expert type icon EXPERT

Leslie R. Fleischer

Cardiologist

Dr. Leslie Fleischer is a cardiologist practicing in Fort Walton Beach, Florida. Dr. Fleischer 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. Fleischer also practices preventative medicine, helping patients maintain a heart-healthy life.
Leslie R. Fleischer
  • Fort Walton Beach, Florida
  • Accepting new patients

How can my dad prevent another heart attack?

Talk to his cardiologist about a heart cath. Thereafter the anatomy will determine the therapy.

Les

What is the treatment for cardiomyopathy?

The therapy depends on the cause. Usually, we start with diuretics, beta blockers, and ACE inhibitors.

Can I run after a bypass?

After about three months when the sternotomy incision has healed well.

Les

How can I exercise and not strain my heart?

First, see your physician to make sure you are stable, which I would suspect from your age. Then start a cardio workout keeping your heart rate at 85% of 220-your age. Finally, READ MORE
First, see your physician to make sure you are stable, which I would suspect from your age. Then start a cardio workout keeping your heart rate at 85% of 220-your age. Finally, change your diet with the help of your physician, making sure you are not pre-diabetic.

Are there any risks involved in a bypass surgery with a major blockage?

Stroke, heart attack, death, infection, renal failure. All reported in any review of the procedure.

Les

What is the treatment for heartbeat irregularities?

See a cardiologist, get an echo and a 24hr holter

LRF

Why am I out of breath when I'm climbing up stairs?

Pulmonary issues or cardiac issues, despite your age. You need an exam, then perhaps pulmonary function tests and an echocardiogram.

Les

Can BP medicines cause chest pain?

Usually not. Consider reflux.

Gum disease and heart disease

Very tenuous research. I wouldn’t put much stock in it. Plaque on teeth is not the same as plaque in arteries

Are there alternatives to a catheter ablation for atrioventricular reciprocating tachycardia

A scary situation for any parent. Ablation has been around for decades. In a nine year old, it is certainly better to cure the issue than be on pills forever. Side effects of the READ MORE
A scary situation for any parent. Ablation has been around for decades. In a nine year old, it is certainly better to cure the issue than be on pills forever. Side effects of the meds are significant, especially over the next two decades. There are risks, but they are rare. Get to a nearby center that does a lot of them.

Regaining strength after a stroke

At present, simple walking, slowly, perhaps with a walker if she is unstable.

Les

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

See a cardiologist and get an echocardiogram. Many times an enlarged heart on X-ray is a result of the heart being in relaxation mode and the lungs in expiration.

Les

Is running ever bad for your heart?

Running that distance is great. You may need to reduce you salt intake and perhaps take meds, however

Les

Increasing resting heart rate, what is it?

Review your use of alcohol and caffeine as well as prescription drugs and
vitamins. Usually what you describe is caused by an externality.

Vasovagal syncope getting worse

Vasovagal Syncope is a blood pressure response to a neural stimulus. If you are worsening, you should see a cardiologist, electrophysiologist, or a neurologist to make sure there READ MORE
Vasovagal Syncope is a blood pressure response to a neural stimulus. If you
are worsening, you should see a cardiologist, electrophysiologist, or a
neurologist to make sure there is not another issue lurking.

Valve repair success

It depends on a lot of variables, especially the status of the valve itself. This question deserves a long and personal exposition, preferably by an interventional cardiologist READ MORE
It depends on a lot of variables, especially the status of the valve
itself. This question deserves a long and personal exposition, preferably
by an interventional cardiologist who performs them.

I have symptomatic PVCs. When do they become dangerous?

You should ask your electrophysiologist since he knows the case and the
anatomy.

Will my hip replacement put me at risk for heart disease?

Your only risk is the anesthesia during surgery. Thereafter, your orthopedic surgeon inform you of the routine complications of the hip replacement, but your heart should not be READ MORE
Your only risk is the anesthesia during surgery. Thereafter, your orthopedic surgeon inform you of the routine complications of the hip replacement, but your heart should not be an issue if your primary physician cleared you.

L. R. Fleischer, MD

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

Yes. Prolapse may be related to sympathetic tone, blood pressure, posture, and volume issues. It may come and go on exam. Likewise, a small amount of prolapse can be missed on READ MORE
Yes. Prolapse may be related to sympathetic tone, blood pressure, posture, and volume issues. It may come and go on exam. Likewise, a small amount of prolapse can be missed on echo.