469720?1388149949
Lee Kirksey, MD  
Male
Cleveland , OH

Specialties: Peripheral Arterial Disease, PAD

Interests: vascular, specialist, treatment options
My Posts
Sep 27, 2014 in the Aneurysm Community - 1
not a question. couldn't determine how to respond to question on endoleak. I am a vascular surgeon at the Cleveland clinic. following endovascular repair of aaa, approximately 20% of patients have what is referred to as endoleak. This is filling of the aneurysm sac via several routes and the leaks are classified as 1 through 5. A type II endoleak is retr...
I hear a lot about drug, or treatment resistant hypertension and the use of a new technology renal denervation. Im unclear how many people have heard abou this technology and what the level of interest is amongst the general patient population.
In general familial predisposition for the development of abdominal aneurysms tends to run on the male side of families. Ultrasound is the ideal screening test to evaluate for the existance of an asymptomatic aneurysm and should be done once your children especially males reach the age of 50. The test can be ordered by their primary care physician. If an aneu...
Its probably unlikely that these findings are related to you hearing your pulse in your ears. I suspect that you have been able to do that for some time. That can be related to the carotid arteries and may or may not be a normal variant The echo suggests strain on your heart which has likely occurred over time Your echo did not demonstrate any emergent ...
Hello It sounds like your initial heart work up did not reveal anything. Your symptoms also sound suggestive of gastrointestinal reflux with regards to the belching. You did not mention factors such as your weight, exercise condition and prior history of reflux. Lastly it sounds like anxiety may be worsening what is a real medical problem. I would suggest...
Hello You have done and excellent job of characterizing and documenting the exacerbating factors for your symptoms. I would suggest that you consider undergoing evaluation by a cardiologist or specifically an electrophysiologist to assess if you have some stress induced functional or rhythm abnormality. A stress echo may be one of the initial tests to assess...
It is unusual for the resting heart rate to be over 100 in a health person. You should be evaluated to determine the cause of this and to see what if any treatment is necessary. This will allow you to feel more comfortable and resume a normal exercising regimen. Best of health
You have done a very good job of explaining the fact that exertion raises the blood pressure within the body and causes the heart to work harder placing those vulnerable to coronary ischemia at risk. The effects are over time and transient elevations are not as harmful as prolonged consistent elevations in blood pressure. You are correct that those blood pre...
Hello It seems unusual for a relatively healthy person to have recurrent lightheadedness from dehydration. There are signs of dehydration and you did not mention any of those. Having said that, it appears that all of you cardiac work up is negative. I tell patients that unless there is some contraindication like history of bleeding episodes, that one baby as...
The berkely heart panel is a tool to help generate a risk profile on a given patient when used in combination with individualized patient historical information including lifestyle and family history. It really should be ordered by a physician who is caring for you and then interpreting the information in light of your broad medical condition. In an ideal wor...