blood pressure elevations like this untreated. The earlier it is addressed, the better the outcome. See your primary care do... Read More
A 24-year-old female asked:
Dr. Lee Marcus
Cardiology 32 years experience
Too general: Gabrielle- that is too general a question as the heart is a VERY complex organ that can be subject to multiple forms of disease. therefore, you need ... Read More
A 37-year-old male asked:
Dr. Lee Marcus
Cardiology 32 years experience
Ignore: Always take your medications and follow a low sodium diet as recommended by your physician. Exercise.
A 37-year-old male asked:
Dr. Lee Marcus
Cardiology 32 years experience
Ignore: Describe what brings on the symptoms, when you usually get it, and what other symptoms come with it.
A 44-year-old male asked:
Dr. Lee Marcus
Cardiology 32 years experience
Yes: That is a relatively low dose
A 18-year-old male asked:
Dr. Lee Marcus
Cardiology 32 years experience
Unlikely heart: Given your age and the description of the symptoms it is very unlikely related to your heart. Much more likely either musculoskeletal, gastrointestin... Read More
A 39-year-old female asked:
Dr. Lee Marcus
Cardiology 32 years experience
Below 70: Ideally below 70 beats per minute. But there is no hard fast rule. A new drug, Corlanor, was just approved for heart failure patients with elevated h... Read More
A 37-year-old male asked:
Dr. Lee Marcus
Cardiology 32 years experience
Ignore: Eat 5-8 servings of fruits and vegetables s day.
A 29-year-old female asked:
Dr. Lee Marcus
Cardiology 32 years experience
It is a good sign: The better your arterial elasticity is, the healthier your artery lining and arteries in general are. Also, good elasticity is a sign that you are le... Read More
A 39-year-old female asked:
Dr. Lee Marcus
Cardiology 32 years experience
It can hurt: Because when putting in a stent a balloon is temporarily inflated in your artery that briefly cuts off blood flow, people can experience pain or angin... Read More
A 19-year-old female asked:
Dr. Lee Marcus
Cardiology 32 years experience
No: A resting HR of 55 is just below normal limits for low. If you have no symptoms, at your age it is usually nothing to be concerned about.
A 39-year-old female asked:
Dr. Lee Marcus
Cardiology 32 years experience
Not likely: The pain you are having seems very atypical and given that the stents were placed almost one year ago is unlikely related to the procedure. However, ... Read More
A 59-year-old male asked:
Dr. Lee Marcus
Cardiology 32 years experience
Heart Failure: Unfortunately it appears that your mother in law is suffering from advanced congestive heart failure and needs aggressive medical treatment and follow... Read More
A female asked:
Dr. Lee Marcus
Cardiology 32 years experience
Repeat the EKG: Reading of a "septal infarction" is a very common computer misread due to subtle misplacement of the EKG leads. Have the EKG repeated and make sure t... Read More
A 34-year-old male asked:
Dr. Lee Marcus
Cardiology 32 years experience
Why pharmacist: I am not sure why a pharmacist is giving this type of advice, which should be between you and your physician. Secondly, given your current BP, it's no... Read More
A 16-year-old male asked:
Dr. Lee Marcus
Cardiology 32 years experience
Minimally: You are very young to be having an invasive angiogram ("cardiac cath"). Usually now they are performed via the radial artery in the wrist and are gen... Read More
A 27-year-old female asked:
Dr. Lee Marcus
Cardiology 32 years experience
More tests: Would see a Cardiologist for an Echocardiogram (cardiac ultrasound), a routine treadmill stress test, and a 24 ambulatory Holter monitor, as well as r... Read More
A 40-year-old member asked:
Dr. Lee Marcus
Cardiology 32 years experience
Dehydration: Bumetanide (Bumex) is a potent loop diuretic, often used in cases where large amounts of fluid need to be removed such as heart failure. It causes lo... Read More
A 51-year-old member asked:
Dr. Lee Marcus
Cardiology 32 years experience
Moderately: Statins are primarily effective in lowering LDL but are only moderately effective in lowering triglycerides. Average reduction to be expected in the ... Read More
A 36-year-old male asked:
Dr. Lee Marcus
Cardiology 32 years experience
Ignore: Try to avoid consuming them with coffee or carbonated beverage- will result in belching.
A 46-year-old member asked:
Dr. Lee Marcus
Cardiology 32 years experience
Why contraindicated?: It is difficult to answer this question without knowing the reason that the atorvastatin was contraindicated. There are "relative" contraindications ... Read More
A 27-year-old male asked:
Dr. Lee Marcus
Cardiology 32 years experience
Safe: If all you have are rare PACs and are otherwise asymptomatic, an upper endoscopy with sedation should be fine cardiac wise. Good luck!!

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

1
Recommendations
62
Thank you notes
HealthTap member
Sep 29, 2015
Great consultation.
HealthTap member
This was very helpful. Thanks! Nutritionists and dieticians all do the same thing. They download what I can from the internet. There is no case-by-case basis specifics. I'll stay with statins, etc. ,l...Read More
HealthTap member
This was very helpful. Thanks! This was great. It went away, I though it was life threatening, this really helped. It went away today :)
HealthTap member
Your answer was very helpful! Thanks :) Thank you! I will show this to my doctor to get the tests done.

Education & Training

Medical/Graduate school

New York Medical College, NY
Graduated 1990MD

Residency

WESTCHESTER MEDICAL CENTER
Completed 1994

Awards

Top Cardiologist, Second Place, Manhattan Region - Winter
2015
Top Cardiologist, Second Place, the Manhattan Region - Spring
2017

Affiliations

Fellow- American College of Cardiology
American Medical Association
Heart Failure Society Of America
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