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We found 15 providers with an interest in heart problems and who accept Medicaid near Trenton, MI.

Dr. Joseph Chattahi, MD
Specializes in Adult Cardiology, Interventional Cardiology, Nuclear Cardiology
19725 Allen Road; Suite 100
Brownstown, MI
 

Dr. Joseph Chattahi is a physician who specializes in adult cardiology, interventional cardiology, and nuclear cardiology. Clinical interests for Dr. Chattahi include orthostatic hypotension, rheumatic heart disease, and myocarditis. He is an in-network provider for Anthem, Blue Cross/Blue Shield, and Coventry, in addition to other insurance carriers. Dr. Chattahi graduated from the University of Damascus Faculty of Medicine and then he performed his residency at Henry Ford Hospital. Dr. Chattahi's professional affiliations include Oakwood Hospital - Southshore, Oakwood Hospital - Wayne, and Oakwood Hospital - Taylor.

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Relevant Interests: , aortic valve regurgitation, mitral valve prolapse, rheumatic heart disease, heart problems, myocarditis, supraventricular (atrial) arrhythmia, heart attack, mitral valve disease, pericarditis, ventricular arrhythmia, ventricular tachycardia, supraventricular tachycardia (SVT), aortic valve disease, heart palpitations, atrial fibrillation, ventricular fibrillation, atrial septal defect, endocarditis, mitral stenosis, women's heart disease, bacterial endocarditis, cardiomyopathy, aortic stenosis, enlarged heart (cardiomegaly), congenital heart disease, mitral regurgitation (leaky mitral valve), bicuspid aortic valve disease, tachycardia (very fast heart rate), arrhythmias (irregular heartbeats), heart valve disease, heart block, angina, valvular stenosis, atrial flutter, heart failure, bradycardia (very slow heart rate), coronary artery disease, paroxysmal supraventricular tachycardia, tricuspid valve disease

All Interests: Atrial Fibrillation, Stenosis, Mitral Stenosis, Cardiomyopathy, Aortic Stenosis, Enlarged Heart, ... (Read more)

Dr. Abedelrahim Ismail Asfour, MD
Specializes in Adult Cardiology, Interventional Cardiology
5400 Fort Street; Suite 110
Trenton, MI
 

Dr. Abedelrahim Asfour's specialties are adult cardiology and interventional cardiology. He practices in Flat Rock, MI, Trenton, MI, and Dearborn, MI. Dr. Asfour is rated highly by his patients. His clinical interests include orthostatic hypotension, rheumatic heart disease, and myocarditis. He honors Anthem, Cofinity, and Blue Cross/Blue Shield, in addition to other insurance carriers. He is a graduate of the University of Jordan Faculty of Medicine. Dr. Asfour trained at Henry Ford Hospital for his residency. Dr. Asfour (or staff) speaks Arabic and French. He is professionally affiliated with Oakwood Hospital - Southshore, Oakwood Hospital - Wayne, and Henry Ford Health System.

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Relevant Interests: , aortic valve regurgitation, rheumatic heart disease, mitral valve prolapse, heart problems, myocarditis, supraventricular (atrial) arrhythmia, pericarditis, ventricular arrhythmia, heart attack, mitral valve disease, ventricular tachycardia, supraventricular tachycardia (SVT), aortic valve disease, heart palpitations, atrial fibrillation, ventricular fibrillation, atrial septal defect, endocarditis, women's heart disease, mitral stenosis, bacterial endocarditis, cardiomyopathy, aortic stenosis, enlarged heart (cardiomegaly), mitral regurgitation (leaky mitral valve), congenital heart disease, bicuspid aortic valve disease, tachycardia (very fast heart rate), arrhythmias (irregular heartbeats), heart valve disease, heart block, angina, valvular stenosis, atrial flutter, heart failure, bradycardia (very slow heart rate), coronary artery disease, paroxysmal supraventricular tachycardia, tricuspid valve disease

All Interests: Atrial Fibrillation, Stenosis, Women's Heart Disease, Mitral Stenosis, Cardiomyopathy, Aortic ... (Read more)

Dr. Samir A Dabbous, MD
Specializes in Adult Cardiology, Interventional Cardiology, Nuclear Cardiology
19725 Allen Road; Building 2
Brownstown, MI
 

Dr. Samir Dabbous is an adult cardiologist, interventional cardiologist, and nuclear cardiology specialist. Dr. Dabbous accepts Cofinity, Blue Cross/Blue Shield, Coventry, and more. He attended medical school at American University of Beirut Faculty of Medicine. His medical residency was performed at a hospital affiliated with Wayne State University. He has received the following distinction: Detroit Super Doctors. Dr. Dabbous is conversant in Arabic. His hospital/clinic affiliations include Oakwood Hospital - Southshore, Oakwood Hospital - Wayne, and Garden City Hospital.

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Relevant Interests: , coronary artery disease

All Interests: Cardiac Catheterization, Coronary Artery Disease

Dr. Ramachandra Rao Vemuri, MD
Specializes in Adult Cardiology, Interventional Cardiology, Other
13225 Northline Road
Southgate, MI
 

Dr. Ramachandra Vemuri's specialties are adult cardiology and interventional cardiology. He practices in Southgate, MI. His areas of expertise include orthostatic hypotension, rheumatic heart disease, and myocarditis. He takes Cofinity, Blue Cross/Blue Shield, Self-Pay/Uninsured, and more. Dr. Vemuri attended Andhra Medical College and Rangaraya Medical College and then went on to complete his residency at Advocate Illinois Masonic Medical Center. Dr. Vemuri is conversant in Telugu. He is affiliated with Oakwood Hospital - Southshore, Oakwood Hospital - Taylor, and Oakwood Hospital - Dearborn.

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Relevant Interests: , aortic valve regurgitation, rheumatic heart disease, mitral valve prolapse, heart problems, myocarditis, supraventricular (atrial) arrhythmia, pericarditis, ventricular arrhythmia, heart attack, mitral valve disease, ventricular tachycardia, supraventricular tachycardia (SVT), aortic valve disease, heart palpitations, atrial fibrillation, ventricular fibrillation, atrial septal defect, endocarditis, women's heart disease, mitral stenosis, bacterial endocarditis, cardiomyopathy, aortic stenosis, enlarged heart (cardiomegaly), mitral regurgitation (leaky mitral valve), congenital heart disease, bicuspid aortic valve disease, tachycardia (very fast heart rate), arrhythmias (irregular heartbeats), heart valve disease, heart block, angina, valvular stenosis, atrial flutter, heart failure, bradycardia (very slow heart rate), coronary artery disease, paroxysmal supraventricular tachycardia, tricuspid valve disease

All Interests: Atrial Fibrillation, Stenosis, Women's Heart Disease, Mitral Stenosis, Cardiomyopathy, Aortic ... (Read more)

Dr. Hamid Sattar, MD
Specializes in Adult Cardiology, Interventional Cardiology
19727 Allen Road; Suite 11
Brownstown, MI
 

Dr. Hamid Sattar is a medical specialist in adult cardiology and interventional cardiology. Clinical interests for Dr. Sattar include intra-aortic balloon pump (IABP), orthostatic hypotension, and rheumatic heart disease. He accepts several insurance carriers, including Anthem, Cofinity, and Blue Cross/Blue Shield. Dr. Sattar obtained his medical school training at Michigan State University College of Human Medicine and performed his residency at a hospital affiliated with Wayne State University. Dr. Sattar (or staff) is conversant in Urdu and Punjabi. Dr. Sattar's professional affiliations include Oakwood Hospital - Southshore, Detroit Medical Center (DMC), and Oakwood Hospital - Taylor.

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Relevant Interests: , aortic valve regurgitation, rheumatic heart disease, mitral valve prolapse, heart problems, myocarditis, supraventricular (atrial) arrhythmia, pericarditis, ventricular arrhythmia, heart attack, mitral valve disease, ventricular tachycardia, supraventricular tachycardia (SVT), aortic valve disease, heart palpitations, atrial fibrillation, ventricular fibrillation, atrial septal defect, endocarditis, women's heart disease, mitral stenosis, bacterial endocarditis, cardiomyopathy, aortic stenosis, enlarged heart (cardiomegaly), mitral regurgitation (leaky mitral valve), congenital heart disease, bicuspid aortic valve disease, tachycardia (very fast heart rate), arrhythmias (irregular heartbeats), heart valve disease, heart block, angina, valvular stenosis, atrial flutter, heart failure, bradycardia (very slow heart rate), coronary artery disease, paroxysmal supraventricular tachycardia, tricuspid valve disease

All Interests: Intra-Aortic Balloon Pump, Atrial Fibrillation, Stenosis, Women's Heart Disease, Mitral Stenosis, ... (Read more)

Dr. Tahir Ibrahim Mohamed, MD
Specializes in Adult Cardiology, Interventional Cardiology
19727 Allen Road; Suite 11
Brownstown, MI
 

Dr. Tahir Mohamed works as an adult cardiologist and interventional cardiologist. Dr. Mohamed's clinical interests include intra-aortic balloon pump (IABP), orthostatic hypotension, and rheumatic heart disease. His professional affiliations include Oakwood Hospital - Southshore, Detroit Medical Center (DMC), and Oakwood Hospital - Wayne. He is in-network for Anthem, Blue Cross/Blue Shield, Coventry, and more. Before performing his residency at Oakwood Hospital & Medical Center and a hospital affiliated with the University of Michigan, Dr. Mohamed attended the University of Khartoum Faculty of Medicine for medical school. He speaks Arabic.

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Relevant Interests: , aortic valve regurgitation, rheumatic heart disease, mitral valve prolapse, heart problems, myocarditis, supraventricular (atrial) arrhythmia, pericarditis, ventricular arrhythmia, heart attack, mitral valve disease, ventricular tachycardia, supraventricular tachycardia (SVT), aortic valve disease, heart palpitations, atrial fibrillation, ventricular fibrillation, atrial septal defect, endocarditis, women's heart disease, mitral stenosis, bacterial endocarditis, cardiomyopathy, aortic stenosis, enlarged heart (cardiomegaly), mitral regurgitation (leaky mitral valve), congenital heart disease, bicuspid aortic valve disease, tachycardia (very fast heart rate), arrhythmias (irregular heartbeats), heart valve disease, heart block, angina, valvular stenosis, atrial flutter, heart failure, bradycardia (very slow heart rate), coronary artery disease, paroxysmal supraventricular tachycardia, tricuspid valve disease

All Interests: Intra-Aortic Balloon Pump, Atrial Fibrillation, Stenosis, Women's Heart Disease, Mitral Stenosis, ... (Read more)

Dr. Felix J Rogers, MD, DO
Specializes in Adult Cardiology, Interventional Cardiology
23050 West Road; Suite 150
Brownstown Twp, MI
 

Dr. Felix Rogers works as a cardiologist and interventional cardiologist in Brownstown, MI, Brownstown Township, MI, and Trenton, MI. These areas are among his clinical interests: orthostatic hypotension, rheumatic heart disease, and myocarditis. His hospital/clinic affiliations include Oakwood Hospital - Southshore and Henry Ford Health System. Dr. Rogers accepts Blue Cross/Blue Shield, CIGNA Plans, and Health Alliance Plan (HAP), as well as other insurance carriers. Dr. Rogers's education and training includes medical school at A.T. Still University, Kirksville College of Osteopathic Medicine and Kansas City University of Medicine and Biosciences (KCUMB), College of Osteopathic Medicine and residency at Henry Ford Bi-County Hospital.

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Relevant Interests: , aortic valve regurgitation, rheumatic heart disease, mitral valve prolapse, heart problems, myocarditis, supraventricular (atrial) arrhythmia, pericarditis, ventricular arrhythmia, heart attack, mitral valve disease, ventricular tachycardia, supraventricular tachycardia (SVT), aortic valve disease, heart palpitations, atrial fibrillation, ventricular fibrillation, atrial septal defect, endocarditis, women's heart disease, mitral stenosis, bacterial endocarditis, cardiomyopathy, aortic stenosis, enlarged heart (cardiomegaly), mitral regurgitation (leaky mitral valve), congenital heart disease, bicuspid aortic valve disease, tachycardia (very fast heart rate), arrhythmias (irregular heartbeats), heart valve disease, heart block, angina, valvular stenosis, atrial flutter, heart failure, bradycardia (very slow heart rate), coronary artery disease, paroxysmal supraventricular tachycardia, tricuspid valve disease

All Interests: Atrial Fibrillation, Stenosis, Women's Heart Disease, Mitral Stenosis, Cardiomyopathy, Aortic ... (Read more)

Dr. Joseph C Rogers, DO
Specializes in Adult Cardiology
23050 West Road; Suite 150
Brownstown Twp, MI
 

Dr. Joseph Rogers is a medical specialist in adult cardiology. Dr. Rogers's areas of expertise include the following: orthostatic hypotension, rheumatic heart disease, and myocarditis. He is an in-network provider for Blue Cross/Blue Shield, CIGNA Plans, and Health Alliance Plan (HAP), in addition to other insurance carriers. He graduated from A.T. Still University, Kirksville College of Osteopathic Medicine. He trained at Henry Ford Bi-County Hospital for his residency. Dr. Rogers's professional affiliations include Oakwood Hospital - Southshore and Henry Ford Health System.

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Relevant Interests: , aortic valve regurgitation, rheumatic heart disease, mitral valve prolapse, heart problems, myocarditis, supraventricular (atrial) arrhythmia, pericarditis, ventricular arrhythmia, heart attack, mitral valve disease, ventricular tachycardia, supraventricular tachycardia (SVT), aortic valve disease, heart palpitations, atrial fibrillation, ventricular fibrillation, atrial septal defect, endocarditis, women's heart disease, mitral stenosis, bacterial endocarditis, cardiomyopathy, aortic stenosis, enlarged heart (cardiomegaly), mitral regurgitation (leaky mitral valve), congenital heart disease, bicuspid aortic valve disease, tachycardia (very fast heart rate), arrhythmias (irregular heartbeats), heart valve disease, heart block, angina, valvular stenosis, atrial flutter, heart failure, bradycardia (very slow heart rate), coronary artery disease, paroxysmal supraventricular tachycardia, tricuspid valve disease

All Interests: Atrial Fibrillation, Stenosis, Women's Heart Disease, Mitral Stenosis, Cardiomyopathy, Aortic ... (Read more)

Dr. Kevin J Berlin, MD, DO
Specializes in Adult Cardiology, Interventional Cardiology
23050 West Road; Suite 120
Brownstown, MI
 

Dr. Kevin Berlin's areas of specialization are adult cardiology and interventional cardiology; he sees patients in Brownstown, MI and Brownstown Township, MI. After attending Michigan State University College of Osteopathic Medicine for medical school, Dr. Berlin completed his residency training at Riverside Osteopathic Hospital, Trenton. Areas of expertise for Dr. Berlin include orthostatic hypotension, rheumatic heart disease, and myocarditis. He accepts Blue Cross/Blue Shield, CIGNA Plans, and Health Alliance Plan (HAP), in addition to other insurance carriers. His professional affiliations include Oakwood Hospital - Southshore and Henry Ford Health System.

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Relevant Interests: , aortic valve regurgitation, rheumatic heart disease, mitral valve prolapse, heart problems, myocarditis, supraventricular (atrial) arrhythmia, pericarditis, ventricular arrhythmia, heart attack, mitral valve disease, ventricular tachycardia, supraventricular tachycardia (SVT), aortic valve disease, heart palpitations, atrial fibrillation, ventricular fibrillation, atrial septal defect, endocarditis, women's heart disease, mitral stenosis, bacterial endocarditis, cardiomyopathy, aortic stenosis, enlarged heart (cardiomegaly), mitral regurgitation (leaky mitral valve), congenital heart disease, bicuspid aortic valve disease, tachycardia (very fast heart rate), arrhythmias (irregular heartbeats), heart valve disease, heart block, angina, valvular stenosis, atrial flutter, heart failure, bradycardia (very slow heart rate), coronary artery disease, paroxysmal supraventricular tachycardia, tricuspid valve disease

All Interests: Atrial Fibrillation, Stenosis, Women's Heart Disease, Mitral Stenosis, Cardiomyopathy, Aortic ... (Read more)

Dr. Thomas George Gazdecki, DO
Specializes in General Surgery, Vascular Surgery, Thoracic Surgery
2128 W Jefferson Avenue
Trenton, MI
 

Dr. Thomas Gazdecki's areas of specialization are general surgery, vascular surgery, and thoracic surgery. These areas are among his clinical interests: coronary artery disease, vascular surgery procedures, and thoracic (chest) surgery procedures. His professional affiliations include Oakwood Hospital - Southshore, Detroit Medical Center (DMC), and Henry Ford Health System. After attending Michigan State University College of Osteopathic Medicine for medical school, Dr. Gazdecki completed his residency training at Henry Ford Bi-County Hospital and Riverside Osteopathic Hospital, Trenton. He accepts Blue Cross/Blue Shield, Self-Pay/Uninsured, and Blue Cross and Blue Shield of Michigan, as well as other insurance carriers.

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Relevant Interests: , coronary artery disease

All Interests: Thoracic Problems, Vascular Surgery Procedures, Surgical Procedures, Thoracic Surgery Procedures, ... (Read more)

Dr. Omar Ali, MD
Specializes in Adult Cardiology, Interventional Cardiology
19727 Allen Road; Suite 11
Brownstown, MI
 

Dr. Omar Ali specializes in adult cardiology and interventional cardiology and practices in Brownstown, MI, Dearborn, MI, and Detroit, MI. His clinical interests include intra-aortic balloon pump (IABP), coronary angiogram, and orthostatic hypotension. He is an in-network provider for Cofinity, Blue Cross/Blue Shield, and Coventry, in addition to other insurance carriers. Dr. Ali graduated from the University of Khartoum Faculty of Medicine. For his residency, Dr. Ali trained at a hospital affiliated with SUNY Downstate Medical Center. In addition to English, Dr. Ali speaks Arabic. He is professionally affiliated with Oakwood Hospital - Southshore, Detroit Medical Center (DMC), and Oakwood Hospital - Wayne.

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Relevant Interests: , pulmonary valve disease, arrhythmias (irregular heartbeats), heart problems, heart valve disease, angina, pericarditis, heart attack, mitral valve disease, aortic valve disease, heart palpitations, atrial fibrillation, atrial septal defect, heart failure, bacterial endocarditis, cardiomyopathy, aortic stenosis, congenital heart disease, hypertrophic cardiomyopathy, coronary artery disease, tricuspid valve disease

All Interests: Intra-Aortic Balloon Pump, Atrial Fibrillation, Peripheral Angiogram, Cardiomyopathy, Aortic ... (Read more)

Dr. Michael A Kalata, DO
Specializes in Adult Cardiology, Nuclear Cardiology
29100 Gateway Road; Suite 300
Flat Rock, MI
 

Dr. Michael Kalata is a specialist in adult cardiology and nuclear cardiology. He works in Flat Rock, MI and Rock, MI. Dr. Kalata's areas of expertise include the following: heart valve disease, chest pain, and heart attack. He is professionally affiliated with Oakwood Hospital - Southshore, Oakwood Hospital - Dearborn, and Henry Ford Health System. He accepts several insurance carriers, including Anthem, Blue Cross/Blue Shield, and Coventry. Dr. Kalata attended Philadelphia College of Osteopathic Medicine for medical school and subsequently trained at a hospital affiliated with Philadelphia College of Osteopathic Medicine for residency.

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Relevant Interests: , heart problems, heart valve disease, heart attack

All Interests: Chest Pain, Heart Valve Disease, Echocardiogram, Cardiac CT, Heart Problems, Heart Attack, Cardiac ... (Read more)

Dr. Narsingh Dass Gupta, MD
Specializes in Adult Cardiology
1660 Kingsway Court
Trenton, MI
 

Dr. Narsingh Gupta sees patients in Trenton, MI. His medical specialty is adult cardiology. His areas of expertise include the following: orthostatic hypotension, rheumatic heart disease, and myocarditis. Dr. Gupta has a 2.5 out of 5 star average patient rating. He takes Blue Cross/Blue Shield, Coventry, and Humana ChoiceCare Network, in addition to other insurance carriers. Dr. Gupta attended medical school at Wayne State University School of Medicine and Government Medical College, Amritsar. In addition to English, Dr. Gupta (or staff) speaks Hindi. He is professionally affiliated with Oakwood Hospital - Southshore, Detroit Medical Center (DMC), and Henry Ford Health System.

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Relevant Interests: , aortic valve regurgitation, rheumatic heart disease, mitral valve prolapse, heart problems, myocarditis, supraventricular (atrial) arrhythmia, pericarditis, ventricular arrhythmia, heart attack, mitral valve disease, ventricular tachycardia, supraventricular tachycardia (SVT), aortic valve disease, heart palpitations, atrial fibrillation, ventricular fibrillation, atrial septal defect, endocarditis, women's heart disease, mitral stenosis, bacterial endocarditis, cardiomyopathy, aortic stenosis, enlarged heart (cardiomegaly), mitral regurgitation (leaky mitral valve), congenital heart disease, bicuspid aortic valve disease, tachycardia (very fast heart rate), arrhythmias (irregular heartbeats), heart valve disease, heart block, angina, valvular stenosis, atrial flutter, heart failure, bradycardia (very slow heart rate), coronary artery disease, paroxysmal supraventricular tachycardia, tricuspid valve disease

All Interests: Atrial Fibrillation, Stenosis, Women's Heart Disease, Mitral Stenosis, Cardiomyopathy, Aortic ... (Read more)

Dr. Raj Anshuman Goswami, MD
Specializes in General Internal Medicine
12701 S Telegraph Road; Suite 103
Taylor, MI
 

Dr. Raj Goswami is a general internist. Clinical interests for Dr. Goswami include immunization (preventive vaccines), medication management, and outpatient care. His hospital/clinic affiliations include Oakwood Hospital - Taylor, Henry Ford Health System, and Oakwood Hospital - Dearborn. Blue Cross/Blue Shield, Humana ChoiceCare Network, and CIGNA Plans are among the insurance carriers that Dr. Goswami accepts. He attended American University of the Caribbean School of Medicine and subsequently trained at Oakwood Hospital & Medical Center for residency. In addition to English, Dr. Goswami (or staff) speaks Hindi.

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Relevant Interests: , heart problems

All Interests: Nutrition Issues, Immunization, Medication Management, Research, Outpatient Care, Preventive Care, ... (Read more)

Dr. Nadarajan Janakan, MD, DO
Specializes in Undersea and Hyperbaric Medicine, Internal Medicine
3640 Biddle Avenue
Wyandotte, MI
 

Dr. Nadarajan Janakan is a specialist in undersea and hyperbaric medicine. He works in Troy, MI, Taylor, MI, and Dearborn, MI. Dr. Janakan's areas of expertise include immunization (preventive vaccines), medication management, and outpatient care. His hospital/clinic affiliations include Oakwood Hospital - Southshore, Oakwood Hospital - Wayne, and Oakwood Hospital - Taylor. He is in-network for Amerigroup, Cofinity, and Blue Cross/Blue Shield, as well as other insurance carriers. Dr. Janakan attended the University of Colombo Faculty of Medicine for medical school and subsequently trained at Coney Island Hospital for residency. He speaks Tamil.

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Relevant Interests: , heart problems

All Interests: Nutrition Issues, Diabetes Management, Immunization, Medication Management, Osteoporosis, ... (Read more)

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What are Heart Problems?

The heart is one of the most important organs in the body. This smooth muscle expands and contracts rhythmically our entire lifetime, pumping blood to our lungs and then to every other cell in our body. When heart problems occur, it becomes difficult for the body to get the nutrients and oxygen it needs via the blood. So while there are a variety of illnesses and disorders that affect the heart, most of them make you feel weak, tired, and short of breath. The most common heart conditions include heart disease, angina, arrhythmia, and valve disorders.

Heart disease is the leading cause of death in the United States for both men and women. This includes coronary artery disease, heart attacks, congestive heart failure, and congenital heart disease. Some conditions, such as genetics, cannot be controlled. But there are many other things you can do to lower your risk for heart disease. Controlling high blood pressure and cholesterol levels, reducing or stopping smoking, exercising more and losing weight if needed, and eating a diet low in sodium can all protect your heart.

Angina is a squeezing type of chest pain that happens when the muscles around your heart don’t get enough oxygen. It can be regular or infrequent. Usually, angina is caused by coronary heart disease. However, not all chest pain is angina. Chest pain can also be caused by a lung infection or panic attack, for example, so it is important to have any sudden pain checked.

Arrhythmia is the word for when the heart beats too fast, too slow, or irregularly with skipped beats. It can feel frightening, and depending on the type it can be dangerous, but in most cases arrhythmia is not serious and can be treated. It is very common, especially in older adults.

Heart valve problems can happen in any one of the the heart’s four valves that keep blood flowing where it needs to go. Babies can be born with problems in their heart valves, or valves can be damaged by infections. The valves can stiffen and become less mobile, or they can stop closing properly and ‘leak’ when the heart beats. Valve problems can usually be repaired surgically.