Tag Archives: Dr. Octavio Cosme

04.02.21
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High Blood Pressure – How High Is Too High?

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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.

03.05.21
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The Pandemic, Depression, and Heart Disease

Depression, heart disease, pandemi

Depression, heart disease, pandemiHas this past year taken it’s toll on you?
Depression can manifest itself in many ways in different people. But if you don’t feel like yourself, are down all the time and have lost your zest for life in this recent year of our “New Normal” first let us say, you are not alone despite being socially distanced.

Depression is felt in your heart center. The question becomes, can it actually be doing physical damage to the heart itself?

Recent research has shown that heart disease can cause depression and that depression can cause heart disease.

A few statistics to mull over.

  • Heart disease remains the leading cause of death in the United States.
  • 1 in 3 Americans are predicted to die with heart disease as the cause.
  • Depression is the leading cause of disability throughout not just the USA but the world.
  • 1 in 20 adults in the USA experience depression yearly and this past year that number increased greatly.
  • 1 in 3 heart attack survivors experiences major depression each year.
  • People with a history of depression are 4 times more likely to experience a heart attack within 14 years than those who have no history of depression.
  • Heart disease patients with depression are 4 times more likely to die within 6 months than those without depression.

The link between heart disease and depression is complex.

Have you ever heard the phrase “stress kills”? While this statement may seem a little overly dramatic, it does have a basis in medical facts. When a person is stressed out, the stress hormones cortisol and adrenaline are released and the sympathetic nervous system is activated, oftentimes referred to as a person’s “fight or flight” response. When a person is depressed, it often results in a chronically elevated level of these hormones, a situation that can have detrimental effects on the heart over time.

Depression has been known to occur as a result of heart disease. In one recent study, nearly half of all patients examined a week following a major heart disease surgery showed beginning signs of clinical depression. But why is this? While the relationship between heart disease and depression is still under study, one possible answer is that patients who have recently undergone major heart surgery tend to feel slow and sluggish, finding it difficult to get back into their regular routines. If their regular routines have been threatened by heart disease or they must change their lifestyles drastically in order to adjust to new health concerns, they will understandably start to feel a sense of discouragement and hopelessness.

Heart disease patients dealing with depression often don’t receive the correct medical treatment in order to address both issues simultaneously. This can in part be due to the actions of the patient directly, as depression can make it difficult for people to remember to take care of themselves, and patients may forget to take their medications or simply not feel the motivation to do so.

They may also lack the motivation and energy to even simply keep their follow-up appointments. Furthermore, many cardiologists and primary care doctors simply don’t have the experience with or exposure to patients with mental illness the way psychiatrists and psychologists do and may not be able to properly recognize when a patient is experiencing depression. For this reason, heart disease patients with depression often get overlooked for their depression and aren’t effectively treated for it the way a patient seeking treatment for mental illness specifically would.

While there are still a lot of unknowns regarding the relationship between depression and heart disease, both conditions can be effectively treated with proper recognition and monitoring. For compassionate cardiologists who care about the overall health of their patients and not just medical issues addressed by them specifically, contact the Tampa Cardiovascular Associates by calling (813) 975-2800 today. www.tampacardio.com.

Our physicians are always here for you. We are always happy to address any concerns you have related to your heart health or to refer you to a qualified mental health specialist.

02.05.21
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Happiness Proves to be Good for Your Heart

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tampa-cardiovascular-associatesStudies reveal that optimistic, happy, glass half full people are more likely to have good heart health as well.

When you have a positive optimistic outlook you feel better physically.

The study looked at two groups of people who had similar risk for heart disease. The results showed the pessimistic group was more likely to experience heart attack or stroke.

Julie K. Boehm, PhD Harvard Researcher was the study lead. She is quoted as saying that “Historically, studies have focused on the negative impact of depression and anxiety. We wanted to look at the flip side to see how psychological well-being – things like happiness, optimism, and having a sense of purpose – might impact risk.”

Happiness spurs positive life decisions

They tend to sleep more regularly, eat better, and exercise. If you are not naturally an upbeat person don’t be hard on yourself. It can be relearned through behavioral therapy and actively watching your thought patterns to help recognize constant negativity, stop it, and replace it with a healthier thought version.

During a collaborative effort on the part of Harvard with Columbia University they based their findings on a 5 point scale. A patient that was able to monitor their behavior and thoughts and was able to raise their number even just 1 point experienced what translated to a 22% risk reduction. That is impressive and could be life changing for many.

While of course more research is needed, and feelings are not exact quantifiable numbers the evidence is mounting and becoming clear that there is indeed a link between heart health and happiness factor so live your life the best you can and try to look on the bright side of things and find humor.

If you are in the Tampa Bay, Florida area and looking for a great cardiologist we invite you to check out Tampa Cardiovascular Associates. WWW.TAMPACARDIO.COM 813-975-2800.

01.03.21
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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.

07.01.20
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Could it Be Hypertension?

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cardiology hypertension tampa florida tampa cardioEssential hypertension is the blanket term used when no root cause is found for high blood pressure.  As many as 95% of all high blood pressure falls into this category.

While essential hypertension is still a mystery to medical science, it has been associated with identifiable risk factors. High blood pressure seems to have a genetic component.  Hypertension is more prevalent in men than women. Race also seems to play a roll as well as the effected age group. In the USA, African Americans have been found to be twice as likely as Caucasians to develop HPB. That gap starts to narrow around 45. Past age 65, black women have the biggest incidence of reported high blood pressure.

Knowing the signs of high blood pressure can help you to catch it in its early stages before damage can occur:

While you can have high blood pressure and not know it often (which is why it is called the silent killer) it does sometimes present with symptoms you can identify if you know what you are looking for.

Nosebleeds

Headaches

Dizziness

Feeling shaky

It is important to get your blood pressure checked regularly. If your readings are high consistently it is time to see your doctor. High is considered anything over 120/80.

Diet is a great regulator and holds a strong influence on high blood pressure. Salt is the number one factor in foods. Those with high blood pressure tend to be sensitive to salt and even small amounts can raise the pressure level. Other linked conditions include being overweight, taking hormonal birth control pills, eating fatty foods with too much salt, smoking, excessive drinking, having diabetes, not getting enough movement or exercise in your daily life, and lacking in the minerals magnesium, calcium, and potassium.

While the source may not be able to be identified there are steps you can take to help get your blood pressure in check.

  1. Check your BP regularly, if it stays high for a period of more than a few weeks consult your physician as leaving hypertension unchecked can lead to damage of the cardiovascular system endangering your health and well-being.
  2. Reduce salt intake as well as fatty food.
  3. Get regular cardiovascular exercise. Movement, stretching, even walking daily help.
  4. Drinking enough water to stay well hydrated. Keep alcohol to a minimum if you must drink at all.
  5. Get tested for any mineral deficiencies and supplement as needed.
  6. If all of these suggestions are followed and still your blood pressure continues to be too high you may need pharmaceutical medication for high blood pressure in order to reduce it.

If you suspect you may be dealing with high blood pressure please give the office of Tampa Cardiovascular Associates in Tampa Bay, Florida a call today at 813-975-2800 to schedule your consultation.

06.01.20
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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.

06.01.20
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Endocarditis – It Can Be Avoided

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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.

04.03.20
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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.

03.10.20
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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

02.02.20
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Reasons to Make an Appointment With a Cardiologist in Tampa, Florida

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You may never have considered visiting a Cardiologist. The very thought scares some people. The idea that there may possibly be something ‘wrong’ with your heart isn’t pleasant.

The fact is if there happens to be something going on with your heart it is by far better to find out and treat it as soon as possible in order to get the very best outcome. We would also like to note that some visits do end with a diagnosis of ‘nothing at all wrong with your heart’. There are several medical issues that can mimic heart problems.

Most patients don’t jump directly to visiting a Cardiologist. Consultations are mostly recommended by a patient’s primary care doctor as a result of either heightened risk factors for cardiovascular disease or symptoms that indicate it may already be an issue.

The number one killer in the world is heart disease. It affects 80 million people. Physicians are well aware of the stakes in early detection.

Risk Factors for Heart Disease

  • Major risk factors include:
  • Genetics – Immediate family members affected and diagnosed already.
  • Heightened blood pressure readings.
  • Raised cholesterol levels.

These may prompt your primary doctor to refer you to a cardiologist.

A genetic history of heart disease may be the catalyst for an evaluation or for low-level tests to check heart function. Depending on the results, you may continue to be monitored by your primary care physician or be given a clean bill of health.

Symptoms causing patients to seek cardiology care may include:

  • Arrhythmias (Rhythm disturbances) can include palpitations or missed heartbeats.
  • Angina (chest pain or discomfort)- This often indicates narrowed arteries.
  • Inability to catch your breath. This may indicate congestive heart failure or valve issues.
  • A cardiac event, such as a heart attack.

If you are in need of an excellent cardiology team in Tampa, Florida we invite you to take a look at Tampa Cardiovascular Associates. This world-renowned team of physicians can handle any form of cardiac issue. We would love the opportunity to review your medical history with you, do a physical exam, and help get you on the right track to your best cardiac health possible.

Give us a call at 813-975-2800 or visit us online bygone to www.tampacardio.com. We are located conveniently at 3010 E. 138th Avenue, Suite 12 in Tampa, Florida 33613.