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.

Why You Should Never Ignore Varicose Veins

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vein specialist tampa tampa cardioNever ignore varicose veins for two reasons:

  1. They are not a cosmetic issue alone.
  2. They will get worse, if not treated, over time.

Varicose veins effect an estimated 40 million people just in the USA. Upwards from 50% of the population over the age of fifty currently have them.

This does not mean that varicose veins are inevitable and that you should simply give up and accept them as a normal part of aging. Varicose veins are caused by venous insufficiency aka vein disease. It is a disease.

By being aware of potential risk factors that might predispose you to such a condition, you can take action to prevent varicose veins from occurring, or at the very least greatly prolong their initial occurrence.

Risk Factors May Encompass Any or All of the Following:

  • Age – Although varicose veins can occur at any age, even in teens and pre-teens, they are much more common in the elderly. Once reaching the age of fifty, a person’s risk for developing varicose veins increases greatly.
  • Weight – Being overweight can lead to the development of varicose veins, especially if an unhealthy diet is present at the same time. Not only does being overweight tend to contribute towards a more sedentary lifestyle, but like with pregnancy, the additional weight creates pressure on the veins of the lower extremities, veins which in turn must work harder against the force of gravity when pumping blood back upwards towards the heart.
  • Activity Level – Staying active and getting frequent exercise is crucial for those who want to prevent varicose veins. An inactive lifestyle can promote the pooling of blood in leg veins and adds pressure to the lower extremities during periods of rest, impairing circulation and preventing important muscle growth from occurring in the calves
  • Sex – While both men and women can have varicose veins, certain factors lead them to be more common in women. Pregnancy and hormonal changes are the culprit for these differences, as both the additional weight of carrying a baby can add pressure to the lower extremities while the presence of additional estrogen in the body leads to an increased risk for blood clots.
  • Genetics – If you have a history of varicose veins in your family, then there is a fairly good chance that you will be afflicted by them as well at some point in your life. In fact, if both of your parents have had varicose veins, then your chance of developing them yourself is considered to be as high as 90%.
  • Trauma to an area – Even in a person who is perfectly healthy and active, physical injury to one or both of the legs can result in varicose veins if the blood vessels beneath the skin are damaged. While these traumas are most likely unpredicted and unpreventable, they can be an indication that varicose veins may be eminent.
  • Profession – Those whose professions require them to sit or stand for prolonged periods of time will be more likely to develop varicose veins. The same can be said for those who are frequent travelers, as sitting in the same position in a car or on a plane for extended periods can make it difficult to adjust posture and take breaks to walk around.

If you are concerned that you may have varicose veins or venous insufficiency and would like to schedule a vein screening at a Tampa vein center, contact the specialists at Tampa Cardiovascular Associates to schedule an appointment today by calling (813) 975-2800. WWW.TAMPACARDIO.COM

 

Heart Disease and HIV Patients

HIV Aids heart disease tampa cardio

HIV Aids heart disease tampa cardioPatients are living longer as HIV treatments progress. They are also living high-quality lives.  Modern medicine has miraculously transformed a tragic terminal illness into a manageable condition that can be lived with and kept in check for years and even decades allowing for a longer fuller life.

The only downfall of this extension is that a connection seems to be forming between HIV patients with longer lives and the development of cardiovascular issues including heart disease, stroke, and heart attack.

This partly stems from ramped up easily available testing and earlier treatment options. Because of this, those with HIV are not developing into full-blown AIDS. This lowers the incidences of AIDS-related complications. It does correlate though to the early onset as well as higher relative risks for chronic diseases among HIV patients.

The risk of stroke and heart disease among those HIV positive was partly linked to an antiretroviral therapy used to help suppress infections. It has been noted that those who were on these antiretroviral continually showed a lower risk than their intermittent counterparts.

Researchers believe that the elevated heart disease risk may be directly related to chronic inflammation caused by having an autoimmune issue. Chronic inflammation is linked to the build-up of plaque in the arteries.

No matter if you are HIV positive, Negative, or Don’t know your status, cardiovascular conditioning is at the very center of our health.  If you are HIV positive or have developed the more advanced Acquired Immune Deficiency Syndrome it is important to check in with your cardiologist on a regular basis as recommended.

There is a current large-scale trial going on right now. It is called REPRIEVE and is being funded by the National Institutes of Health. It examines whether statins can help prevent cardiovascular disease in those living with HIV.

When the results are published, we will pass them on to our readers here at Tampa Cardiovascular Associates. WWW.TAMPACARDIO.COM. Give us a call at the office to schedule your consultation. 813-975-2800.

 

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.

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.

Can Your Heart Benefit from Using a Sauna Regularly?

sauna heart health

sauna heart healthDry vs. Wet Saunas – Are they good for you and can they help your heart?

The DRY SAUNA:. Dry saunas produce a heavy deep sweat which has a cleansing effect on the body by flushing out toxins and impurities, clearing the glands and the pours. This can be beneficial to your skin, but also for stress relief, relaxation, sooth asthma, soothing aching muscles, and even psoriasis, but did you know that spending time regularly in a sauna can help your cardiovascular health and lower the risk of dementia and even Alzheimer’s Disease?

That’s right! It has been shown to reduce the risk of sudden cardiac death, heart disease, and even cardiovascular disease. It has also been shown to help those with chronic fatigue, chronic pain, allergic rhinitis, and obstructive pulmonary disease.

Sauna use has also been shown to help boost athletic performance.

The STEAM ROOM: Steam rooms create a moist environment for you to sit in. Humidity produces different results than the dry sauna. It can be used to loosen stiff muscles and joints, break up congestion inside of your lungs and sinuses, and help improve circulation.

The INFARRED SAUNA: The heat produced is a direct result of infrared lamps.  Because they are a lower temperature (about 120 to 140) you can stay in them longer than a regular dry sauna. Infrared offers all the benefits of a dry sauna plus additional healing, weight loss and pain relief.

They even make personal at home saunas if you don’t care to share one at the gym!

No matter which sauna you choose make sure you stay hydrated. Bring a cold bottle of water in with you. Make sure that you are getting your trace minerals as well because you sweat them out.

Start with a shorter session and work your way up. Do not drink alcohol before or right after a sauna session.

What has your sauna experience been? Do you use them regularly? Let us know!

Doing the sauna weekly or even daily is great for the health of your heart!

WWW.TAMPACARDIO.COM

813-975-2800

Chronic Depression & Heart Disease

chronic-depression-heart-disease

chronic-depression-heart-diseaseIf you’ve ever experienced depression you understand that it can sometimes feel like you have a broken or heavy heart. 

Research has shown both that heart disease can cause depression and that depression can cause heart disease. The answer is yes, chronic ongoing depression can lead to physical heart problems.

Things to consider:

  • Depression is the leading cause of disability throughout the entire world.
  • 1 in 3 Americans will die from heart disease.
  • 1 in 20 adults in America experiences major depression each year.
  • 1 in 3 heart attack survivors experiences major depression each year.
  • Heart disease is the leading cause of death in the United States.
  • 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.

After reading the above statistics regarding heart disease and depression, it is obvious that heart disease and depression are related, though how and why they are related is a much more complex issue. Let’s begin by examining the potential ways in which depression can lead to heart disease. Have you ever heard the phrase “stress kills”? While this statement may seem a little overly dramatic, it does have a lot of 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.

On the other hand, 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.

In addition, heart disease patients with depression often do not 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. Similarly, they may also lack the motivation and energy to keep their follow-up appointments even simply. 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 are not 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.

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

Could it Be Hypertension?

cardiology hypertension tampa florida tampa cardio

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.

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.