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Dr. Tim Alexander Fischell, MD

Cardiologist

Dr. Tim Fischell is a cardiologist practicing in Kalamazoo, MI. Dr. Fischell specializes in diagnosing, monitoring, and treating diseases or conditions of the heart and blood vessels and the cardiovascular system. These conditions include heart attacks, heart murmurs, coronary heart disease, and hypertension. Dr. Fischell also practices preventative medicine, helping patients maintain a heart-healthy life.
Dr. Tim Alexander Fischell, MD
  • Kalamazoo, MI
  • Accepting new patients

I am experiencing a shortness of breath while walking. Should I get my ECG done?

This is definitely a potentially significant symptom. You should immediately see your physician or a cardiologist. They would likely perform an EKG and possibly a stress test. READ MORE
This is definitely a potentially significant symptom. You should immediately see your physician or a cardiologist. They would likely perform an EKG and possibly a stress test. This can be a sign of coronary artery blockage that can preceed a heart attack. In other cases this could be related to heart valve problems or a silent heart attack that was not recognized. This is a symptom that should not be ignored.

Why is my mom's blood pressure on the higher side after bypass?

There is no obvious reason why someone’s blood pressure would increase after bypass surgery. However, in some cases after bypass surgery the heart muscle is getting more blood READ MORE
There is no obvious reason why someone’s blood pressure would increase after bypass surgery. However, in some cases after bypass surgery the heart muscle is getting more blood flow and is contracting more vigorously. This can create a higher pressure. In this case blood pressure medication should be considered to get down to target blood pressure which is a systolic blood pressure of 130 or lower.

What are the various causes of high blood pressure?

High blood pressure is very common. Under the current guidelines hypertension is defined as a systolic blood pressure above 130 mmHg, 46% of American adults have hypertension. READ MORE
High blood pressure is very common. Under the current guidelines hypertension is defined as a systolic blood pressure above 130 mmHg, 46% of American adults have hypertension. More than 90% of hypertension is labeled as “essential hypertension.” This basically means that there is no apparent cause of hypertension. However, the most common causes in these types of patients are obesity as well as diabetes and mild kidney dysfunction. In other cases, there is a definable “secondary“ because of the high blood pressure these would include conditions were the aldosterone levels secreted by the adrenal glands are increased, or hyperthyroidism, and occasionally other more rare conditions including tumors that secrete epinephrine, etc.

What is the treatment for marfan syndrome?

Marfan syndrome is a rare condition that affects the connective tissue. Over a lifetime this Santa Claus cardiovascular complications such as aortic enlargement and aneurysm. READ MORE
Marfan syndrome is a rare condition that affects the connective tissue. Over a lifetime this Santa Claus cardiovascular complications such as aortic enlargement and aneurysm. It is also associated occasionally with ophthalmologic problems such as lens displacement. There is no total treatment to reverse the genetic problem but in many patients beta blockers are recommended to decrease the force of heart contraction to reduce the stress on the aorta. You should definitely see a specialist or one of the special clinics such as the ones at Johns Hopkins or Stanford University.