Need a Great Cardiologist in Tampa, Florida? Spotlight on Dr. Asad Sawar M.D., F.A.C.C, F.S.C.A.I

Dr. Asad Sawar M.D., F.A.C.C, F.S.C.A.I

Dr. Asad Sawar M.D., F.A.C.C, F.S.C.A.IThe Tampa cardiovascular physicians and employees at Tampa Cardiovascular Associates are committed to providing our patients with the best available programs for the prevention, diagnosis, and treatment of artery and vein diseases.

Our physicians maintain Board Certifications and are Affiliate Associate Professors in the USF College of Medicine, Department of Cardiology Our office labs are certified by ICAEL, ICANL, and ICAVL. Our advanced in-office testing includes a Phillips iE33 which allows us to perform 3D echocardiograms along with strain and speckle tracking. We also perform stress echocardiograms, nuclear stress testing (using a GVI nuclear stress machine which allows the patient the comfort of sitting up during testing), exercise stress testing, micro T wave Alternans, electrocardiograms, Holter monitoring, event monitoring, tilt table testing, 24 hour blood pressure monitoring, and pacemaker/ICD checks.

Dr. Sawar joined Tampa Cardiovascular Associates in 2009 and is currently a managing partner of the practice.

Following a residency in Cardiology at the University of South Florida, Dr. Sawar completed a Fellowship in Interventional Cardiology at Yale University.  He holds 3 Board Certifications in Interventional Cardiology, Cardiovascular Diseases, and in Internal Medicine, and is a Fellow of the American College of Cardiology (FACC).   Dr. Sawar is also a Clinical Assistant Professor at the University Of South Florida School Of Medicine. He has a keen interest in structured heart disease and is a senior member of TAVR team which also performs MitraClip procedures. Dr. Sawar also performs Peripheral intervention, Vein intervention, Watchman procedure, Pacemaker Implant, Defibrillator Implant and performs complex angioplasty procedures of the heart.

Visit www.TampaCardio.com to learn more or schedule your appointment.

Tampa Cardio Offers Customized Heart Healthy Nutrition Plans

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heart healthy nutritionist tampa cardioThe professional Cardiologists at Tampa Cardiovascular Associates of Tampa Bay, Florida are here for you.

Why go to a regular nutritionist when you can have a specialist who fully understands the workings of your heart and cardiovascular system as well as the key nutrition needed to boost your overall wellness along with heart health at the same time?

Tampa Cardiovascular Associates is your one stop shop for heart health and wellness. Come in for a consultation and we can assess your health based on a physical exam, blood work, talking with you about what you are currently experiencing, as well as taking a full health history. We can also work up a diet plan for you that will fit your needs, likes, and lifestyle that can help to solidify, correct, and boost your cardiovascular health.

Eating healthy these days can be tricky. There are so many foods and additives that just are not good for you and worse, may cause your heart harm if eaten in excess. Let our experts steer you in the right direction so you can feel your best no matter what current condition you may be in.

We operate in a state-of-the-art environment, so we are able to give you the best care possible. This is done though diagnostic testing, one on one focused conversations addressing your concerns and issues, and through the formation of a planned-out course of treatment that is engineered toward gradually healing what is wrong with your body through proper nutrition, supplementation, in office procedures, and if necessary surgical correction.

The physicians at Tampa Cardiovascular Associates are a powerhouse of knowledge and experience. Though you will be assigned one doctor, in many instances they do confer and consult with one another, so you are guaranteed an in-house second opinion without even having to leave the building.

If you are ready to take your cardiac health to the next level, you need Tampa Cardio.

WWW.TAMPACARDIO.COM

813-975-2800

 

Fainting Spells – The Real Cause

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fainting heart problems tampa cardioWatching someone have a fainting spell can be alarming.  They look a little pale, slightly off, and often their eyes will roll back in their heads just before going limp.

While fainting has been portrayed in movies as a sign of stress or someone who is over dramatic, the truth is that it can be a signal that something is medically wrong. Fainting spells are referred to as “syncope,” and the blackout period can last anywhere from a few seconds to a few minutes.

During this time a person loses consciousness after a brief feeling of lightheadedness or dizziness. When a spell occurs, it is due to your brain is not receiving enough oxygen or blood flow. There are dozens of reasons as to why this might happen.

The severity of a fainting spell can vary. Most most will regain consciousness within a few short minutes. The majority of fainting spells do not require medical attention and are the result of situational trauma such as extreme fear or emotional disturbances, or even severe quick onset pain.

Passing out can even be triggered by something as simple as standing up too fast, coughing too hard, standing in one position for an extended period of time, or straining excessively during a bowel movement. Some medications can even bring on a fainting spell, especially those that result in a sudden blood pressure drop.

Fainting spells can be classified into three categories

  • Vasovagal – This type of fainting occurs when a person is afraid or experiences emotional trauma or stress.
  • Situational – This type of fainting occurs from physical strain, such as coughing or extreme pain.
  • Carotid Sinus – This type of fainting occurs when the carotid artery in the neck is constricted in some way.

While most causes of a fainting spell are no cause for alarm, there are a few, however, that should definitely raise some red flags and lead you to seek medical attention, whether immediate or otherwise. This is because in some cases, fainting can be the sign of a serious underlying medical condition, such as diabetes, and may be an indication that there are blockages in your heart or that you have an irregular heartbeat, also referred to as a heart arrhythmia. If you have fainted more than once within a one-month period, or if you have a history of frequent fainting spells, then a trip to your physician is definitely recommended, at the very least to rule out anything serious.

If fainting is found to be related to a heart arrhythmia, then a serious underlying condition may be present. While most arrhythmias are harmless, there are some that can predispose a person to some very serious complications, such as stroke or heart failure. Fortunately, most arrhythmias can be effectively treated, and there are a number of tests available to help with a proper diagnosis. While fainting spells are one of the more obvious signs that an arrhythmia may be present, patients should also take special note if they are experiencing heart palpitations as well, though many patients will experience no symptoms at all. A proper diagnosis is always the first step in addressing any possible arrhythmia. It is a good idea to get checked out after a fainting episode, especially if you hit your head or banged another body part to make sure no damage was done.

If you have been experiencing fainting spells that you think may be heart health related, and you would like to get to the root of your problem so that you may address it properly, contact the physicians at Tampa Cardiovascular Associates by calling (813) 975-2800. WWW.TAMPACARDIO.COM.

 

How to Help Regulate Blood Pressure with Dietary Changes

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Tampa cardio nutritional cardiology heart dietUnwanted side effects are the downside of blood pressure medication.

These potential known side effects are a major reason many patients put off taking blood pressure medications. They ignore their elevated readings and it can lead to trouble.

If you are concerned about your blood pressure but prefer not to take medications, we have some dietary suggestions to try first that may help control pressure levels naturally.

The standard recommendation is referred to as the DASH Diet. DASH stands for Dietary Approach to Stop Hypertension. This carefully crafted diet is rich in fruits, vegetables, whole grains, and low-fat dairy.  It can help to reduce intake of saturated fats as well as cholesterol.

The DASH diet is recommended for short term or even lifelong use; however, this does not mean that followers of this diet have to completely eliminate all their favorite foods.  As long as this is the basis for your way of eating it’s okay to treat yourself once in a while.

Patients with high blood pressure are almost always told to reduce sodium levels. Even a small reduction can have a big impact. It is generally recommended that people consume no more than 2,300 mg per day. For those 50 and older that number is reduced to 1500 mg per day. The same holds true for those with chronic kidney disease, diabetes, ongoing high blood pressure, and anyone who is of African descent.

Another hot topic when it comes to blood pressure reduction is alcohol. There is a balance when it comes to choosing to imbibe. A single serving of wine or other alcoholic beverage has actually been shown to reduce blood pressure. More than one drink, however, is considered potentially harmful. Blood pressure medications should be considered as well. Many medications can be negated by drinking or have side effects.

Changing your diet and lifestyle significantly is never an easy task. Below are some tips on how to make the dietary transition a smooth one:

  1. Track your progress – Get a notebook to use as a food diary. Keeping track of what and when you’re eating can help highlight issues you might not have been aware of.
  2. Ease into it – No one expects you to change your diet overnight and easing yourself into it may be the best option to ensure success.
  3. Shop Smart – Never go to the store hungry or without a list.
  4. Try salt substitutes – Herbs and spices can add wonderful flavor to your food without adding extra sodium.
  5. Bump up the potassium – Potassium can counteract the harmful effects of sodium and is found in supplemental form as well as in certain fruits and vegetables.
  6. Nix the fast food – These foods are loaded with chemicals and salt. They tend to aggravate hypertension.

The doctors at Tampa Cardiology offer blood pressure assistance as well as the advice of an onsite nutritionist. The most important thing to remember is that changing your diet and lifestyle is a gradual process and takes a lot of hard work, but the results of a longer life and healthier body and mind are always worth the effort.

Get started right away and schedule your appointment online at: WWW.TAMPACARDIO.COM. We are also reachable by calling the office at 813-975-2800.

High Blood Pressure – How High Is Too High?

hypertension-high-blood-pressure-tampa-cardio

hypertension-high-blood-pressure-tampa-cardioHypertension has long been known as the silent killer.

It earned this nickname because you can have elevated blood pressure for quiet some time and not have any idea about it. A constantly elevated pressure in your circulatory system leads to weakening of the blood vessels, arteries, and the heart muscle itself. It puts you at risk for heart disease and early death.

You cannot tell visually if someone has high blood pressure and many with high numbers feel just fine. It is important, especially as we age, to check our blood pressure regularly.

A normal healthy range for your blood pressure is right around 120/80 or slightly lower. Once you get above 120 to about 129/80 it is considered elevated and should be watched. Stage 1 hypertension ranges from 130-139/80-89 and stage 2 hypertension is 140 or higher/90 or higher. 180/120 or higher is considered a hypertensive crisis and you should call your doctor or go to the ER immediately as you are in the risk range for both heart attack and stroke.

IMMEDIATE ATTENTION SYMPTOMS: If you are in the hypertensive crisis range and you experience chest pain, shortness of breath, back pain, numbness, weakness, difficulty speaking, or vision issues call 911 immediately.

The risks of leaving high blood pressure untreated can include heart disease, stroke, heart attack, heart failure, peripheral artery disease, aortic aneurysms, kidney disease, and vascular dementia.

If you have your blood pressure checked and it is high for the first time, just keep an eye on it. We all have stressful off days or have a day where we drank an espresso or an energy drink, and some experience what is known as “white coat syndrome” where their blood pressure goes up just being in a doctor’s office due to nerves.

If your readings are continually high you will want to talk with your doctor about possible lifestyle and diet changes. If those don’t prove to be enough there are many medications that can easily help control your pressure and give your body a much-needed break.

Talk with us. WWW.TAMPACARDIO.COM. The doctors at Tampa Cardiovascular Associates are here to help you. 813-975-2800.

High Blood Pressure: Dangers of Leaving High Readings Unregulated

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A high blood pressure reading at the doctor’s office now and then isn’t necessarily cause for alarm. Some days our pressure may just be higher than others. It can be due to stress, physical exertion, nervousness at a doctor visit (white coat syndrome), or even if you drink a latte on the morning of your visit.

One single reading does not mean you have ongoing high blood pressure. If your readings keep coming up high that is when you need to pay attention and speak with your physician about possible ways to combat it and get your readings back to a normal healthy level.

Hypertension may not sound like a big deal, but when left untreated what it does is this: Think about blowing up a balloon too much or overinflating your tires. That excess air stretches the rubber thinner than it should be making it weak. Over time if you over inflate too much, what happens? They may pop. The same holds true for your vein and artery walls. These small tubes run throughout your entire body and elevated pressure can affect any part of the body where your veins carry blood.

Chronic hypertension (high blood pressure) can cause weakening of your circulatory system. It can ultimately lead to heart attack, heart failure, sexual dysfunction, kidney disease, vision problems including loss, and even stroke.

These are serious medical issues that can threaten your health, wellbeing, and even take your life.

The best protection you have is knowledge. Know your numbers. Get checked regularly. If they remain too high talk with your doctor. There are some lifestyle changes you can make that can help to get them down.

Lifestyle changes to help lower blood pressure include:

  1. exercise regularly
  2. Manage your weight
  3. Stop smoking
  4. Reduce sodium intake
  5. Drop the alcohol
  6. Eat more potassium containing foods (nuts and seeds, beans, oily fish, milk, yogurt, fruits, berries, vegetables).
  7. Reduce stress
  8. Cut back on caffeine
  9. Eat dark chocolate
  10. Get rid of the refined sugar and carbs

If these changes are enough to lower your numbers? Wonderful!
If not your doctor will help you find the proper blood pressure medicine to get you back on track.

Give the doctors at Tampa Cardiovascular Associates a call today at 813-975-2800 or visit online to learn more at WWW.TAMPACARDIO.COM.

Vein Disease – More Than a Surface Issue

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varicose-veins-tampa-flVaricose and spider veins are unsightly and sometimes embarrassing. It’s easy to consider them just a visual issue and dismiss them. The problem is that they are a medial issue that can become worse over time. The time to stop them is now.

Varicose veins don’t simply appear because you have hit a certain age. They are being cased by something physical going wrong. Varicose veins are damaged veins.

The underlying physical cause is important because without knowing the cause it is difficult to alter behaviors or lifestyle which can potentially help quell the uprising. Things like smoking cigarettes, drinking alcohol in excess, standing or sitting for very long periods of time, excess stress on the legs due to non circulation of being seated for long flights or road trips, and bad fatty chemical-laden diets can all come into play.

Vein disease may also be genetic and hereditary. If your parents or grandparents had vein issues you are at a raised risk level yourself.

Many people mistakenly believe that spider veins and varicose veins are simply a cosmetic issue and from that thought, also conclude that treatment would be cosmetic in nature and therefore not covered by their medical health insurance. The truth of the matter is that it is a medical condition called Venous Insufficiency ie. Vein disease. It isn’t just cosmetic and over time it can morph from just visual into aching, painful, itchy legs that range from annoying to debilitating.

The best time to halt vein problems in their tracks is as soon as they start. Talk with your insurance company and go see your local Vein Specialist for a consultation and diagnosis so you can see what exactly you are dealing with and what your options are. Most vein issues the treatment is covered by your insurance leaving you with only a copay for the office visit.

If you are in the Tampa Bay/Safety Harbor, Florida area we would love to meet with you. Dr. Mark Zuzga is one of the top leading experts in vein care here in Florida and can get your legs back to the best state of health possible in a short amount of time.

Give us a call at 727-712-3233 or visit us on the web to learn more about our services and practice by going to www.westfloridaveincenter.com.

Endocarditis – It Can Be Avoided

endocarditis-tampa-cardio-heart-infection

endocarditis-tampa-cardio-heart-infectionInfective Endocarditis is an infection of the endocardium, by way of bacteria or fungus. It often leads to the onset of symptoms such as fever, anemia, heart murmurs, petechiae, and embolic phenomena.

Endocarditis infections may seem like dental issues it can easily leeway into heart issues. Dental care is paramount in heart health. Should your gums become sensitive and bleed regularly when you brush or floss you are at a higher risk.
Alternate additional tools like using a dental water pick, swishing with warm salt water rinses, and flossing daily can help your gums to heal and even prevent this.

Infections are generally strep or staph. They are caused by bacteria entering the bloodstream through normal daily activity on top of an injury or tears in the mouth by way of brushing too hard dental work, or even dental disease. Those who use IV drugs illegally or even IV therapy medically are also at a raised risk.

Dental infections – Symptoms to look out for:

  • Fever
  • Chills
  • Abnormal heart sounds
  • Skin becoming paler than usual
  • Joint Pain
  • Nausea
  • Night Sweats
  • Muscle Pain
  • Loss of appetite
  • Left upper abdomen feeling full
  • Weight Loss

Treatment: is done by way of antibiotic medications. It is important to see your doctor as soon as you suspect you may have an infection.

Heart problems: This bacteria which has entered the bloodstream can settle in the heart and heart valves. Those with heart conditions have a greater likely hood of developing it. IE specifically refers to an infection in the lining of the heart but also may affect the muscles and flaps.

It may present as:

Subacute (or subacute bacterial endocarditis) — develops slowly over a period of weeks to several months.

Acute — develops suddenly and may become life-threatening within days

When it comes to IE preventative is the best care. With that said, never hesitate to come to us at Tampa Cardiovascular Associates of Tampa Bay, Florida if you feel like you need help with your heart. Always listen to your body.

We can be reached by dialing 813-975-2800. You may also learn more about us on our site at WWW.TAMPACARDIO.COM.

Anxiety and Heart Disease

chest pain anxiety heart disease tampa cardio

chest pain anxiety heart disease tampa cardioAnxiety disorders affect 40 million adults in the USA. 

Anxiety can make your body feel like you are having a heart attack. Chest based feelings of butterflies to sharp pains are not uncommon. 

Anxiety is not healthy in the short term but long term it can cause you to become ill emotionally and physically. Chronic anxiety can raise your risk for heart issues.

While small amounts of stress are healthy and even motivating, feeling worried or anxious now and then is normal. It’s when it becomes chronic that it may pose a negative threat to your wellbeing.

Generalized anxiety disorder is defined by at least 6 months of excessive worrying or feeling anxious about unrelated events. Approximately 5% of adults meet the criteria for this disorder. The incidence is higher, coming in at 11% among those with coronary artery disease and 13% of those with heart failure.

It has not been established whether anxiety sets off heart disease or vice versa. It is known that chronic anxiety can change the way the body reacts to stress. This happens via hormones and physiological reactions meant to keep us safe – known as the flight or fight response.

If your fight or flight response is constantly engaged it can lead to heart issues as well as adrenal burn out which may, in turn, cause other endocrine system issues.

Anxiety can present the same symptoms as a heart attack

A panic attack is so very similar in feel to a heart attack people often mistake them. Upon a trip to the ER, you will receive a diagnosis of non-cardiac chest pain. As many as 1 in 3 people will experience this in their lifetime.

What can you do?

The best answer medical professionals have found so far is a combination of medication and talk therapy. A cognitive-behavioral therapist will help you identify unwanted thoughts and establish what is anxiety-based and what is something that genuinely needs to be looked at and considered.

Medications work as a temporary bandaid to allow you to get through tough anxiety-filled times while working through the root cause with a therapist or on your own using tools such as automatic writing, meditation, yoga, or other relaxation healing based activities.

Never ignore chest pain. It is far better to be safe than sorry. If you are in the Tampa Florida area and looking for a cardiologist we invite you to check out the physicians at Tampa Cardiovascular Associates. www.tampacardio.com 813-975-2800.

PCS – Pelvic Congestion Syndrome – Diagnosis and Treatment

Pelvic-Congestion-Syndrome-Tampa-Cardio

Pelvic-Congestion-Syndrome-Tampa-CardioPelvic Congestion Syndrome is a chronic medical condition that affects nearly 1/3 of all women at some point during their lifetime.

Pelvic congestion syndrome is a condition that causes chronic pain in the pelvic region. When this happens, the veins in your pelvis can enlarge and change shape, like varicose veins. This type of damage causes veins to become varicose. Blockages create backflows of blood because the veins do not close properly anymore. The result is pressure build-up and bulging veins. When this happens in the region of the pelvis varicose veins can affect the uterus, vulva, and ovaries causing great pain and distress.

 It can be diagnosed when it is nonrelated to the menstrual cycle and lasts 6 months or longer (the time frame for a condition to be considered chronic). This condition is aggravated by standing for long periods of time.

How to Diagnose PCS

Pelvic Congestion Syndrome may occur in a wide range of ages for women between 20 and 50 years of age. Additional symptoms can include abnormal menstrual bleeding, irritable bladder, vaginal discharge and even visible varicose veins present on the thighs, vulva or buttocks. These areas are often overlooked and do not show up on imaging. Because of this, it is often tough to diagnose. Make sure you do a thorough at-home mirror check of your entire body and report any abnormalities to your doctor.

If pelvic pain worsens later in the day or when standing yet you can’t seem to get a proper diagnosis to come into Tampa Cardiovascular Associates we are able to work in conjunction with your gynecologist.

The Treatment

The procedure is performed under local anesthesia with IV sedation. The blood supply to the veins is blocked by the use of coils and embolic agents. An 80% pain reduction has been reported by those who have undergone this procedure.

Pelvic congestion syndrome is treated using minimally invasive, non-surgical, trans-catheter techniques. Contrast dye may be injected to confirm which veins are affected. If varices are found on venography, they are embolized with small coils or other FDA approved chemical agents.

The Recovery

The first of two visits is an overnight admission to the hospital. The purpose is for managed pain care during the first 24 hours. The patient is then discharged and can recover at home using oral pain medication for the relief of discomfort. Any pain experienced is most significant during the first three days after either procedure.

The second is an outpatient appointment. Most patients see great improvement. It is important to note that in some cases other pelvic veins are also affected and may require further treatment in the future.

If you are experiencing pelvic pain that seems outside the scope of normal monthly reproductive cycle issues, please give us a call at Tampa Cardiovascular Associates at 813-975-2800. www.TampaCardio.com