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Our specialties: www.texasheartmedical.org/edu.
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En español | Dr. Jorge Miranda | Asked and Answered
5 items
El Dr. Jorge Miranda del Centro de Atención Cardiovascular del Texas Heart Institute responde las preguntas de los pacientes sobre la salud cardiovascular.
Envíe sus preguntas en la sección de comentarios para que aparezcan en el próximo episodio de Preguntas y respuestas.
Lea más sobre nuestra...
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I have severe aortic stenosis due to a bicuspid aortic valve, can I have the replacement through my groin?
"While we are very good at doing aortic valve replacements through the groin, this is still not the current strategy for patients under the age of 60. Maybe in the future."
- Dr. Alexander Postalian, General and Interventional CardiologistRead More: https://www.texasheartmedical.org/our-specia...
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My doctors checked my lipoprotein(a) and it was SKY HIGH. What does this mean?
"Lipoprotein (a) is a type of “bad” cholesterol that does not show up during usual lab work. Meds to treat it are coming, but for now we just focus on reducing other risk factors."
- Dr. Alexander Postalian, General and Interventional CardiologistRead More: https://www.texasheart.org/heart-hea...
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I was told I have mitral valve prolapse, but a recent echocardiogram showed nothing – who’s messing up here?
"Mitral valve prolapse has varying severity, and different thresholds to call it such depending on the reader. The likelihood is that your valve is (mostly) normal."
- Dr. Alexander Postalian, General and Interventional CardiologistRead More: https://www.texasheartmedical.org/our-specialties/h...
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I have high cholesterol and DO NOT want to take statin poison, how can I get the cholesterol shots?
"Statins are beneficial and harmless to most patients. In patients that cannot take them, or if the numbers are bad despite being on them, many alternatives exist – including multiple types of injections."
- Dr. Alexander Postalian, General and Interventional CardiologistRead More: https://www...
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Al Grano con la Dra. Karla Bekardi | Diabetes Mellitus Tipo 2
En este episodio de Al Grano, la Doctora Karla Bekardi explica la diabetes o "nivel alto de azúcar en sangre", como una afección en la que el cuerpo no puede utilizar adecuadamente la energía de los alimentos que ingiere después de que se absorben en el torrente sanguíneo. La diabetes es una cond...
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My blood pressure is always higher when I go to the doctor or dentist, but normal at home. Do I need to worry?
"What matters most is your average blood pressure, not occasional (small peaks). However, sometimes medication is needed if you are deemed to be at high risk of intermittent elevation."
- Dr. Alexander Postalian, General and Interventional CardiologistRead More: https://www.texasheartmedical.o...
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Do I need open heart surgery after a heart catheterization?
"Some patients only need stents, some absolutely can only get bypass surgery, and there is a large gray area – talk to your doctor (or multiple doctors if needed)."
- Dr. Alexander Postalian, General and Interventional CardiologistRead More: https://www.texasheartmedical.org/our-specialties/ca...
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How long does it take to become a cardiologist? Maybe I can do it.
"4 years of college, 4 years of med school, 3 years of internal medicine, 3 years of cardiology, 1-2 years of subspecialty training. Yes, you can do it."
- Dr. Alexander Postalian, General and Interventional CardiologistRead More: https://www.texasheart.org/education-professionals/
Submit yo...
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I pass out many times a year, usually when it is hot outside or if I must stand for a long time. What’s wrong with me?
"The most likely cause is a degree of “dysautonomia” – most of the time this is benign. Sometimes, we can use medications to help out during flare-up periods."
- Dr. Alexander Postalian, General and Interventional CardiologistRead more about our specialties: hhttps://www.texasheartmedical.org...
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Considering Cardiac Resynchronization Therapy (CRT) for Heart Failure?
In this video, Dr. Mitch Tan, a cardiac electrophysiology fellow at the Texas Heart Institute, explains cardiac resynchronization therapy (CRT) and how it can improve the lives of people with heart failure.
Dr. Tan uses an easy-to-understand analogy to explain CRT:
Imagine you and a partner are...
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Dr. Eduardo Hernandez Talks Heart Health with the Dr. Laura Murillo at the Houston Hispanic Chamber of Commerce
Dr. Eduardo Hernandez talks with Dr. Laura Murillo, President and CEO of the Houston Hispanic Chamber of Commerce, about how The Texas Heart Institute Center for Cardiovascular Care is delivering the future of cardiovascular care today.
They explore successful prevention programs, advancements i...
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Asked and Answered
4 seasons
General and Interventional Cardiologist Dr. Alexander Postalian answers patient questions related to cardiovascular health.
Submit your questions in the comment section to be featured in the next episode of Asked and Answered.
Read more about our specialties: www.texasheartmedical.org/edu
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My blood pressure is all over the place – Do I need to be doing something differently?
"Blood pressure varies a lot during the day. We care about the average numbers over a period of days and weeks."
- Dr. Alexander Postalian, General and Interventional Cardiologist
Read More: https://www.texasheart.org/heart-health/heart-information-center/topics/high-blood-pressure-hypertension...
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Treatment Options For Venous Diseases
Patients with chronic venous disorders are treated according to the type of disorder, its severity, and how much venous reflux it causes. The treatment goal is to improve symptoms, appearance, and skin changes due to chronic venous disease, and to reduce edema and ulcers.
For symptomatic varicos...
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My coronary calcium score was 232. Do I need to have a stent placed in my arteries?
"The coronary calcium score is a marker of plaque in the arteries of your heart. It helps us know how aggressive we need to be with medication or lifestyle changes but does not help us decide if you need procedures performed."
- Dr. Alexander Postalian, General and Interventional Cardiologist
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Abdominal Aortic Aneurysm (AAA)
The Texas Heart Institute Interventional Cardiologist, Dr. Zvonimir Krajcer discusses Abdominal Aortic Aneurysm (AAA).
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I'm Getting a Stress Test but My Doctor says I Don't Have to Run on a Treadmill
"There are many types of nuclear stress tests. A CT-PET, which produces some of the higher quality images, can usually only be done with injection of drugs, and not with exercise."
- Dr. Alexander Postalian, General and Interventional CardiologistRead More: www.texasheartmedical.org/our-special...
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Deep Venous Thrombosis (DVT)
Deep Venous Thrombosis (DVT) occurs when a blood clot forms in a deep vein, usually in the leg. DVT is a serious illness because the clot can potentially break loose from the leg vein and travel up into the lungs, where it can block blood flow. This condition is called pulmonary embolism.
Read M...
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Thoracic Endovascular Aortic Repair (TEVAR)
TEVAR is a non-surgical or an endovascular repair of thoracic aortic aneurysm with a stent graft.
The procedure is typically performed via groin or femoral artery approach rather than with major chest incision and general anesthesia to repair aortic aneurysm located in the chest cavity.Read Mo...
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Keeping our Hearts Healthy
Dr. Briana Costello talks with Maya Pomroy about keeping our hearts healthy.
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My husband snores like a rhino on steroids, and sometimes stops breathing at night.
"This is probably obstructive sleep apnea, which can have negative effects in your cardiovascular system. A sleep study is probably a good idea."
- Dr. Alexander Postalian, General and Interventional Cardiologist
Read More: https://www.texasheart.org/heart-health/heart-information-center/topics...
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I want to take the injection Amy Schumer used to lose weight – how do I get it, and is it safe?
"This likely refers to GLP1 agonists. The medications are generally safe. The most frequent side effects is gastrointestinal “upset” stomach. Unfortunately, they can be expensive and are in short supply."
- Dr. Alexander Postalian, General and Interventional Cardiologist
Read More: https://www....
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What do people really mean by healthy diet?
"Avoid simple carbohydrates (sweets, sodas, rice, pasta, potatoes, tortillas, arepas…) and “bad” fats (butter, bacon – animal fat). Favor lean protein (grilled fish, chicken) and vegetables. Watch the salad dressings as well."
- Dr. Alexander Postalian, General and Interventional Cardiologist
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