EXPERT
Gino N. Vitiello
Cardiologist
Dr. Gino Vitiello is a cardiologist practicing in Miami, Florida. Dr. Vitiello specializes in diagnosing, monitoring, and treating diseases or conditions of the heart and blood vessels and the cardiovascular system. These conditions include heart attacks, heart murmurs, coronary heart disease, and hypertension. Dr. Vitiello also practices preventative medicine, helping patients maintain a heart-healthy life.
Gino N. Vitiello
- Miami, Florida
- Leonard M. Miller School of Medicine
- Accepting new patients
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Is my heart skipping beats?
Difficult but good question, a lot had to do with your age, gender, risk factors, etc. I recommend getting basic labs and an echocardiogram, good physical exam, look at weight READ MORE
Difficult but good question, a lot had to do with your age, gender, risk factors, etc. I recommend getting basic labs and an echocardiogram, good physical exam, look at weight and sleep apnea, etc., if all is normal it’s usally being, also a monitor to wear for 24/ 72 hours would help combining all the above should be easy.
Can eating cause heart palpitations in pregnancy?
For sure it can. Your stomach is distended from pregnancy (third trimester), and add food on top, yes the abdomen distends this could irratate your diaphragm, which is in contact READ MORE
For sure it can. Your stomach is distended from pregnancy (third trimester), and add food on top, yes the abdomen distends this could irratate your diaphragm, which is in contact with your heart, so all the distension can cause palpations as an irrational via contact, very often it’s totally benign, a young female with a normal heart function should be well, and not have this issue post-delivery.
What should be my first few steps when experiencing chest pain?
Hard question it all depends on risk factors, always a good idea if there are risk factors to seek medical attention, as a rule I would take 81 mg of aspirin daily than to be safe READ MORE
Hard question it all depends on risk factors, always a good idea if there are risk factors to seek medical attention, as a rule I would take 81 mg of aspirin daily than to be safe see a DR
Is heart palpitation a normal feeling or is it a medical concern?
Yes it can but also from anxiety, best is to see a DR get a good history, physical, blood tests, an echocardiogram of the heart, a holter monitor, deponding on risks and the above READ MORE
Yes it can but also from anxiety, best is to see a DR get a good history, physical, blood tests, an echocardiogram of the heart, a holter monitor, deponding on risks and the above results a diagnosis can be made.
Is there a way to provide instant relief from chest pain?
With your risks (family history) a good history physical, blood tests, and possible cardiac workup lots of factors to consider, best initial treatment is aspirin 81 mg per day
How can I manage chest pain arising due to coughing?
The pain is from airway irratation cold and flu remedies may help and non steroidal anti inflammatory, but if persists much beyond (2 weeks) a cold would see your DR
What are the possible triggers of left side chest pain?
It can be but your age is somewhat protective, if you have more then two risk factors (family history) is one see your DR for a history, physical, labs and maybe a stress test, READ MORE
It can be but your age is somewhat protective, if you have more then two risk factors (family history) is one see your DR for a history, physical, labs and maybe a stress test, it’s based on an individual basis
Does a discomfort and pain in chest mean something serious?
Yes it can be, depends on risk factors, but if more then 2 risks I would seek medical attention for a histor, physical, lab tests, and perhaps an echocardiogram and stress test READ MORE
Yes it can be, depends on risk factors, but if more then 2 risks I would seek medical attention for a histor, physical, lab tests, and perhaps an echocardiogram and stress test it’s all up to the individual patient, but I would lean towards having it checked
What are the possible triggers of left side chest pain?
Yes it could be with activity but there are other causes such as gastric or muscular skeletal among others . My thought before any excerise program with your family history a cardiac READ MORE
Yes it could be with activity but there are other causes such as gastric or muscular skeletal among others . My thought before any excerise program with your family history a cardiac eval, and a regular stress test / ekg , but there are other causes for chest pain.
Regaining strength after a stroke
Without the opportunity to see her it's hard to say. She should be seen by rehab medicine for a consult. I also note patients are somewhat depressed post stroke , and that could READ MORE
Without the opportunity to see her it's hard to say. She should be seen by rehab medicine for a consult. I also note patients are somewhat depressed post stroke , and that could be part of the problem, also she may be dehydrated and perhaps not on a good diet with proper nutrition and vitamins, botom line is that she should be seen by a comprehensive doctor.
Is plavix( clopidogrel ) a blood thinner?
Most of the time plavix is used for one year , but longer if a stent were inserted in certain cases. Plavix is a blood thinner by blocking platet adhesion to the inner lining of READ MORE
Most of the time plavix is used for one year , but longer if a stent were inserted in certain cases. Plavix is a blood thinner by blocking platet adhesion to the inner lining of your blood vessels. It should be stoped 5-7 days prior to surgery and no weaning is needed. It's possible that you no longer need it but that is up to your cardiologist .
Are there alternatives to a catheter ablation for atrioventricular reciprocating tachycardia
The best treatment would be ablation as they are highly successful. The problem here is that at 9 years old he is at risk for a cardiomyopathy from rapid heart rates. Also taking READ MORE
The best treatment would be ablation as they are highly successful. The problem here is that at 9 years old he is at risk for a cardiomyopathy from rapid heart rates. Also taking medication at that age is not wise and loaded with side effects, and for how long? Digoxin does not work in active patients and also has side effects , truly ablation is the true way to treat this in a good center for pediatric care.
Increasing resting heart rate, what is it?
Yes I understand the concern, it's usually due to adrenaline, but may not be a bad idea to check your heart out. Also may check, thyroid, make sure you don't have sleep apnea, READ MORE
Yes I understand the concern, it's usually due to adrenaline, but may not be a bad idea to check your heart out. Also may check, thyroid, make sure you don't have sleep apnea, check blood tests ( anemia), be care with weight loss supplements, excessive caffeine, sport drinks , tobacco smoke, may consider over the counter mood relaxing vitiams ( gaba), also make sure your well hydrated with water.
Gum disease and heart disease
No they are not related , but I lack of dental hygiene can lead to coronary disease and valvular heart disease , that is why antibiotics should be takes by patients who have more READ MORE
No they are not related , but I lack of dental hygiene can lead to coronary disease and valvular heart disease , that is why antibiotics should be takes by patients who have more than mild regurgitation of mitral or aortic to prevent endocarditis prior to dental procedures .
Will my hip replacement put me at risk for heart disease?
Hi how are you? Yes if you have no medical issues ( cardiac) in particular, and prior to your hip you ambulated well than you as a patient is low risk, the operation as ortopedic READ MORE
Hi how are you? Yes if you have no medical issues ( cardiac) in particular, and prior to your hip you ambulated well than you as a patient is low risk, the operation as ortopedic is intermediate risk , if you truly need the operation, you should be fine, only test I would do from a cardiac point of view are an ekg , and echo at most , overall your good to go
I have symptomatic PVCs. When do they become dangerous?
They are only of concern if your heart is diseased, low electrolytes( magnesium, potassium, calcium, liver, renal issues). Also, make sure no sleep apnea, or to deal with all your READ MORE
They are only of concern if your heart is diseased, low electrolytes( magnesium, potassium, calcium, liver, renal issues). Also, make sure no sleep apnea, or to deal with all your risk factors. If your heart is strong, PVCs are benign, but look into the above listed causes.
Valve repair success
You always want to repair a valve (much less complicated), but there may be reasons to replace, I would need much more information to give an accurate answer.
Abdominal aneurysm prevention
Hi, yes always make sure your blood pressure is good (120/70) or less. Also, one may have pain or feel a pulsation in that area. Consider an abdominal catscan (it can be prevented). READ MORE
Hi, yes always make sure your blood pressure is good (120/70) or less. Also, one may have pain or feel a pulsation in that area. Consider an abdominal catscan (it can be prevented). I can help with more details.
Weak from a stroke
Hi, yes you can with physical therapy, aspirin 81 mg/day. Also, there are so many natural supplements you can take.
Don't want to have surgery for enlarged heart--any other options?
Hi, well an enlarged heart on chest X-ray is not sensitive or specific for heart disease. I recommend a good history, exam, and echocardiogram of the heart and that should give READ MORE
Hi, well an enlarged heart on chest X-ray is not sensitive or specific for heart disease. I recommend a good history, exam, and echocardiogram of the heart and that should give you all the answers. Let me know if I can further help.
