by NJ Cardiovascular Institute | Aug 9, 2026 | Blog, Heart Health
Flip-flopping in your chest. Pounding in your throat. Rapid beats that make you feel a little lightheaded. All these and more are signs of a common phenomenon: heart palpitations.
Palpitations are irregular heartbeats, and they can draw your attention to your heart and make you wonder if something is wrong. Most of the time, palpitations aren’t a sign of something more serious — but it’s important to know when to get your heartbeat checked out by a pro.
Kunal Patel, MD, and our team at NJ Cardiovascular Institute provide comprehensive heart care. Lots of people ask us if they should be concerned about their heart palpitations, and here’s our answer.
The most common causes of heart palpitations
Your heart follows a normal rhythm, but it’s not unusual for that rhythm to get disrupted occasionally. Your activity level, your emotional state, and even the foods you consume can change your heart rhythm.
A few of the most common causes of palpitations are:
Depression
Fever
Hormonal changes
Stimulants, like caffeine or nicotine
Strenuous exercise
Strong emotions, like anxiety, stress, or panic
Heart palpitations due to these factors are temporary, and they usually aren’t cause for concern.
When to go to the doctor for heart palpitations
Most of the time, heart palpitations aren’t a sign that something is wrong with your heart. However, about one in 18 Americans has an arrhythmia, or irregular heartbeat. Arrhythmias require medical care, so it’s important to get your heart palpitations checked out if:
You get heart palpitations frequently
Almost everyone experiences palpitations at some point, but they’re usually fairly infrequent. Make an appointment with Dr. Patel if you regularly get more than six heart palpitations in one minute or if you get three or more palpitations at a time. You should also talk to Dr. Patel if you experience a sudden change in palpitations.
You’re at risk for heart disease
Heart palpitations could be a sign of heart disease, a group of conditions that limit your heart function and put your health at risk. Anyone can get heart disease, and factors that increase your risk include:
Diabetes
High blood pressure
High cholesterol
Obesity
Physical inactivity
Poor diet
Smoking
Talk to Dr. Patel about your heart palpitations if you’re at risk of heart disease or if you have a history of heart disease.
You have additional symptoms with palpitations
In rare cases, heart palpitations could be a sign of a heart attack. Call 911 if you get palpitations along with:
Confusion
Chest pain or pressure
Difficulty breathing or shortness of breath
Dizziness or lightheadedness
Excessive sweating
Fainting or loss of consciousness
These symptoms could indicate that you’re having a heart attack. A heart attack is a medical emergency.
If you’re worried about your heart, don’t hesitate to get it checked out. Dr. Patel and our team run diagnostic tests to evaluate your heart health and pinpoint the cause of your discomfort. Once we know what’s causing your palpitations, we work with you to develop a treatment plan.
Contact NJ Cardiovascular Institute online or call one of our offices in Elizabeth, Lakewood, Paramus, or Secaucus, New Jersey, to make your first appointment.
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by NJ Cardiovascular Institute | Aug 9, 2026 | Blog, Heart Health
Many serious ailments come with warning signs like a lump or pain. High blood pressure, however, can often be a "silent killer" with no symptoms.
Here at the NJ Cardiovascular Institute in Secaucus and Newark, New Jersey, Dr. Kunal Patel and our highly trained team offer state-of-the-art treatment in our friendly relaxed offices. Whether you are suffering from heart disease, high blood pressure, varicose veins, or other issues, we provide personalized care and a customized treatment plan to improve your health.
What is high blood pressure?
Blood pressure readings consist of two numbers that measure the force of the blood against the artery walls. The top (systolic) number measures the force when the heart is beating, and it’s the larger of the two numbers. The bottom (diastolic) number measures the pressure when the heart is relaxed between beats. Blood pressure is considered normal when the systolic number is less than 120 and the diastolic is lower than 80.
Symptoms and statistics
Most people don’t have any symptoms of high blood pressure. Others may experience general symptoms like headaches, shortness of breath, or nosebleeds, which they often don't take seriously. It's not surprising, then, that approximately 11 million adults in the United States don’t know they have high blood pressure — and aren’t receiving treatment.
Risk factors
A number of risk factors can influence who develops high blood pressure. Aging increases the chances, with it being more common in men until their mid-60s, at which point women become more likely to see high numbers. It is also more common in people of African heritage. Genetics play a role, too.
Lifestyle choices can also affect your risk. Being overweight, having a sedentary lifestyle, using tobacco, and drinking too much alcohol can all play a role. A poor diet, including too much salt and too little potassium, can also contribute. Stress, as well as some chronic health ailments, can also increase your risk.
Diagnosis and treatment
Given high blood pressure can lead to everything from heart attacks, strokes, and aneurysms to heart failure, vision issues, dementia, and more, it's important to know your numbers and get treatment if they are high.
Blood pressure changes throughout the day and can also rise when you're at the doctor's office. Therefore, your reading will typically be taken two or three times at three or more separate appointments to make sure the numbers are accurate and consistent. It is measured in both arms, and your doctor may even ask you to take it at home for comparison.
If you’re diagnosed with high blood pressure, improving your lifestyle habits can help, including eating a heart-healthy diet that’s low in salt, exercising regularly, losing weight if necessary, and watching your alcohol intake. If healthier habits don't bring your numbers down low enough, medications can also be discussed.
If you're not sure of your blood pressure numbers or have any other cardiology issues, contact Dr. Patel today to make sure your heart stays in the best condition possible.
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by NJ Cardiovascular Institute | Apr 2, 2026 | Blog, Heart Health
Your heart works tirelessly to pump blood from your heart and deliver oxygen to every cell in your body. It’s one of your body’s most essential organs, but did you know that heart disease is the leading cause of death in the United States?
Heart disease encompasses a variety of conditions affecting your heart function. It can significantly impact your quality of life and overall health — but the good news is that most types of heart disease are treatable, especially when diagnosed in early stages.
Kunal Patel, MD, and our team at NJ Cardiovascular Institute work with patients of all ages to help them understand heart disease and its treatment options. When you know what to look for, you can recognize warning signs early and take proactive steps to protect your cardiovascular health. Here are five of the most common types of heart disease.
1. Coronary artery disease
Coronary artery disease (CAD) is the most common type of heart disease in the United States. It develops when plaque builds up in the arteries that supply blood to your heart muscle. Over time, this buildup narrows and hardens your arteries (atherosclerosis), which reduces blood flow and oxygen delivery to your heart.
CAD can cause chest pain, shortness of breath, or fatigue as it progresses. In severe cases, a complete blockage in an artery can lead to a heart attack.
2. Heart failure
Despite its name, heart failure doesn't mean your heart has stopped working. Instead, it means your heart isn't pumping blood as efficiently as it should. Heart failure develops gradually, often as a result of other conditions that weaken your heart over time, such as high blood pressure or CAD.
If you have heart failure, you might notice swelling in your legs and ankles, persistent fatigue, or difficulty breathing, especially when you’re lying down.
3. Arrhythmias
A healthy heart beats in a steady, regular rhythm. But when you have an arrhythmia, your heart beats too fast, too slow, or irregularly. It might feel like your heart is racing, fluttering, or skipping beats.
Some arrhythmias are harmless and don't require treatment, while others can be serious or even life-threatening. Atrial fibrillation is one of the most common types of arrhythmia, and it increases your risk of stroke if left untreated.
4. Heart valve disease
Your heart has four valves that open and close with each heartbeat to keep blood flowing in the right direction. When you have heart valve disease, one or more of these valves doesn't work properly.
The valve might not open fully, forcing your heart to work harder to pump blood through a narrowed opening. Or it might not close completely, allowing blood to leak backward.
Symptoms of valvular heart disease include fatigue, shortness of breath, chest pain, or dizziness as your heart struggles to compensate for valve dysfunction.
5. Cardiomyopathy
Cardiomyopathy refers to diseases of the heart muscle itself. If you have cardiomyopathy, your heart muscle becomes thick, rigid, or weak, which makes it harder for your heart to pump blood effectively.
You might not notice any symptoms in the early stages, but as the disease progresses, you may experience shortness of breath, swelling, fatigue, and irregular heartbeats. There are several types of cardiomyopathy, some inherited and others caused by conditions like high blood pressure, infections, or even alcohol abuse.
Taking control of your heart health
Heart disease is serious, but it doesn’t mean you can’t enjoy a full, active life. Dr. Patel and our team partner with you to understand your health needs and develop a treatment plan that fits your life.
Whether you have a heart disease diagnosis, risk factors for heart disease, or you’re simply taking a proactive approach to heart care, we’re ready to help. Our Heart Smart Program gives you the tools to maintain a healthy diet, exercise regularly, manage stress, avoid smoking, and keep conditions like high blood pressure and diabetes under control.
It includes regular checkups to monitor your progress, and we work with you to adjust your treatment plan as needed. By staying informed and proactive, you give yourself the best chance for a long, heart-healthy life.
Learn more about heart disease, your risk, and how to protect your heart with a personalized consultation at NJ Cardiovascular Institute. Call us at 201-866-7000 or send us a message online now.
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by NJ Cardiovascular Institute | Feb 23, 2026 | Blog, Heart Health
When it comes to heart health, knowledge is power. One important measure is how well your heart functions when it’s working hard — and a stress test is a noninvasive diagnostic procedure that measures your heart’s response to physical activity or simulated exercise.
By monitoring your heart rate, blood pressure, and electrical activity during controlled exertion, a stress test helps doctors uncover issues that might not be apparent at rest. Kunal Patel, MD, and our team at NJ Cardiovascular Institute use stress testing to evaluate cardiovascular health and guide treatment decisions.
If your doctor has recommended a stress test, here’s a closer look at how it works and some of the most common reasons you might need one.
What is a stress test?
A stress test, or exercise stress testing, gives your medical team the opportunity to observe how well your heart performs under physical exertion, usually through monitored exercise on a treadmill or stationary bike. In some cases, if physical exercise isn’t possible or sufficient, we may use medications that simulate exercise’s effects on your heart instead.
We place sensors on your body that track your heart’s electrical activity via electrocardiogram (ECG), blood pressure, and symptoms as your cardiovascular system works harder. The goal is to reveal problems with blood flow, rhythm, and heart function that may not show up when your heart is at rest.
Common reasons for stress testing
Stress tests are a widely used and effective method to evaluate patients with known or suspected heart disease or other concerning cardiovascular symptoms. Four of the most common reasons we recommend stress testing are:
1. Unexplained chest pain or discomfort
A stress test can help evaluate chest pain or discomfort, particularly when the pain may be related to reduced blood flow to your heart. Not all chest pain is cardiac in origin, and a stress test helps determine whether your heart muscle is receiving enough oxygenated blood during exertion — especially if your symptoms arise with activity and improve with rest.
A stress test can also help distinguish between heart-related pain, such as pain caused by coronary artery disease, and pain that may have a non-cardiac source. By observing your heart under controlled, increasing workload, we can assess how well your heart tolerates stress and whether you need further evaluation or treatment.
2. Shortness of breath or exercise intolerance
If you find yourself unusually short of breath during physical activity or unable to exercise as expected for your age and fitness level, a stress test can help determine why. Shortness of breath with exertion can be a sign of cardiovascular limitations, including issues with blood flow, heart rhythm irregularities, or diminished pumping capacity.
A stress test provides a structured way to evaluate how your heart and lungs respond to increasing levels of activity. This helps us understand whether your symptoms stem from cardiac causes or if other systems may be involved, allowing for targeted diagnostic follow-up and care.
3. Abnormal findings on other heart tests
Sometimes, we recommend a stress test after initial heart evaluations — such as an ECG at rest, an echocardiogram, or imaging study — reveal abnormalities or inconclusive results. For example, if a resting ECG suggests reduced blood flow, a stress test can provide additional information.
4. Assessment of known heart disease or risk factors
If you’ve already been diagnosed with heart disease or you have significant risk factors like hypertension, high cholesterol, a family history of early heart disease, diabetes, or prior heart events, a stress test may be part of your routine monitoring.
Regular stress testing helps track how well your heart tolerates activity and whether treatment strategies like medication changes or lifestyle interventions are effective. It can also help identify changes over time, prompting adjustments to your care plan before symptoms worsen.
Partner with our team for top cardiovascular care
A stress test offers valuable insight into how well your heart performs when pushed beyond resting conditions, making it a good option to evaluate symptoms like chest pain and clarify past test results. Getting a stress test is an opportunity to take proactive steps toward better cardiovascular care, and our team is here to guide you each step of the way.
Call us at 201-866-7000 to book an appointment at one of our offices in Elizabeth, Lakewood, Paramus, and Secaucus, New Jersey, or send us a message online to learn more.
by NJ Cardiovascular Institute | Jan 22, 2026 | Blog, Heart Health
When arteries in your legs are narrowed or blocked, the muscles and tissues below don’t get enough oxygen-rich blood to function properly. That’s what happens with peripheral artery disease (PAD).
It’s a common condition — but while many people expect PAD to cause dramatic symptoms, the first sign is often subtle: leg pain when walking, or a heaviness or crampy feeling that goes away when you rest. This warning sign is called claudication, and it’s important to take it seriously.
That’s because the same artery-narrowing process that causes PAD can affect other arteries in your body, which may increase your risk of heart attack or stroke. The good news is that PAD is treatable.
Kunal Patel, MD, and our team at NJ Cardiovascular Institute specialize in cardiovascular care in Elizabeth, Lakewood, Paramus, and Secaucus, New Jersey. We want patients to know that persistent leg pain isn’t something to shrug off, and here’s why.
Understanding peripheral artery disease
PAD develops when the arteries that send blood from your heart to your legs become narrowed or blocked. The primary cause is atherosclerosis, which is a buildup of fatty deposits (plaque), cholesterol, calcium, and other materials along artery walls.
Atherosclerosis is one of the most common types of heart disease. And when you have PAD, plaque builds up inside your arteries over time, gradually reducing blood flow and making it more difficult for your leg muscles to get the oxygen they need when you walk or exercise.
It’s important to note that plaque buildup doesn’t just affect your legs. The same condition can affect arteries that supply your heart or brain, and that means PAD is closely linked with other forms of vascular disease. People with high cholesterol, high blood pressure, diabetes, a history of smoking, or prior heart disease are at higher risk.
How leg pain can be a warning sign of PAD
One of the earliest and most common symptoms of PAD is leg discomfort during activity like walking or exercising. It can appear in your calves, thighs, or buttocks, and it usually starts when you’re moving and eases when you rest. You might notice:
A crampy, aching, or tight feeling in your legs
Weakness, tiredness, or a feeling of heaviness in your legs, even if it isn’t sharp pain
Coldness, numbness, or a change in skin color in your foot or lower leg — especially when compared with your other leg
Slow healing sores or wounds on your legs, ankles, or feet
Shiny or thin skin on your legs
Leg hair changes or toenail changes
Symptoms of PAD come and go, and it’s not uncommon to only experience them during activity. Many people dismiss this type of leg pain as just getting older or having sore muscles, but it’s important to pay attention to persistent or recurring discomfort, even if it’s mild.
What to do if you think you might have PAD
The leg pain that PAD can cause isn’t just about your legs. If arteries in your legs are narrowing, chances are other arteries might be, too — and that overlap can increase your risk of serious complications like heart attack and stroke.
If you experience leg pain when walking or you notice changes in leg comfort, don’t wait. Our team at NJ Cardiovascular Institute offers comprehensive consultations, where we review your symptoms, your risk factors, and your overall cardiovascular health.
We can order vascular testing — such as an ankle-brachial index, blood flow studies, or imaging — to check for narrowed arteries or reduced blood flow. Once we diagnose your condition, we work with you to create a customized treatment plan.
Depending on your specific needs, we may recommend a combination of lifestyle changes, exercise, medication, or interventional procedures. Having high cholesterol, high blood pressure, or other cardiovascular risk factors makes PAD more likely, so lowering those risk factors can reduce the chance of PAD progression and help protect your heart, too.
Don’t ignore leg discomfort. Once it’s diagnosed, PAD is manageable — and by acting early, you have the best opportunity to protect your legs, your heart, and your long-term health. Contact NJ Cardiovascular for an appointment, and we’ll help you find a path to stronger vascular health and peace of mind.
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by NJ Cardiovascular Institute | Dec 12, 2025 | Blog, Heart Health
You may already be thinking about setting New Year’s resolutions, and if you’re hoping to take charge of your health in 2026, there’s no better place to start than your heart. Cardiovascular disease remains one of the leading causes of death in the United States, but with simple, consistent lifestyle changes, you can significantly lower your risk and improve your long-term wellness.
At NJ Cardiovascular Institute, our Heart Smart Program is designed to help patients do exactly that: make sustainable lifestyle changes, manage risk factors, and monitor heart health under expert supervision. Here are five resolutions to get your heart in top shape this year, courtesy of cardiologist and varicose vein specialist Kunal Patel, MD, FACC.
1. Move your body every day
Regular physical activity strengthens your heart muscle, improves circulation, and helps manage high blood pressure and high cholesterol. The American Heart Association recommends at least 150 minutes of moderate aerobic exercise each week, which works out to 30 minutes a day, five days a week.
You don’t have to run marathons or even join a gym to get results. Brisk walking, cycling, dancing, or even doing yard work can make a big difference. The key is consistency, so find something you enjoy and stick with it.
If you have heart disease or risk factors like hypertension or diabetes, always talk to your healthcare team before starting a new exercise plan. Our team can offer personalized exercise recommendations to help you stay active safely and effectively.
2. Eat more whole, heart-healthy foods
Your diet has a direct impact on your cardiovascular health. A diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats can help reduce inflammation, lower cholesterol, and maintain healthy blood sugar levels. Make a resolution to:
Choose lean proteins like fish, poultry, and legumes
Incorporate heart-healthy fats from nuts, avocados, and olive oil
Limit processed foods that are high in sodium and sugar
Focus on portion control and mindful eating
Our Heart Smart Program includes nutrition counseling and meal planning guidance tailored to your personal health goals, making it easier to make lasting dietary changes.
3. Manage stress effectively
Chronic stress can raise your blood pressure, increase inflammation, and make it harder to stick to healthy habits. Resolve to make it a priority to find ways to manage stress that work for you.
Try deep breathing exercises, meditation, yoga, or journaling to help calm your mind. Even simple lifestyle changes like spending more time outdoors or setting aside time for hobbies can support both your mental and cardiovascular health.
4. Stay on top of your numbers
Knowledge is power when it comes to your heart. Regular checkups help you monitor key health indicators like blood pressure, cholesterol, and blood sugar levels — and detect issues before they become serious.
Our Heart Smart Program uses advanced diagnostics and ongoing monitoring to track your heart health and tailor your care plan. Whether you’re managing an existing condition or you simply want to prevent one, staying proactive is one of the best resolutions you can make.
5. Don’t go it alone
Healthy changes are easier to make — and stick with — when you have guidance and accountability. That’s where our Heart Smart Program shines.
Our goal is to provide a comprehensive, patient-centered approach that helps you set achievable goals, stay motivated, and make lasting improvements in your heart health. We’re here to support you every step of the way with education, monitoring, and individualized care.
Looking ahead to the new year, make the commitment to take meaningful steps toward a stronger, healthier heart and a longer, more active life. To get started, contact us online or call 201-866-7000 to make an appointment at one of our offices in Elizabeth, Lakewood, Paramus, and Secaucus, New Jersey.
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