Cardiologists Yelm WA

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John Jay Mc Kelvey III, MD
(253) 627-1244
Ms: A-111-Pc
Tacoma, WA
Specialties
Cardiology
Gender
Male
Education
Medical School: Temple Univ Sch Of Med, Philadelphia Pa 19140
Graduation Year: 1969

Data Provided by:
James J King
(253) 968-2252
9040 Reid St
Tacoma, WA
Specialty
Cardiovascular Disease

Data Provided by:
James J King, MD
(253) 968-1090
Madigan Army Medical Ctr,
Tacoma, WA
Specialties
Cardiology, Internal Medicine
Gender
Male
Education
Medical School: A Einstein Coll Of Med Of Yeshiva Univ, Bronx Ny 10461
Graduation Year: 1979

Data Provided by:
Kevin Douglas O'Brien, MD
(253) 968-1875
PO Box 283,
Tacoma, WA
Specialties
Cardiology
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1984

Data Provided by:
Roberta Sue Stephenson, MD
(253) 594-1000
16925 Spanaway Loop Rd S
Spanaway, WA
Specialties
Cardiology
Gender
Female
Education
Medical School: New York Med Coll, Valhalla Ny 10595
Graduation Year: 1990

Data Provided by:
John Jay McKelvey, MD
253-582-8440 x71475
9600 Veterans Drive SW A-111-CARD,
Tacoma, WA
Specialties
Cardiology
Gender
Male
Education
Medical School: Temple Univ Sch Of Med, Philadelphia Pa 19140
Graduation Year: 1969

Data Provided by:
Edward C Horwitz, DO
(216) 481-9244
Tacoma, WA
Specialties
Cardiology
Gender
Male
Education
Medical School: Des Moines Univ, Coll Osteo Med & Surg, Des Moines Ia 50312
Graduation Year: 1983

Data Provided by:
Wolfgang Theodore Steudel
(253) 968-0094
Madigan Army Medical Ctr
Tacoma, WA
Specialty
Cardiology, Cardiovascular Disease

Data Provided by:
Dennis Darrel Nichols
(253) 968-3251
Madigan Army Medical Center
Tacoma, WA
Specialty
Thoracic Surgery, Vascular Surgery, Cardiac Surgery

Data Provided by:
Dennis Charles Koukol, MD
120 State Ave NE Apt 222
Olympia, WA
Specialties
Cardiology
Gender
Male
Education
Medical School: Med Coll Of Wi, Milwaukee Wi 53226
Graduation Year: 1968

Data Provided by:
Data Provided by:

The Truth about

You need serious intervention once your heart starts losing its pumping power.
The best solution is prevention.

By Lisa James

February 2010

Heart failure is one of the most confusing terms in all of medicine—and one of the scariest when coming from your doctor’s lips: What do you mean, my heart is failing? “It’s quite a fearful term for many patients,” says Justine Lachmann, MD, FACC, director of the congestive heart failure program at St. Francis Hospital ( www.stfrancisheartcenter.com ) in Roslyn, New York. “The words may be more fearful than the condition.”

Heart failure is not cardiac arrest, in which the heart stops beating. Rather, heart failure, or HF, is a collective term for “signs and symptoms of fluid buildup,” explains Eileen Hsich, MD of the Cleveland Clinic ( www.clevelandclinic.org ). “It may be caused by a strong heart that does not relax or a weak heart that cannot pump properly.”

According to the American Heart Association, 5.7 million people in the US have HF, and the rate is rising because we as a nation are growing older. “Medical interventions are allowing people to live longer,” Lachmann says. “The presence of HF is increasing exponentially in people over the age of 65.”

Pump Malfunction

To understand HF it helps to know some basic cardiac anatomy. The heart has four chambers, two on each side of a inner wall called the septum. The upper chambers, or atriums, take blood in; the lower ones, or ventricles, pump it out. Blood enters the right side of the heart and is sent to the lungs, where it picks up oxygen. It then enters the left side, from where it is circulated throughout the body. A system of valves controls blood flow in and out of the different chambers.

Controlling Blood Pressure

Avoiding heart failure is a big reason to keep blood pressure under control. “High blood pressure is the number one cause of heart failure,” says Eileen Hsich, MD. Hypertension can also lead to heart attack, stroke, kidney disease and vision problems. What makes this condition particularly hazardous is that it can cause damage for years without producing symptoms.

According to the American Heart Association, normal blood pressure is less than 120, the systolic pressure generated during a heartbeat, over 80, the diastolic pressure between beats.

Prehypertension ranges from 120 to 139 or 80 to 89. Beyond that are two stages of high blood pressure, 140 to 159 or 90 to 99 for stage 1, 160/100 or higher for stage 2.

There are natural ways to help bring down blood pressure. The DASH diet (Dietary Approaches to Stop Hypertension) emphasizes whole grains and produce while reducing dairy (to learn more, see dashdiet.org ). Cutting salt intake reduces fluid levels, which helps to lower pressure. Exercise relaxes the blood vessels, as do yoga, tai chi and meditation.

Alternative healthcare practitioners use several supplements in treating mild-to-moderate high blood pressure (severe hypertensio...

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