Dr. Joshua Horenstein, MD

Dr. Joshua Horenstein, MD is a Cardiology specialist dedicated to empowering patients with proactive, comprehensive Cardiovascular care. As a partner in preventive health featured on weprevent.org, he practices at his clinic in Daytona Beach, FL, and is registered with The Florida Board of Medicine, practicing under the Florida Statutes, Title XXXII, Chapter 458 (Medical Practice). Your cardiologist is your primary partner in preventing heart disease and stroke, collaborating with you to create a long-term health plan, coordinate essential screenings, and manage cardiovascular risk factors for a lifetime of wellness. He serves all ages, focusing on proactive health and risk reduction. Please call (386) 258-8722 to confirm if Dr. Horenstein is currently accepting new patients.

Dr. Joshua Horenstein, MD is a cardiologist in Daytona Beach, FL with over 20 years of experience in the medical field. He has extensive experience in Adult Congenital Heart Conditions. He graduated from Yale University in 2002 and is Board Certified in Cardiovascular Disease by the American Board of Internal Medicine. With this wealth of clinical knowledge and compassionate care, he brings a supportive environment where patients feel empowered to take an active role in their long-term health. Dr. Horenstein is affiliated with medical facilities such as AdventHealth Orlando and AdventHealth Daytona Beach, and is accepting telehealth appointments. He provides consultations primarily in English.

A key part of the WePrevent mission is building your personalized prevention roadmap. Dr. Joshua Horenstein is a vital partner in this journey, focusing on proactive strategies to protect and enhance your long-term health.

By working together, you and Dr. Joshua Horenstein can create a clear, actionable plan to address your unique risk factors and health goals.

A proactive approach to health involves understanding and managing potential risks. Dr. Joshua Horenstein provides expert care for a range of conditions, focusing on early detection and effective management to support your long-term wellness. Common areas of focus include:

• Aortopulmonary Septal Defect: An aortopulmonary septal defect is a congenital heart condition where blood flow is disrupted due to a hole in the heart's wall, making regular monitoring and intervention essential to avoid serious heart problems later on.
• Subacute Endocarditis: Subacute endocarditis, a gradual infection of the heart valves, underscores the need for swift medical attention to any suspected infection and careful management of existing heart conditions to avoid severe consequences.
• Rheumatic Tricuspid Disease: Managing rheumatic tricuspid disease effectively involves regular monitoring and often medication to control symptoms and prevent the disease from progressing, thereby ensuring a better quality of life.
• Chronic Congestive Heart Failure: Early detection of chronic congestive heart failure is crucial for preventing serious complications, such as shortness of breath and fatigue, through proactive treatment.
• Type 2 Heart Block - Mobitz: Understanding your risk for Mobitz type 2 heart block, a condition affecting the heart's rhythm, can help you work with your doctor to make lifestyle changes and manage your overall cardiovascular health effectively, preventing future heart problems.
• Nonrheumatic Tricuspid Disease: Managing risk factors like high blood pressure and heart infections is crucial in preventing or slowing the progression of nonrheumatic tricuspid disease.
• Hypertensive Heart with Failure: Hypertensive heart disease with heart failure shows how untreated high blood pressure can weaken your heart, making proactive management of your blood pressure crucial for preventing this progressive condition.
• Tricuspid Valve Disease: Protecting your heart includes understanding and managing tricuspid valve disease; early diagnosis and treatment reduce your risk of significant cardiovascular issues.
• Hypotension: While high blood pressure is commonly known, low blood pressure (hypotension) can also be a risk factor for dizziness and falls, highlighting the importance of regular check-ups.
• Sick Sinus Syndrome: Sick sinus syndrome is a heart rhythm disorder where your heart's natural pacemaker doesn't work properly, making early detection and management crucial to prevent serious complications like fainting or heart failure.
• Mitral Valve Regurgitation: Understanding your risk factors and regularly monitoring your heart health can help identify mitral valve regurgitation early, allowing for timely intervention.
• Carotid Sinus Syncope: Carotid sinus syncope is a fainting spell caused by pressure changes in the carotid arteries in your neck, and early detection can help prevent falls and injuries.

This list highlights some common health concerns and is for informational purposes only. The best way to understand your personal health and create a prevention plan is to schedule a consultation. Accurate diagnosis and personalized treatment plans are developed based on individual patient evaluations.

Taking proactive steps is central to long-term health. Dr. Joshua Horenstein offers a range of key preventive screenings and services designed to provide crucial insights into your health and support your well-being:

• Removal or Revision of Pacemaker or Cardioverter and-or Defibrillator: Taking proactive steps to ensure your pacemaker or defibrillator continues to function optimally helps maintain a healthy heart rhythm and prevents life-threatening complications.
• Cardioversion: If you experience irregular heartbeats, cardioversion is a treatment option that can help restore a normal rhythm and improve your long-term cardiovascular health.
• Arrhythmia Screening: Take a proactive step towards heart health with arrhythmia screening—it checks for abnormal heart rhythms that could indicate underlying conditions.
• Cardiac Imaging: As part of your preventative care, cardiac imaging helps assess your risk for heart disease and stroke. By detecting abnormalities early, you can work with your doctor to implement effective treatment and prevention strategies.
• Pharmacologic Nuclear Stress Test: A pharmacologic nuclear stress test is a safe and effective way to proactively check your heart's health by evaluating blood flow to detect potential problems early, before they become serious.
• Electrocardiogram (EKG): An electrocardiogram (EKG) is a simple test that checks your heart's rhythm and electrical activity, helping detect potential problems early and prevent serious heart issues like heart attacks or strokes.
• Tilt Table Testing: As a diagnostic tool, tilt table testing can reveal whether heart-related issues are contributing to your symptoms, leading to early intervention and improved cardiovascular health.
• Vascular Duplex Ultrasonography and Plethysmography: To proactively safeguard your heart health, consider a vascular duplex ultrasound and plethysmography; this non-invasive scan helps identify blockages or other issues in your arteries and veins before they become major problems.
• Pacemaker Insertion or Replacement: By ensuring a consistent heartbeat, pacemaker insertion or replacement can significantly improve your quality of life and decrease your risk of cardiovascular events.
• Dobutamine Thallium Stress Test: As part of your heart health journey, a dobutamine thallium stress test can reveal if your heart is getting enough blood, enabling early detection and management of potential problems.
• Peripheral Arterial Disease Screening (PAD): Don't wait for symptoms – proactive PAD screening helps identify and treat artery narrowing in your legs and feet before they cause significant health issues.
• Cardiac Catheterization (incl. Coronary Angiography): To proactively safeguard your heart health, a cardiac catheterization uses special imaging to detect narrowed or blocked arteries, enabling timely treatment and reducing your risk of future cardiovascular events.

Service availability can change, and not all services listed may be appropriate for every patient. For a comprehensive understanding of all available services and to create your personalized screening plan, please schedule a consultation.

All medical services are provided in accordance with the standard scope of practice for Cardiology in Florida.

Dr. Joshua Horenstein is dedicated to partnering with Caregivers to achieve their unique health objectives. The following examples illustrate how a proactive approach can make a tangible difference in a Patient's life:

• By diligently following the proactive monitoring plan, a family experienced significant peace of mind knowing their child's aortopulmonary septal defect was being carefully managed, reducing the risk of future heart complications.
• By diligently following a proactive heart health plan, a patient significantly reduced their risk of subacute endocarditis, gaining peace of mind and confidence in their long-term well-being.

These scenarios are illustrative examples of positive health outcomes. Individual results may vary and depend on many factors specific to each patient. He will work with you to define and achieve your personal health goals.

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

What is a Cardiologist, and when should I see one?

A cardiologist is a medical expert specializing in the heart and blood vessels. You should see a cardiologist if you experience symptoms like chest pain or shortness of breath, have a family history of heart disease, or have risk factors like high blood pressure or high cholesterol needing expert management.

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

Your first visit with Dr. Horenstein will be a comprehensive cardiovascular assessment. We'll review your medical and family history, conduct a physical exam, and perform an EKG. We'll also discuss lifestyle and risk factors to create a personalized heart health plan for you.

What are the most important things I can do to prevent a heart attack?

Taking control of your cardiovascular health is within your reach. Knowing and managing your blood pressure and cholesterol, not smoking, regular physical activity, and a heart-healthy diet are key preventive actions. By making these lifestyle choices, you can significantly reduce your risk of a heart attack.

How is Peripheral Artery Disease (P.A.D.) related to heart disease?

Peripheral artery disease (P.A.D.) is caused by the same process as coronary artery disease—atherosclerosis. This plaque buildup affects the arteries in the legs and feet. Having P.A.D. is a significant warning sign, indicating a substantially increased risk of heart attack and stroke.

What is a stent, and how is it placed?

A stent is a tiny, wire-mesh tube that acts as a scaffold to prop open a blocked artery. It's placed during a minimally invasive procedure called an angioplasty, where a catheter is guided through a blood vessel in the wrist or groin up to the heart.

What is the purpose of cardiac rehabilitation?

Cardiac rehabilitation is a medically supervised program of exercise and education designed to help patients recover from heart conditions like heart attacks, stents, or heart surgery. It strengthens the heart, reduces risk factors, and helps patients safely regain their confidence and quality of life.

What is the difference between 'good' (HDL) and 'bad' (LDL) cholesterol?

LDL, or "lousy" cholesterol, builds up plaque in your arteries, potentially leading to blockages. HDL, or "healthy" cholesterol, helps remove this bad cholesterol from your body. Dr. Horenstein helps manage both to prevent heart disease.

What is Atrial Fibrillation (AFib), and is it dangerous?

Atrial fibrillation (AFib) is a common type of irregular and often rapid heartbeat. While the irregular rhythm itself is not usually life-threatening, it significantly increases the risk of stroke. Dr. Horenstein is an expert in managing AFib with medications and procedures to control the rhythm and prevent strokes.

695 N Clyde Morris Blvd
Daytona Beach FL 32114
Phone: (386) 258-8722

Dr. Joshua Horenstein, MD is regulated by the Florida Statutes, Title XXXII, Chapter 458 (Medical Practice) in Florida and is licensed by The Florida Board of Medicine.

National Provider Identifier (NPI): 1306074372

Registration can typically be verified through The Florida Board of Medicine website or by direct inquiry.

The information on this profile, provided by weprevent.org, is for general informational purposes and to help you connect with preventive health partners. It does not constitute direct medical advice from the physician named. Cardiology like Dr. Joshua Horenstein are skilled in helping patients create proactive health plans. For urgent or life-threatening emergencies, please call 911 or visit the nearest emergency department. It is always recommended to maintain open communication with your cardiology about all aspects of your health and your personalized prevention plan.