expert type icon EXPERT

Dr. Nachum M. Pfeffer, MD

Cardiologist

Dr. Nachum Pfeffer is a cardiologist practicing in Rosedale, MD. Dr. Pfeffer 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. Pfeffer also practices preventative medicine, helping patients maintain a heart-healthy life.
38 years Experience
Dr. Nachum M. Pfeffer, MD
  • Rosedale, MD
  • American Univ Of The Caribbean- Sch Of Med- Plymouth- Montserrat
  • Accepting new patients

After having a bypass can I get blockages again?

Lets first understand what got you to this point. You developed ATHEROSCLEROSIS in your arteries. There are reasons for that. We call then RISK FACTORS. Such as smoking, elevated READ MORE
Lets first understand what got you to this point. You developed ATHEROSCLEROSIS in your arteries. There are reasons for that. We call then RISK FACTORS. Such as smoking, elevated cholesterol, high blood pressure, diabetes, obesity and sometimes a family history. So this "disease" has been present for a long time and will continue to be present UNLESS you make some significant changes in your life style, such as - a careful diet and a routine exercise - daily!
This is called risk modification. If you are very good at doing all of these things, including taking any prescribed medications, such as aspirin, you should do fine. We cannot say with 100% assurance that you will not have some disease recur, but if you do everything right, you will lower the risk the and limit the chances of recurrence.

Is it safe to go to the gym 6 months after coronary artery bypass surgery?

In general, yes, it is safe. However, you should be aware that your sternum is not as perfect and strong as it was before surgery. You should limit the amount of weight you lift. READ MORE
In general, yes, it is safe. However, you should be aware that your sternum is not as perfect and strong as it was before surgery. You should limit the amount of weight you lift. A much better form of exercise for you would be a treadmill and stationary bike exercise at least for 45min/day. In addition, you could workout with resistive machines with limited loads.

Is my high blood pressure the reason behind my increased heart rate?

There may be several reasons. The high blood pressure by itself is not causing a higher heart rate. You may be over weight, poorly conditioned or just have a high adrenergic drive READ MORE
There may be several reasons. The high blood pressure by itself is not causing a higher heart rate. You may be over weight, poorly conditioned or just have a high adrenergic drive (higher levels of adrenaline). Your thyroid may be slightly over active. This is a simple issue to determine by a careful medical history and exam.

What is an angiogram expected to tell of my heart condition?

An angiogram is a specific imaging of your CORONARY arteries, the arteries that sit on top of the heart and give it its blood supply. When this study is performed, a small tube READ MORE
An angiogram is a specific imaging of your CORONARY arteries, the arteries that sit on top of the heart and give it its blood supply. When this study is performed, a small tube is also inserted into the left heart chamber for measuring the internal pressures inside that chamber, and a small amount of dye is injected to see how the heart is contracting. The most important information will be the condition of the arteries.

I am experiencing tachycardia after having heavy bleeding during my menstrual cycle. What should I do?

Hi, First, stop worrying. What you experienced is a very normal physiologic response. Since you lost more blood due to your heavy period, you became slightly anemic (loss of red READ MORE
Hi,
First, stop worrying. What you experienced is a very normal physiologic response. Since you lost more blood due to your heavy period, you became slightly anemic (loss of red blood cells). Since red blood cells carry oxygen, you body had to compensate to maintain blood supply to your tissues, so it increased you heart rate. You also may have been somewhat anxious during the EKG recording, and a heightened adrenaline level accelerated your heart rate. So, this anemia should correct itself slowly, and it would be helpful if you took IRON supplement for a short time. Of importance, is watch what happens to your next cycle, and if it is heavy again, then consult your GYN. Hope this was helpful.

Don't want to have surgery for enlarged heart--any other options?

Hi, First, let me be clear, an xray is not a very reliable method for imaging the heart. It would require additional evaluation by ECHOCARDIOGRAPHY which is very easy to do and READ MORE
Hi,
First, let me be clear, an xray is not a very reliable method for imaging the heart. It would require additional evaluation by ECHOCARDIOGRAPHY which is very easy to do and very diagnostic. If your heart is truly enlarged there may be other treatments required. But it must be established that your heart IS enlarged by a better modality.

Is chest heaviness related to my past heart issues?

Yes. It is important that you get evaluated by a cardiologist. Chest discomfort of meny types may be a warning sign of advancing coronary artery disease. On the bright side, it READ MORE
Yes. It is important that you get evaluated by a cardiologist. Chest discomfort of meny types may be a warning sign of advancing coronary artery disease. On the bright side, it does not have to be eminating from your heart, it could be something else. Either way, get it checked out.

Nick Pfeffer M.D

Can I have mitral valve prolapse when doctor can not hear heart murmur?

The answer is yes. You may have MVP without an audible murmur, or that your Dr. cannot appreciate one. To begin with, you need to understand what a "murmur" is. In the case of READ MORE
The answer is yes. You may have MVP without an audible murmur, or that your Dr. cannot appreciate one. To begin with, you need to understand what a "murmur" is. In the case of MVP, it is a sound created by the mitral valve leaking. Not all MVP cases have a leaking valve. So it may be that you have a prolapsing valve without a leak, hence no murmur. The more important question is if when listening to your valve, can a "click" be heard. That is how MVP is diagnosed at the bed side. An echo cardiogram may be helpful, but only if it clearly shows prolapse. As to leaking valve, if present, it is easily demonstrated by echo/doppler.