expert type icon EXPERT

Jeffrey Rottman, MD

Cardiologist

Dr. Jeffrey Rottman is a cardiologist practicing in Nashville, TN. Dr. Rottman 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. Rottman also practices preventative medicine, helping patients maintain a heart-healthy life.
Jeffrey Rottman, MD
  • Nashville, TN
  • Accepting new patients

How can I bring my blood pressure down?

Many medications decrease blood pressure. Rarely lifestyle changes with weight loss suffice. So far, a variety of procedures don't work.

Can you drink alcohol after heart stent surgery?

Yes, but you will have similar tolerance.

VSD

I cannot enlarge the images so I cannot tell you in detail about your diagnosis. If you want details, perhaps ask the provider who gave you the diagnosis. There are many types READ MORE
I cannot enlarge the images so I cannot tell you in detail about your diagnosis. If you want details, perhaps ask the provider who gave you the diagnosis. There are many types of VSDs. Some may close with time.

cLVH

Mild left ventricular hypertrophy is a non- specific findings. No treatment is required.

Possible heart attack

Unlikely, but an ER eval would be definitive.

Chest pains in the center to the right pain really bad

Your parents may be right. It is hard to tell from your description, but heart-origin pain is rarely unrelenting, and if so, is usually described differently (since the heart moves READ MORE
Your parents may be right. It is hard to tell from your description, but heart-origin pain is rarely unrelenting, and if so, is usually described differently (since the heart moves within the chest).

Angina Pectoris

At 19 you may have chest pains but probably don=E2=80=99t truly have angina pectoris. It may be similar in what you feel but it is very unlikely.

Narrow pulse pressure

No specific treatment is required.

Cardiologist

The heart is in the chest. Your spasms may be skeletal muscle on the chest wall or abdominal skeletal muscle. In either case they don't relate to your heart.

Under the beast pain

Yes. You will have to wait.

High blood pressure medication

Headache is not a common side effect of amlodipine. Headache may be related to your hypertension.

Irregular heart rate

Yes, you have many symptoms for which there may or may not be a cardiac cause. Most persons have some "irregular" heart beats.

Can I stop taking 15 mg of propranolol or do I need to ween off?

It depends of the propranolol dosing frequency (not specified).

Sharp pain in heart

Sharp pains may be pleuritic and could represent a pericardial process.

Golo and Afib

I am sure what GOLO's supplement is. Flecainide is metabolized by the liver's CYP system, and if this is perturbed, the effectiveness and safety of the flecainide could be altered. READ MORE
I am sure what GOLO's supplement is. Flecainide is metabolized by the liver's CYP system, and if this is perturbed, the effectiveness and safety of the flecainide could be altered.

Medicine

I suggest that you check the ingredients. When I look DayQuil contains phenylephrine but NyQuil does not. Phenylephrine should increase your BP.

Lipid panel results

The particle size is intended to distinguish HDL from LDL from VLDL. Different labs may use different cut-offs.

Heart medication alternatives

Ask the provider who prescribed this item and share the reasons for your intolerance of it.

Heart Palpitations

I cannot evaluate the basis for a referral or the absence of one from the information presented. Ambulatory ECG monitoring can objectively demonstrate whether the palpitations READ MORE
I cannot evaluate the basis for a referral or the absence of one from the information presented. Ambulatory ECG monitoring can objectively demonstrate whether the palpitations are associated with a heart rhythm abnormality.

Blood thinners

It may be related to the agents, it might not. You should continue to take aspirin and clopidogrel.