Boost Heart Health Nutritionally!

nutrition-tampa-cardio-heart-health

nutrition-tampa-cardio-heart-healthWe were all brought up with the four food groups. Meat & Dairy, Grains, Vegetables & Fruits, and “other”.  It didn’t include or take into account all of this frozen, premade, and fast food we are bombarded with. While technically they still fall into those groups, these foods are chemically altered, GMO, and preservatived to death. There is little to no nutritional value in a lot of it.

It saves us money and hassle, but at what cost are you eating these things on a daily, monthly, yearly, lifetime basis?

Your body needs nutrients to thrive and survive. When it doesn’t get everything it needs it can create nutritional deficiencies. These deficiencies can be hard on your body, mind, health and even individual organs.

Navigating the world of health can be tough. In order to really know exactly what your body needs testing may be in order. Working with a certified nutritional consultant is incredibly helpful and save you a lot of trial and error as well as guesswork and money.

You should see a nutritionist if:

1. You are over the weight you ideally would like to be at

Trying to navigate the world of weight loss on your own can be boggling. There are so many diets, so many conflicting opinions, so many people trying and failing. Fad diets do not work long term. You have to change the way you think about food and what you buy when you shop. Many weight loss and fat burner pills are hard on if not a danger to your heart. Working with a nutritionist can help you set a good path to follow, making it a step by step easy guide along with support.

2. You have food sensitivities or allergies

What is just fine for one person may send another into a bout of hives or anaphylactic shock. Allergies and sensitive can cause headaches, stomach aches, diarrhea, hives, swelling, and yes in the extreme, even shock. If you cannot figure out what is going on with your body or pinpoint exactly what you are having a reaction to, come see us. We can help identify, so you can avoid it or even try therapy to desensitize yourself to it over time.

3. You have a serious medical condition – such as heart disease, diabetes, or high blood pressure.

All of these conditions require a specialized diet. A nutritionist can help you rework your diet to add in items that help heal the body and eliminate anything you may be eating that is detrimental to your health. Food is medicine and it is important to use it wisely.

4. Be proactive and help prevent any future illnesses

Even if you are currently healthy, if you have a family history of heart disease or diabetes you may want to visit a nutritionist to ensure your health stays on track by eating right for your body and genetics. Eating right can improve your mental focus, your appearance, and your overall well being. It can help you age more gracefully, and enjoy life more fully. This really is the best time and best reason of all to seek the knowledge of a nutritionist.

5. Don’t go it alone. Support and help are right here.

We all go into a new way of eating all excited and gung-ho. Sticking to it is the hard part and some times it really helps to have an outside perspective, some accountability, and a Cheerleader on your side. Our nutritionists at Tampa Cardiovascular Associates are here for you every step of the way. We get no more pleasure than watching someone’s body and life transform, especially when we get the honor of playing a part in it.

If you are ready to take that next step and change your health for the better, then please contact Tampa Cardiovascular Associates today, and make an appointment with our on-staff licensed nutritionist. 813-975-2800. www.tampacardio.com.

EKG Readings – What They Can Say About Your Heart

EKG tampa cardio

EKG tampa cardioIf your doctor has ever told you “You need an EKG”. You may know the feeling of confusion and worry both in an instant. We do not know how much medical knowledge each of our patients actually have come into our office. We don’t want to insult you by seemingly talking down to you, so sometimes we don’t explain as much as maybe we should.

Today lets take a look at an EKG (Electrocardiogram). It is also sometimes referred to as an ECG. This test can help track and diagnose the heart’s electrical activity. The EKG only takes 10 minutes. It consists of a technician attaching twelve leads directly to your chest to get a readout from each individual line. It measures for a ten second period of time.

What can an EKG show your physician?

An EKG can show if you have experienced a heart attack – While heart attacks generally will cause significant pain and you readily suspect you are having a heart attack, in as many as 45% of cases there are no symptoms at all. You may not even realize it is or has happened. That is what is known as a silent heart attack.

It may not be found unless you have an EKG which sill show your doctor any blockage in your coronary artery which could lead to future events.

An EKG can show if you have a heart arrhythmia (abnormal heart rhythm). When healthy your heart pumps steadily. If there is a dysfunction in electrical signals being fired it can cause an abnormal heartbeat.

An EKG can show if you are getting enough oxygen to the heart – Your heart requires oxygen to function properly and stay strong. If your heart experiences ischemia (lack of oxygen for a prolonged time) it can begin to die. This leads to heart failure and even possibly death.

An EKG will show heart enlargement – When healthy, your heart is about the size of your fist. Some medical conditions will cause the heart to grow larger, stretching the muscle making it weaker. Causes may include unregulated high blood pressure, aging, heart failure, heart disease, and viral infections.

EKG’s are an important diagnostic tool for Cardiologists. It’s an easy quick test to administer and can help your physician get a more full picture of what is going on with your heart.

We hope this gives you a better understanding of what an EKG is and why one may be recommended.

If you are looking for a great team of cardiologists right here in the Tampa Bay, Florida area give us a call and make an appointment today! (813) 975-2800. www.tampacardio.com.

Varicose Veins – The Diagnosis

varicose-veins-tampa-cardio

varicose-veins-tampa-cardioWhile you may think it would be very easy to identify vein disease the truth is it doesn’t always show up in the form you might think. Visible purple or blue veins which are lumpy and twisted are a sure sign of varicose veins as well as small wiggly lines that spider web in appearance are spider veins, but many times you may experience leg pain and have no visual cues.

Pain, aching, throbbing and tiredness are all signs you may have vein issues.

Ultrasound is performed by a registered vascular technologist who can find precisely where the leakage is occurring. From there, a logical and effective treatment plan can be set in order to heal the health issue.

Surface layer veins, as well as deep saphenous veins, are both carefully examined in respect to clotting potential and valve function. This exam is an outpatient procedure. It will take approximately 30 minutes per leg, and is best performed at the direction of the Physician Vein Specialist who will be responsible for diagnosis and course of a treatment plan.

If you are in the market for a Tampa Florida Doctor Vein Specialist you are in luck. By simply visiting www.tampacardio.com you have found the best possible treatment in all of Florida.

Our team of well-respected professionals can get you on your way to living the active lifestyle you once enjoyed. The team includes Dr. Vasco Marques

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

M.D., F.A.C.C, F.S.C.A.I, R.V.P.I, Dr. Victor Feliz

M.D., F.A.C.C, F.S.C.A.I, R.V.P.I, Dr. Octavio Cosme

M.D., F.A.C.C, F.S.C.A.I, R.V.P.I Claudia Fuego

ARNP, Courtney Pariso MSN, ARNP, Roberta Moore MPH, ARNP-C, Kathleen Dailey

AANP, Jesus Ojeda CNMT, and Jesus Ojeda CNMT as well as an amazing administrative staff.

Click to learn more about each physician or staff member.

At Tampa Cardiovascular Associates, you are in good hands. We know veins inside and out as well as the entire cardiovascular system. This is a truly full-spectrum facility.

Our office is located in Tampa, Florida

3010 E. 138th Avenue, Suite 12

Tampa, Florida 33613

We can be reached by phone by calling (813) 975-2800 8 am to 5 pm Monday through Friday.

www.tampacardio.com

Anxiety and Heart Disease – Is There a Connection?

anxiety

anxiety

Anxiety attacks and heart attacks are often misdiagnosed by the person having them. They feel very similar and are both terrifying.

If you have experienced an anxiety attack you know that it is based in your heart center. You feel it in your chest often in the form of butterflies and even heart palpitations. You may even have an elevated heart rate level during times of raised anxiety and trouble breathing normally.

Anxiety is not healthy, especially on an ongoing basis. Stress can make you physically sick as well as emotionally. When chronic, anxiety can increase your risk for heart issues.

While normal types and amounts of stress are healthy and motivating, being anxious now and then is normal. If it becomes chronic that it may pose a negative threat to your wellbeing.

40 Million people in the USA experience anxiety yearly. 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.

Confusing Anxiety for 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.

The best advice is never to ignore chest pain of unknown source. 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.

Elevate Your Health By Cutting Out The Sugar

sugar-tampa-cardio

sugar-tampa-cardioNot much was known about the dangers of sugars to the body until recent years.

The dangerous effects of a loaded sugar diet are becoming more widely known, however, many are still unaware. They still view candy, soda, cookies, cakes, pies, and other sweets all just like food. While there is other nutritional value to it, that sugar included adds up quickly.

“Sugar is bad”. We all keep hearing it but rarely do you get the explanation behind the statement. Let’s look into it and see why it’s been deemed “bad”.

Your dental health is likely to suffer


Sugar loves your teeth, but it’s a one-way relationship. Sugar sticks to your teeth and feeds the bacteria found there. Over time, teeth can decay and rot as a result.

You overwork your liver

Sugar is just plain bad for your liver. Excess sugar consumption has a similar effect on the liver as drinking mass amounts of alcohol. This is because of the high fructose content in sugar, which turns into fat, and after becoming lodged in the liver, it can often develop into non-alcoholic fatty liver disease.

Type II Diabetes, coming up!

High amounts of sugar in your diet can result in insulin resistance. Insulin resistance can result in an excess of glucose in the blood which is toxic. This can cause a number of conditions to develop, perhaps the worst of which is type II diabetes.

Cancer connection
Sugar feeds cancer cells. Numerous studies have shown that there is a connection between sugar in excess and cancer. Once again relating to insulin – sugar creates elevated insulin levels, creating an environment where the body can’t properly regulate the abnormal growth and multiplication of unwanted cells, thus, potentially leading to cancer.

It becomes an addiction

Sugar attaches to the same pleasure centers in the brain that result from doing heavy drugs and is equally addictive. It may be hard for people to practice moderation when it comes to junk food. Quitting cold turkey can actually lead to withdrawal symptoms. It’s best to ease it out of your diet if you are a big sugar fan.

Sugar contributes to obesity. If you eat a lot of sugar, you will have a higher tendency to become overweight. Fat gained from sugar consumption attaches around your gut, earning itself the nickname “sugar belly.”

Contributes to Heart Disease

That’s right. Consuming sugar excessively over time can lead directly to heart disease.
Heart disease is the #1 killer worldwide, and recent studies show that a diet high in sugar could be a major contributing factor.

My cause other issues

Sugar can raise your blood glucose and insulin levels

Sugar leads to obesity

Sugar can make you depressed.

Sugar contributes greatly to your overall mental health

Sugar can bring on anxiety
Sugar has even been related to memory issues especially later in life.

For further guidance please make an appointment with the onsite nutritionist available at Tampa Cardiovascular Associates by calling (813) 975-2800. Not only are our physicians dedicated to keeping your heart health at its best, but we’ll do anything we can to help you improve your everyday quality of life through important lifestyle choices. www.tampacardio.com.

Do You Take Aspirin Daily? – You Need To Know This!

aspirin-no-longer-recommended

aspirin-no-longer-recommendedCardiologists and General Practitioners are no longer recommending an aspirin regimen for the majority of the public.

For years aspirin has been the standard recommended protocol for seniors. Millions age 70 and up in the USA take one aspirin per day routinely as it was previously touted as the go-to answer by the American Heart Association as the best preventative measure to help protect against potential stroke and heart attack.

In a recent study which included 20,000 patients, the outcome contradicted previous results. The recommendation of 1 aspirin a day is no longer used for anyone who is not already at an elevated risk. This risk group includes those who have already had a heart attack or stroke in their past.

If you have had either a heart attack or stroke, stents inserted, or a propensity towards blood clots – aspirin can still be a lifesaver. If that isn’t the case there are better options.

“It’s much more important to optimize lifestyle habits and control blood pressure and cholesterol as opposed to recommending aspirin.” Said Dr. Roger Blumenthal, the doctor who co-chaired the new guidelines.

Aspirin – The New Findings

Anyone who is already at a risk for bleeding – someone who is on blood thinners, has diabetes, ulcers, heart disease, kidney disease, gastrointestinal tract issues, or is on non-steroidal anti-inflammatory drugs, steroids, or anticoagulants should not use aspirin at all. Not even just for a headache.

Aspirin – What is It?

It was discovered in1763 by Reverend Edmund Stone of Chipping-Norton, England. Aspirin is made from the chemical ingredient known as Salicylic acid made from the bark of the willow tree. 

A more natural approach 

Aspirin is used because it’s an analgesic.  An analgesic acts on the central nervous system to help alleviate pain. It is also an anti-inflammatory – when you can reduce inflammation, this also negates pain.

Salicylic acid, the same ingredient your aspirin tablets are made from, can be found right in your daily dietary intake. This is a list of foods that contain salicylic acid and can encourage your body to rely on a healthy natural alternative to aspirin in pill form.

Apples

Avocados

Blueberries

Broccoli

Cauliflower

Cherries

Chili peppers

Cucumbers

Currants (including dried currants)

Dates

Eggplant

Figs

Grapefruit

Grapes

Kiwi

Licorice (the herb, not the candy)

Meadowsweet (an herb)

Paprika

Peaches

Plums and prunes

Radishes

Raspberries

Spinach

Strawberries

Turmeric (the spice)

Willow Bark

Zucchini

If you are taking aspirin as a daily regimen preventatively consult your physician or cardiologist. Their recommendations very likely have changed thanks to modern research.

If you are in the Tampa Florida area visit www.tampacardio.com or call (813) 975-2800 to schedule a consultation.

Getting to Know Your Physician. They Make It Easy at Tampa Cardiovascular Associates!

Tampa-Cardiovascular-associates-tampa-bay-florida (1)

When it comes to choosing a doctor it’s important you find someone you feel like you can talk with and relate to.

Your heart is the very core of your being. Keeping it healthy is vital. That is why Tampa Cardiovascular associates were formed.  Our physicians are committed to providing the very best treatments, care, and diagnoses possible for all vein and artery related diseases.

All of our physicians maintain up to date board certifications and are Affiliate Associate Professors in the USF College of Medicine, Department of Cardiology, and 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 in house 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.

You are in good hands with Tampa Cardiovascular Associates. Our staff consists of:

Dr. Asad Sawar

M.D., F.A.C.C.

Dr. Asad Sawar

Dr. Sawar joined the team at Tampa Cardiovascular Associates in 2009 and is currently a managing partner for 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 the 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.

Dr. Victor Feliz

M.D., F.A.C.C.

Dr. Victor Feliz

Dr. Victor Feliz was born in the Dominican Republic and grew up in Puerto Rico. He attended medical school at Universidad Nacional Pedro Henríquez Ureña in Santo Domingo, Dominican Republic. He completed his residency in Internal Medicine at Mount Sinai School of Medicine in Manhattan, New York. He completed a fellowship in Cardiology at the University of South Florida in Tampa after a fellowship in Geriatric Medicine. Dr. Feliz worked for several years at the VA medical centers in Tampa and Bay Pines. He is currently practicing at Florida Hospital-Tampa, Florida Hospital-Wesley Chapel and Tampa Community Hospital (former Town & Country). Dr. Feliz is Board Certified with the American Board of Internal Medicine in Cardiovascular disease, Internal Medicine and Geriatric Medicine. He has professional memberships with The American College of Cardiology, The Tampa Bay Latin American Medical Society and Colegio de Médicos de PR. He has special interests in Cardiac Catheterizations, Pacemaker, Echocardiography, and Venous Ablation. Dr. Feliz is fully bilingual in English and Spanish.

Dr. Vasco Marques

M.D., F.A.C.C, F.S.C.A.I, R.V.P.I

Dr. Vasco Marques

Dr. Vasco Marques went to medical school at Faculdade de Ciencias Medicas da Universidade Nova de Lisboa, Lisbon, Portugal. He did his rotating internship at Hospitals Civas de Lisboa, Lisbon, Portugal. His cardiology fellowship was done at Hospital Universitario Pulido Valente, Lisbon, Portugal. He then came to the United States and did his residency in internal medicine at the State University of New York, Brooklyn. Following this, he performed his fellowship at the University of Pittsburgh in cardiology and also his fellowship in interventional cardiology at the University of Connecticut Medical Center. He currently practices at Florida Hospital-Tampa, and Florida Hospital-Carrollwood. Dr. Marques is Board Certified with the American Board of Internal Medicine and is also board certified in Cardiovascular Disease and Interventional Cardiology. He has professional memberships with The American College of Cardiology, American Medical Association, American College of Phlebology, American Registry for Diagnostic Medical Sonography, and the Society of Diagnostic Medical Sonography. He has keen interests in Cardiac Catheterizations, Interventional Cardiology, Thrombectomy (clot removal), Peripheral Vascular Disease, and Venous Ablation.

Whether you need a Vein Specialist or a Cardiology Specialist you have come to the right place. Our physicians would love to meet you and take a look at your case so that they can help you form the very best health plan possible. Make an appointment today www.tampacardio.com 813-975-2800.

Compression Therapy for Veins

Tampa cardiovascular associates, cardiovascular, cardiologist, dr sawar, Tampa cardiologists, felize, Cardiologist near me, dr cruz Tampa, Tampa cardiology, Tampa cardiologist, tampa heart and vascular associates, sad sawar, dr Elizabeth healy, cardiology Tampa, cardiologist in Tampa, cardiologist Wesley chapel, vein doctor tampa, vein specialist tampa, veins tampa, tampa vein clinic, tampa vein center

Tampa cardiovascular associates, cardiovascular, cardiologist, dr sawar, Tampa cardiologists, felize, Cardiologist near me, dr cruz Tampa, Tampa cardiology, Tampa cardiologist, tampa heart and vascular associates, sad sawar, dr Elizabeth healy, cardiology Tampa, cardiologist in Tampa, cardiologist Wesley chapel, vein doctor tampa, vein specialist tampa, veins tampa, tampa vein clinic, tampa vein centerVaricose veins can be an uncomfortable nuisance. Living with venous insufficiency or varicose veins you often experience a decrease in your normally active lifestyle due to pain. These conditions can cause a wide range of symptoms that make your legs the new unwanted focus.

Symptoms may include but are not limited to:

  • Visible veins that become dark reddish purple-blue in color and they can become raised or twisted
  • Redness
  • Swelling (edema)
  • Legs may ache
  • Legs may feel heavy
  • Legs may become painful
  • Itching
  • Ulcers may develop
  • Restless Leg Syndrome

Home recommendations: One of the most commonly used home remedies that have been shown to decrease the severity of symptoms is the use of compression.

How it works:

Compression assists the body by reinforcing the vein walls. This is very helpful with veins that are weakened or damaged wall. Proper pressure can be achieved by utilizing compression bandages as a wrap, compression socks (which only cover the bottom half of the leg) or compression hose which will encompass the entire length of the leg.

Compression wear such as hosiery has been shown to help improve blood flow as well as reduce swelling. They may also help reduce the formation of blood clots. Compression garments should only be worn while you are up and mobile, usually in 8 hour time periods. Be very careful lounging around in them or laying down at night as too much compression can actually be harmful as it may cut off circulation further.

Compression hose and socks should fit snuggly but comfortably. They are made in a variety of compressions from mild to tight. The higher the number, the firmer the fit. If you feel like you are starting to lose circulation remove them. 

At Tampa Cardiovascular Associates Vein Clinic they often recommend patients try compression as an at home addition to other treatments offered.

Want to learn more? They would love to talk with you and see how they can help benefit your vein health. If you are in the Tampa, Florida area give them a call at (813) 975-2800 or visitwww.tampacardio.com online to learn more about the practice and their physicians.

Chemoablation in Tampa Florida

chemoablation

chemoablationIf you are dealing with varicose veins you will want to see a qualified Vein Specialist for a proper diagnosis in order to know what your best options are for treatment.

When it has been determined that the traditional method of thermal ablation will not work for a patient, endogenous chemoablation becomes a consideration.

Sometimes referred to as ECA, Endovenous chemoablation is an outpatient procedure with no sedation required. How it works is that a chemical solution is injected into the damaged veins. That chemical destroys and breaks down the damaged veins allowing them to eventually reabsorb naturally into the body. The osmotic agent Hypertonic Saline has been used for decades to treat smaller varicose veins. It is now being used to treat larger veins as well.

The benefit of using chemoablation is that foam sclerosants give a visual mapped image allowing the doctor to stay the course easily with ultrasound guidance.

ECA is best utilized for veins that are inaccessible by laser or radiofrequency ablation.ECA is often the only option for patients who have formerly undergone vein stripping and still have areas where the vein is too gnarled and twisted to use heat ablation.

Let’s Talk Results

Treated veins begin to show fading within a few weeks though it may take a few months to see final results. Chemoablation can also improve related symptoms like aching, burning, cramping, swelling and more.

After Chemoablation

Get up, get active, and move. The more exercise you can do and the healthier you can eat – the better your results. Drink lots of water to keep your veins hydrated and the blood flow moving smoothly.

If you are interested in learning more we invite you to visit us online at www.tampacardio.com or call (813) 975-2800

Signs of a Heart Attack

heart attack

Heart attacks continue to be the leading cause of death for both men and women in the United States today.  The rate for survival increases when a person experiencing a heart attack is with someone who knows the signs. What to keep in mind is that heart attacks can differ with each person. So, the signs of a heart attack in one person might be different in another person. There are some signs that are more common than most, which we list below.

Heart attacks can occur quickly with no warning. They can also build-up gradually and with such a slow onset of symptoms that many of those who have heart attacks are not aware of what is happening until it is too late. Recognizing the signs of a heart attack is very important. Knowing what to look for can save someone’s life, maybe your own.

What for these signs and get immediate medical attention:

  • Chest discomfort – many survivors recall that the “chest pain” they experienced wasn’t exactly painful, but more lie a squeezing and full feeling with “chest pressure”.
  • Discomfort around the chest –We’ve all heard the warning sign that the left arm goes number right before a heart attack. But, in reality, anywhere around the chest can experience pressure, numbness, and pain such as the shoulders, neck, jaw, back, arms and stomach.
  • Shortness of breath – some people may experience fatigue, exhaustion, or shortness of breath and trouble breathing right before a heart attack. This symptom tends to be more common in women than in men and can actually start appearing a few months before an impending heart attack.
  • Gastrointestinal problems – although less common, some people report feeling sick to their stomach and having heartburn before a heart attack. Sometimes, they will vomit. Having this problem is actually very dangerous since you might not realize it is your heart and mistake it for the flu.

If you are concerned that you or someone you love may be at risk for a heart attack, then contact the physicians at Tampa Cardiovascular Associates today by calling (813) 975-2800, and we can get you scheduled for an evaluation with one of our cardiologists.