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Heart & Cardiology/Questions

SubjectDate AskedExpert
heart pvcs2/9/2012David Richardson
  Q: i asked several questions in regards to pvcs and you said no matter how many in a normal heart they ...
  A: 1. That article forced me to increase the risk of PVCs slightly. But the article has the ...
Abnormal EKG2/8/2012David Richardson
  Q: I am a healthy 19 year old (5'4, 130 lbs. normal blood pressure - 120/80. i am prescribed ...
  A: Chest pain in a young person is usually cramping of muscles in the chest wall. If pushing on the ...
Heart Palpitations2/8/2012David Richardson
  Q: Dr. Richardson, I have experienced palpitations in the last couple of weeks and since I am overly ...
  A: If your palpitations are skipped beats, they are not scary. Skipped beats are normal heart ...
T-Wave abnormalities on EKG2/7/2012Frank J. Pearl, M.D.
  Q: Upon a "pre-employment" physical examination my roommate's EKG revealed T-Wave abnormalities. The ...
  A: The T-wave abnormalities are non-specific. As a middle aged male he should have a formal cardiac ...
T-Wave abnormalities on EKG2/7/2012doctort@cardiachealth.org
  Q: Upon a "pre-employment" physical examination my roommate's EKG revealed T-Wave abnormalities. The ...
  A: The borderline T wave abnormalities don't mean much, but like the rest of the symptoms you describe ...
pvcs2/7/2012David Richardson
  Q: i have been diagnosed with pvcs in both ventricles. Is that dangerous? i have had echos (3of them) 2 ...
  A: The right ventricular outflow tract (RVOT) is the site of origin of the most common type of ...
Dysautonomia and Domperidone2/6/2012doctort@cardiachealth.org
  Q: I would be grateful if you could give me some advice please. I have postural orthostatic tachycardia ...
  A: Domperidone is used to suppress nausea and vomiting and other stomach disorders that include ...
pain right side2/5/2012David Richardson
  Q: I'm a 35 year old male lately I've been having chest pain on my left side its above and be love te ...
  A: Chest pain in a young person is usually cramping of muscles in the chest wall. If pushing on the ...
Palpitations/Rapid Heart rate2/5/2012David Richardson
  Q: Richardson: There are couple types of palpitations i experience.. 1. Sometimes heart rate seems to ...
  A: The faster heart rate, 85-102, is sinus tachycardia. Perfectly normal. The thuds and skips are ...
ct scan2/4/2012doctort@cardiachealth.org
  Q: I RECENTLY HAD A CT SCAN AND IT READ THAT THERE IS SOME CALIFICATION IN THE AORTAILIAC BIFURCATION. ...
  A: Your symptoms and the CT scan results are suggestive of a blockage in your aorta. Read more here: ...
panic or heart attack???2/4/2012David Richardson
  Q: ..I am a 26 yr old female. I have some questiond regarding heart attack. I am having panic attacks ...
  A: Yes, the weird sensation is due to coughing. To lessen risk of heart attack, exercise a lot, ...
panic or heart attack???2/4/2012David Richardson
  Q: ..I am a 26 yr old female. I have some questiond regarding heart attack. I am having panic attacks ...
  A: Heart attack is EXTREMELY rare in women below age 50. Chest pain from coughing is not heart ...
A-Fib on top of PVC's, Anxiety2/3/2012David Richardson
  Q: You were instrumental in addressing my concerns back in September of 2006 and I always speak of you ...
  A: 1. No time at all. Only nitroglycerine-type meds require waiting before Viagra. 2. All drugs have ...
scary incident2/3/2012doctort@cardiachealth.org
  Q: 41 yr old female. not overweight, do not smoke or drink. Two nights ago, I woke from a deep sleep ...
  A: From what you tell me it is very unlikely this was a cardiac, nor a GI related event. Instead this ...
A-Fib on top of PVC's, Anxiety2/3/2012David Richardson
  Q: You were instrumental in addressing my concerns back in September of 2006 and I always speak of you ...
  A: Anxiety can precipitate afib by releasing adrenaline from sympathetic nerves and the adrenal glands. ...
pvcs2/2/2012David Richardson
  Q: i have been diagnosed with pvcs in both ventricles. Is that dangerous? i have had echos (3of them) 2 ...
  A: Yes, PVCs, no matter how many, are normal heart activity in someone with normal echo. ...
Exercise pvc's1/31/2012doctort@cardiachealth.org
  Q: I'm 25 year old male I've had PVC's for over 5 years and they have progressed to become worse. ...
  A: You are consulting with an expert. Re-consult with him. I cannot judge whether these are significant ...
arteial filleberration1/31/2012David Richardson
  Q: im 78 and in good health with well controlled diabetes mild kidney impairment and hypertensin.last ...
  A: I'm not expert enough in Pradaxa in people with impaired kidneys to satisfactorily answer your ...
blood thinners1/30/2012doctort@cardiachealth.org
  Q: i am 78 years old and had a 24 hour atrial fibrillatton.my pulse deopped to 50 doctor put me on ...
  A: You are correct to be concerned. Recent reports have indicated indeed that patients in your category ...
heart disease1/30/2012David Richardson
  Q: I am a 46 yr female. Had a negative stress test, echo, and holtor last year. Holtor showed rare pvc ...
  A: If the stress test was monitored by radioisotopes or echo, a negative test gives you 95% probability ...
Lightheadedness, etc.1/28/2012David Richardson
  Q: Richardson, I have not written in a long time and it is so nice to put a face finally to a name. ...
  A: Lightheaded standing means your blood pressure gets too low when you stand. I take ibuprofen 800 ...
heart problem1/28/2012doctort@cardiachealth.org
  Q: Age 57(Male) Final diagnosis # Type 2DM # ACS- ASMI(10/4/2011) Post STK(10/4/2011) ...
  A: This man has 2 problems: 1. Coronary artery disease (CAD) with 3 blockages. 2. Diabetes The ...
Heart problem1/28/2012David Richardson
  Q: Age 57(Male) Final diagnosis # Type 2DM # ACS- ASMI(10/4/2011) Post STK(10/4/2011) ...
  A: If STK stands for stroke, and if the stroke involved his left arm, then the weak left arm is ...
High Blood Pressure1/27/2012doctort@cardiachealth.org
  Q: I am 58 year old female, and stand 5'3" and weigh 105 lbs. I am in good physical health and take no ...
  A: 1. Go back to exercise and ask for ways to avoid that injury. Lots of ways to do so! 2. Those ...
High Blood Pressure1/27/2012David Richardson
  Q: Dr. Richardson, I am 58 year old female, and stand 5'3" and weigh 105 lbs. I am in good physical ...
  A: Sometimes people in their 50's get narrowing of the artery to one or both kidneys that causes high ...
Tachycardia1/27/2012David Richardson
  Q: I am a diabetic and have been for 20 years. Type 2. tablet controlled. Within a year my pulse rate ...
  A: Fever, severe anemia, hyperthyroidism and pheo are all I can think of. Try 1/2 a tablet of ...
Info Required: Chronic Ischemic Lesion1/26/2012doctort@cardiachealth.org
  Q: One of my aunts (45) has just been diagnosed with Chronic Ischemic Lesion. She used to faint ...
  A: I have no idea what this means. Are they talking about her heart or brain? If the heart there are ...
fluttery chest1/26/2012David Richardson
  Q: and thank you for being there. I'm a 50-year-old male, a vegetarian, in good health. For the last ...
  A: With no change in pulse, its's probably not skipped heart beats. Maybe little contractions of ...
Blood Pressure1/25/2012David Richardson
  Q: I have been having trouble finding a blood pressure medicine I can take without bad side effects. I ...
  A: Clonidine is very safe. It may lower standing BP enough to make you dizzy when you stand up. No ...
heart surgery on 79 year old male1/25/2012doctort@cardiachealth.org
  Q: My husband who supposedly had COPD for years was finally sent to a heart specialist after passing ...
  A: Heart surgery can be risky, but age is a relative minor factor if the heart function is OK. It all ...
atenolol or metoprolol1/24/2012David Richardson
  Q: I am male 54 years old with HBP Recently I underwent regular check up I furnish below my report My ...
  A: J. Metoprolol has shorter duration of action than atenolol, unless you get Toprol extended release. ...
slow pulse rate1/24/2012David Richardson
  Q: dr richardson,i live in atlanta ga where the cardiology doctors are few and far between.im 78 in ...
  A: What about increasing the dose of metoprolol? 100 mg twice a day is the maximum recommended dose. ...
myocarditis1/24/2012doctort@cardiachealth.org
  Q: Could the shingles virus be a possible cause of myocarditis?
  A: A variety of viruses that include Coxsackie and Dengue can cause myocarditis. Depending on its ...
MVP1/24/2012David Richardson
  Q: Richardson, first of all thank you for taking your time to answer the following questions. I'm 24 ...
  A: 1. Yes, many athletes get mild concentric left ventricular hypertrophy. It assists in pumping blood ...
painful palp1/23/2012David Richardson
  Q: my question is can you.. or is it possible to have a painful palpitation ? i thought i experienced ...
  A: Yes, echo and stress test are applicable for at least seven years. Replacement of aortic valve has ...
MVP1/22/2012David Richardson
  Q: Richardson, first of all thank you for taking your time to answer the following questions. I'm 24 ...
  A: Mitral Valve Prolapse without regurgitation is not now and never will be a problem. You can ...
painful palpitation1/22/2012doctort@cardiachealth.org
  Q: i recently asked a question about my bicuspid aorta and very greatful for the reply. I have also ...
  A: This is likely a GI related problem but all new palpitations should be investigated. Read more here: ...
Heart palpitations - caused by mitral valve?1/20/2012David Richardson
  Q: Dr. Richardson, I'm a 39 year old female, 5'4", 135 lbs., my average blood pressure is 100/70. I ...
  A: PACs and PVCs are the palpitations. They are normal heart activity, occur in about half of us ...
bicuspid aorta1/19/2012David Richardson
  Q: I have a bicuspid aorta with no leak regurgitation narrowing or dilation.. I am 27 do a lot of ...
  A: The average life expectancy of those with bicuspid aortic valves is the same as those without it. n ...
skipping beats at night in my sleep1/18/2012doctort@cardiachealth.org
  Q: I am a 30 yr old mother of three. I do smoke about a pack a day of cigarettes and have for several ...
  A: It sounds innocent, but w/o an EKG tracing nobody can give a definitive answer. Meanwhile, stop ...

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Heart & Cardiology

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David Richardson

Top Expert on this page

Expertise

Adult heart function and disease. Not very good about children lesss than 12. Hypertension is o.k. Heart rhythm a special interest.

Experience

Certified in cardiology by the American Board of Internal Medicine. Was chairman of division of cardiology at the Medical College of Virginia. Am now mostly retired.

Organizations
Fellow of American Heart Association and American College of Cardiology and member of American Physiological Society..

Publications
Circulation, American Heart Journal, Hypertension.

Education/Credentials
M.D. from Harvard Medical School. Residency training at Yale Uhniversity School of Medicine and Medical College of Virginia.

Awards and Honors
Gold Heartt Award from American Heart Association in 1995.

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