Doctor insights on:
Depends: Do you have a heart condition or strong family history of early heart disease? You can expect a detailed medical history discussion with emphasis on heart and circulation topics, maybe an ekg, maybe a cardiac ultrasound study, maybe an exercise stress test, maybe blood cholesterol testing. It all depends on the reason you are seeing a cardiologist at 28 years of age. ...Read more
No: Cadiothoracic surgeons do that.Get a more detailed answer ›
Doctors: The physicians I know on health tap are all accomplished in their fields. I am a 'real' cardiologist, as are the cardiologists I know on here. ...Read more
No experience: There are rather inexpensive hand held monitors that show your heart rhythm and, through your smartphone, you can email the picture of the tracing to your physician for interpretation and for advice. ...Read more
Question for cardiologists, why we don't do pci after after 12hr of onset of symptoms of angina and what we do if more than 12hr did we use drugs?
This is highly: Variable as we do pci on certain cases 12 after onset of symptoms particularly if they persist. ...Read more
Varies Widely, No: Cardiologists focusing on procedures commonly depend on referrals for business. Referring docs often feel threatened by cardiologist staying involved & stop future referrals. Many cardiologists promote that basic medical care is not their job (complex & does not pay as well). Thus, unfortunately, the best interests of people with advanced disease can get lost in workings of the medical system. ...Read more
Is Lipitor (atorvastatin) safe and I heard cardiologists on dr oz show say they never give it to women so would like to know what's with that!
Completely safe: The medication is extremely safe, and appropriate, for both men and women. It is extremely beneficial for people at high risk for heart attacks or strokes. For people at low risk, it is less beneficial (but still lowers the risk of heart attack or stroke). ...Read more
Please help. Seen 3 cardiologists. All say im fine besides electrical endurance problem one said pre mature irregular beats. Chest pain constantly! Why?
Need work up: Well, premature beats shluld not cause chest pain. What kind of chest pain was it? Need more info. Smoker? Family h/o premature cad, familial hyperlipidemais? You are too young fr CAD but if you have riskfactors then may need to look into that. Or may be look in GI problems like gerd or esophageal dysmotility. I am sure pe is rule out with ct scan. ...Read more
When reading an echo, do dr.'s still seem to neglect the rv or is it studied in more detail? Are rv problems still often missed? Mainly cardiologists.
Rv: In general, if the echo quality is good, you can gain information about the rv. I will say that some cardiologists do miss rv abnormalities particularly of they are subtle or the pictures at are bad. However if you are really concerned you can get a cardiac MRI which can see both chambers in more detail and gives great rv information. ...Read more
What are the main legal and ethical problems that cardiologists face? As a student looking into the career, I want to know the main legal and ethical issues I would face going into this profession.
Interesting question: The main legal issues are that heart patients can die suddenly and cardiologists may be blamed (and sued). "failure to diagnose an mi" is a major cause of malpractice. Ethical issues relate to insufficient donors for transplantation and end of life issues in chronic disease. ...Read more
Ped cardiologists: Pediatric cardiologists mainly do diagnostic testing of the heart in an office setting which could be private or at a hospital). Some do procedures (like cardiac catheterization). Surgeries on the heart are usually done by surgical sub specialists, pediatric/cardio thoracic surgeons. ...Read more
Depends: Most interventional cardiologists would stent lesions > 70%. However this depends also on patients symptoms and other evidence of significance of blockage. Visual estimation of severity of lesion is not the most reliable method. There are other ways to assess severity of lesions. Most however would not stent lesions less than 40 to 50%. ...Read more
Inotropic state: The inotropic state of the heart, or squeezing function may be worked up by (1) echocardiography or ultrasound of the heart, (2) stress echocardiography, which measures the inotropic state of the heart with exercise, (3 radionuclide angiography which measures the inotropic state, or (4) cardiac catheterization, which measures the hemodynamic state, which equates to the inotropic state. ...Read more
Ebstein's/pregnancy: Studies have shown that women who reach childbearing years and do not have abnormal heart rhythms or low oxygen levels (cyanosis) usually have good outcomes. Congenital abnormalities in the baby are a possibility. Usually need to be followed by a cardiologist who is trained in congenital abnormalities which I suspect you have. ...Read more
Can a cardiologists tell what type of ectopic beats these are? Photo is in my attached files or here http://goo. Gl/zRVWCS
Virtual appointments: HealthTap CONCIERGE doctors take care of you via smartphone, tablet, or laptop. They can see photos you upload into your FILES. You can also send images while in the middle of a live consultation. Look on HealthTap's site for a Concierge Cardiologist in your state, and ask to become his or her patient. (Doctors answering the regular, free questions are NOT able to see patients' images or photos. ...Read more
Full evaluation: Cardiologists do what other doctors do: start with taking a history, doing a physical exam - followed by an ekg, chest x-ray, and often an echocardiogram. Some people need additional testing such as a stress test, ct, MRI or angiogram, depending on the problem. Blood work ; prolonged arrhythmia monitoring sometimes is necessary too. There's no single test or simple way to determine heart health. ...Read more
Multiple ways: Formost clinical symptoms and physical examination. Based on that there are some testings that your cardiologist can order if deemed necessary. ...Read more
H&P: They talk to people. Listen to their symptoms. Ask a bunch of questions. Listen to their hearts. Order tests. Review the tests. Order more tests. Just like that. ...Read more
Not many: Not usually. In most instances where you can a cardiologist you can find extremely good primary care physicians. While one stop health shopping sounds convenient it is often not in the patients best interest long term especially if that place is a specialists office. ...Read more
My cardioligists say I have no heart problem that is concidered a danger, but the heart palpatations scare me?
Normal: That's a normal reaction, but rest assured, benign arrhythmia (which is what it sounds like you have) doesn't kill people. It's annoying. It feels bad. Avoid nicotine, caffeine, xs alcohol, and stress. Get plenty of sleep. Eat a balanced diet. Exercise daily. If it's still bugging you in 2 weeks, see your card again & ask for something to help suppress it. ...Read more
Do cardiologists routinely ask their patients about sleep problems, apnea in particular? Or is sleep kind of a secondary concern for cardiologists?
They should: Sleep apnea is common in patients who have atrial fibrillation, particularly patients who have this arrhythmia under the age of 65, or have no other illnesses that usually travel with atrial fibrillation. I consider a sleep study a component of the initial workup for afib. Sleep apnea may also cause high blood pressure and high cholesterol. Once suspected, a sleep specialist referral is important. ...Read more
I feel like my cardiologists here in louisiana aren't knowledgable enough in my condition to treat me. Where should I go? I have wolf parkinson white
Options: If you're not happy with your local cardiologist/electrophysiologist, you can try tulane or ut houston or baylor. Since these are fellowship training programs, there's a good chance that you could find a knowledgable physician. ...Read more
How can I have an ecg concerning for Brugada yet two cardiologists told me I don't have it? What would cause a funny looking ecg similar to Brugada?
Many Brugada mimics: Brugada is a genetic disease involving a normal heart structure but with an abnormal EKG, with increased risk of sudden death. The syndrome is characterized by the Brugada EKG sign, WITH syndope or seizures, and a structurally normal heart. Mimics of Brugada are many, inc. Pericarditis and various drug reactions. If two reputatable cardiologist have said no Brugada, don't worry. ...Read more