Dr. Joshua Horenstein, MD

About Dr. Joshua Horenstein, MD

Dr. Joshua Horenstein, MD is a Cardiology practicing at our Daytona Beach, FL clinic, dedicated to providing high-quality, comprehensive, and patient-centered Cardiovascular care. He is registered with The Florida Board of Medicine and practices under the Florida Statutes, Title XXXII, Chapter 458 (Medical Practice). I provide comprehensive diagnosis, treatment, and prevention strategies for heart and blood vessel diseases, ensuring optimal cardiovascular health for my patients. He serves all ages and patients should call (386) 258-8722 to confirm if he is currently accepting new patients.

Dr. Joshua Horenstein, MD is a cardiologist in Daytona Beach, FL and has over 20 years of experience in the medical field. He has extensive experience in Adult Congenital Heart Conditions. With over 20 years of dedicated experience in Cardiovascular care, he brings a wealth of clinical knowledge and compassionate care to his patients and their families. Dr. Horenstein earned his medical degree from Yale University in 2002 and is Board Certified in Cardiovascular Disease by the American Board of Internal Medicine. He is affiliated with medical facilities such as AdventHealth Orlando and AdventHealth Daytona Beach. He is accepting telehealth appointments. Dr. Horenstein provides consultations primarily in English.

His approach to care emphasizes evidence-based medicine, patient education, collaborative decision-making, and providing a supportive, reassuring environment for patients. He is committed to fostering a strong doctor-patient relationship, ensuring that each patient feels heard and understood throughout their journey to optimal cardiovascular health.

Cardiovascular Conditions Addressed

Dr. Joshua Horenstein addresses a wide range of Cardiovascular health concerns, including:

• Pulmonary Hypertension: With pulmonary hypertension, your heart works harder to pump blood through your lungs because the blood vessels are constricted.
• Atrial Septal Defect: With an atrial septal defect, some oxygen-rich blood flows from the left atrium to the right atrium, instead of out to the body.
• Atherosclerosis: Atherosclerosis, or 'hardening of the arteries,' occurs when cholesterol and other materials accumulate, blocking blood flow.
• Vitamin D Deficiency: Vitamin D deficiency can lead to weakened bones and muscle problems.
• Sinus Tachycardia: With sinus tachycardia, your heart beats faster than usual because the sinoatrial (SA) node, the heart's natural pacemaker, is working too quickly.
• Acute Deep Vein Thrombosis (DVT): A DVT is a serious condition where a blood clot suddenly blocks a deep vein, often causing pain and swelling.
• Atrial Fibrillation: With atrial fibrillation, the heart's electrical signals become disorganized, leading to an abnormally fast and irregular heartbeat.
• Supraventricular Tachycardia: Supraventricular tachycardia is a type of arrhythmia where the heart beats too quickly because of a problem with the heart's upper chambers.
• Cardiac Tamponade: Your heart is squeezed by fluid within its protective sac in cardiac tamponade, leading to dangerously low blood flow.
• Aneurysm: An aneurysm is a bulge in a blood vessel that can weaken and potentially rupture.
• Mitral and Aortic Valve Disorder: Mitral and aortic valve disorder refers to problems with the heart's mitral and aortic valves, which can affect blood flow.
• Orthostatic Hypotension: Orthostatic hypotension is a condition where your blood pressure drops when you stand up, causing dizziness or lightheadedness.

Please note: This list highlights some common health concerns that Dr. Joshua Horenstein addresses and is for informational purposes only; it does not constitute medical advice. The range of conditions a Cardiology manages is broad, and this list is not exhaustive. For a comprehensive understanding of how he can assist with your Patient's specific health needs or to discuss any particular symptoms, it's always best to schedule a consultation. Accurate diagnosis and personalized treatment plans are developed based on individual patient evaluations.

Cardiovascular Services Provided

Dr. Joshua Horenstein offers a range of services to support your Patient's health and well-being, such as:

• Tilt Table Testing: This non-invasive test helps doctors identify if changes in blood flow, such as those related to neurally mediated syncope, are causing your symptoms.
• Pharmacologic Stress Test: This service assesses your heart's response to medicine to evaluate its health and function.
• HeartAware Online Risk Screening: HeartAware's online risk assessment provides a personalized overview of your cardiovascular health.
• Cardiac Imaging: Various types of cardiac imaging, such as echocardiograms and CT scans, help doctors make a diagnosis and plan treatment.
• Cardiovascular Diagnostic Test: A cardiovascular diagnostic test helps doctors assess the health of your heart and blood vessels.
• Arrhythmia Screening: An arrhythmia screening involves tests to see if your heart beats too fast, too slow, or irregularly.
• Pacemaker Insertion or Replacement: A pacemaker is a small device implanted under the skin to help regulate your heartbeat if it's too slow or irregular.
• Chest Pain Evaluation: Our cardiovascular service evaluates chest pain to determine its cause and recommend appropriate care.
• Treadmill Stress Test: A treadmill stress test is an exercise test that monitors your heart's response to physical exertion to help diagnose heart problems.
• Vascular Duplex Ultrasonography and Plethysmography: Vascular Duplex Ultrasonography and Plethysmography help doctors visualize blood vessels and measure blood flow, aiding in the diagnosis of circulatory issues.
• Cardioverter-Defibrillator or Pacemaker Insertion: This service provides implantation of a device to help regulate your heart rhythm.
• Cardiovascular Stress Test: A cardiovascular stress test helps doctors evaluate your heart health by observing how it works under stress.

Please note: This list highlights some of the key services that may be offered by Dr. Joshua Horenstein. Service availability can change and not all services listed may be appropriate or offered to every patient. The scope of services provided by a Cardiology can vary. For a comprehensive understanding of all available services or to discuss your Patient's specific healthcare needs, it's always best to schedule a consultation. Some specialized procedures or advanced diagnostic tests may require referral to a subspecialist.

All medical services are provided in accordance with the standard scope of practice for Cardiology in Florida and adhere to the ethical and professional guidelines set forth by The Florida Board of Medicine.

Frequently Asked Questions

Here are answers to some common questions about care with Dr. Joshua Horenstein:

What is a Cardiologist?

A cardiologist is a medical doctor specializing in the heart and blood vessels. They diagnose, treat, and prevent diseases like coronary artery disease, heart failure, arrhythmias, and high blood pressure. Our cardiologists are experts in these conditions.

What should I expect during my first visit with Dr. Joshua Horenstein?

Your first visit with Dr. Horenstein will involve a detailed discussion of your symptoms, risk factors, and family history. A physical exam and electrocardiogram (EKG) are standard, and further testing, such as an echocardiogram or stress test, might be recommended based on your individual needs.

Does Dr. Joshua Horenstein accept my insurance?

Dr. Horenstein's office accepts a variety of insurance plans. To confirm your specific coverage for consultations and procedures, please call our office directly with your insurance information.

What is a cardiac catheterization or angiogram?

Cardiac catheterization, or angiogram, is a minimally invasive procedure used to diagnose and treat heart conditions. A thin tube (catheter) is guided to the heart to measure pressures and visualize the coronary arteries with dye, allowing identification of blockages.

How does Dr. Joshua Horenstein treat high blood pressure (hypertension)?

Dr. Horenstein takes a comprehensive approach to managing hypertension, focusing on lifestyle modifications like diet, exercise, and stress reduction, combined with appropriate medication prescriptions. The goal is to achieve and maintain healthy blood pressure levels to prevent potential future heart and vascular problems.

What is the difference between a pacemaker and a defibrillator (ICD)?

A pacemaker helps regulate slow heartbeats by sending electrical signals, while an implantable cardioverter-defibrillator (ICD) monitors for and treats dangerously fast heart rhythms with electrical shocks.

Why do I need to wear a Holter or event monitor?

A Holter or event monitor is a portable EKG device worn for a period of one or more days to record your heart's rhythm during normal daily activities. This helps us detect any arrhythmias that might not show up during a standard, brief in-office EKG.

What is a stent and why would I need one?

A stent is a tiny, expandable mesh tube placed inside a narrowed or blocked coronary artery. Its purpose is to prop the artery open, restoring blood flow to the heart muscle and relieving symptoms such as chest pain.