Asked & Answered Podcast

Dr. Jorge Miranda explains vascular surgery and addresses key questions about abdominal aortic aneurysms. He highlights the risks associated with the aorta, comparing its dilation to a balloon that can burst. Treatment options include minimally invasive stent grafts and open surgeries for aneurysm replacement. 

Read more about our aneurysms: https://www.texasheartmedical.org/our-specialties/aneurysm/ 

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Dr. Jorge Miranda explains the carotid artery's importance in supplying blood to the brain and its link to stroke risk. She discusses various treatment options for carotid artery problems, including open surgery to remove plaque, stenting to widen the artery, and a hybrid procedure that combines both methods.

Read more about carotid artery disease: https://www.texasheart.org/heart-health/heart-information-center/topics/carotid-...

Peripheral arterial disease causes blockages in leg blood vessels, resulting in pain and non-healing wounds. 

Read more about peripheral artery disease here: https://www.texasheart.org/heart-health/heart-information-center/topics/peripheral-vascular-disease/

Read more about our specialties: https://www.texasheartmedical.org/our-specialties/ 

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Vascular surgeons specialize in treating blood vessels outside the heart. They work closely with cardiologists to provide minimally invasive treatment options.

Read more about cardiovascular surgery here: https://www.texasheart.org/heart-health/heart-information-center/topics/what-is-a-cardiovascular-surgeon/ 

Read more about our specialties: https://www.texasheartmedical.org/our-specialties/

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"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 Cardiologist

Read More: https://www.texasheart.org/education-professionals/

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"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 Cardiologist

Read More: https://www.texasheartmedical.org/our-specialties/management-of-high-blood-pressure/

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"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 Cardiologist

Read more about our specialties: hhttps://www.texasheartmedical.org/our-specialties/

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"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 Cardiologist

Read More: https://www.texasheartmedical.org/our-specialties/cardiac-catheterization/

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"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 Cardiologist

Read More: https://www.texasheartmedical.org/our-specialties/heart-valve-disease/

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"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 Cardiologist

Read More: https://www.texasheart.org/heart-health/heart-information-center/topics/statins-cholesterol-lowering-medicines/

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"The most common reason for this is your heart “skipping beats”, which is benign. However, dangerous arrhythmias can be ruled by performing rhythm monitoring with a patch."
- Dr. Alexander Postalian, General and Interventional Cardiologist

Read More: https://www.texasheartmedical.org/our-specialties/heart-rhythm-disorders-arrhythmia/

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"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 Cardiologist

Read More: texasheartmedical.org/our-specialties/heart-valve-disease/

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Dr. Alexander Postalian explains what Lipoprotein A is, why it's important, and what it means for your heart health. He also discusses the future of treatments for Lipoprotein A and what you can do to stay healthy in the meantime.

Read More: https://www.texasheart.org/heart-health/heart-information-center/topics/total-cholesterol/

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On this episode of Asked and Answered, general and interventional cardiologist Dr. Alexander Postalian answers some of the most common questions that he gets from patients regarding cardiovascular health.

The questions in this podcast are related to the following topics:

• Assessing chest pain and discomfort
• Medical procedure
• Medications 

Read more about our specialties: texasheartmedical.org/edu

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