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Frank J. Pearl, M.D.

Voluntary Professor of Medicine, University of Miami Miller School of Medicine, Miami, FL. Board certified in cardiovascular disease

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2016-08-25 Taking blood pressure:

The minor change in position should not matter. If there is any question about the adequate control of your BP ask your doctor about a 24 hour BP monitor. Everyone's BP is elevated some of the time. The

2016-08-11 LBBB:

A Left Bundle Branch Block is a problem with the electrical system of the heart. It can cause dysynchrony which can cause a decrease in the ejection fraction. It is not low enough to consider bi-ventricular

2016-07-31 Heart Holter Results:

You were found to have early cerebrovascular disease. You need to optimize your BP and cholesterol profile, keeping your LDL , 70.    You probably also have early coronary disease since it is a systemic

2016-07-30 Heart Holter Results:

1 -There was nothing that required treatment at that time but that was now 4 years ago.    2- There is no required follow up of a normal    3 - It depends on the clinical situation. You need to discuss

2016-07-20 ProBNP levels:

It does sound like he has congestive heart failure. Without a lot more information I cannot comment on his prognosis. If he truly does have congestive heart failure then there is a 50% 5 year mortality

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