About
Dr. Earl Bram Nussbaum is a dedicated Cardiologist specializing in the diagnosis, treatment, and prevention of heart and blood vessel diseases. Practicing in Markham, ON, he serves patients from the surrounding region, adhering to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO). He provides comprehensive care in Cardiology, focusing on adult patients with various cardiovascular concerns, ensuring evidence-based and patient-centered approaches.
He graduated with a Medical Degree from McGill University Faculty of Medicine and Health Sciences in 1986 in Canada. With over 31 years of experience as a practicing specialist in Cardiology since 1993, Dr. Nussbaum is well-versed in the latest clinical practices. He is certified by the Royal College of Physicians and Surgeons of Canada, maintaining a commitment to ongoing professional development and excellence in patient care.
Dr. Nussbaum's clinical philosophy emphasizes an evidence-based and informative approach to cardiology. He is dedicated to providing individualized care tailored to each patient's needs. Fluent in English and French, he strives to foster clear communication and trust with his patients in Markham and the wider community.
Dr. Nussbaum provides expert care for adults with a wide range of cardiovascular conditions, including:
Valvular Heart Disease
- Tricuspid & Pulmonary Valve Conditions: Evaluation and management of less common conditions affecting the right-sided heart valves.
- Aortic Valve Disease (Stenosis & Regurgitation): Monitoring valve function, managing symptoms, and determining the appropriate timing for valve intervention (repair or replacement).
- Post-Valve Surgery / Intervention Follow-Up: Ongoing care and monitoring for patients after surgical or transcatheter heart valve repair or replacement.
Cardiovascular Prevention & Risk Management
- Advanced Dyslipidemia (Cholesterol) Management: Treatment of complex or severe cholesterol disorders, especially in patients with high cardiovascular risk or medication intolerance.
- Cardiovascular Risk Assessment: Detailed evaluation of individual risk factors to estimate the likelihood of future heart attack or stroke.
- Primary & Secondary Cardiovascular Prevention: Developing comprehensive strategies (lifestyle and medical) to prevent a first heart event or subsequent events in high-risk individuals.
Other Cardiovascular Conditions
- Pericardial Diseases (e.g., Pericarditis): Diagnosis and management of inflammation or fluid accumulation affecting the sac surrounding the heart.
- Cardio-Oncology Issues: Monitoring and managing potential heart complications related to cancer treatments.
- Adult Congenital Heart Disease (ACHD): Ongoing specialized care for adults born with structural heart defects (often requires dedicated ACHD expertise).
Cardiologists manage a broad spectrum of heart and vascular conditions. This list showcases common areas. Consultation with Dr. Nussbaum is typically initiated via referral from your family doctor or another specialist to address your specific cardiovascular concerns.
- Follow-Up Cardiology Care: Ongoing monitoring and management of established heart conditions, including medication adjustments and assessment of treatment effectiveness.
- Ambulatory Blood Pressure Monitoring (ABPM) Interpretation: Analyzing 24-hour blood pressure readings to diagnose hypertension, assess treatment effectiveness, and identify patterns like 'white coat' hypertension.
- Ambulatory ECG (Holter & Event Monitor) Interpretation: Analyzing recordings from portable heart monitors worn for 24 hours up to several weeks to diagnose intermittent arrhythmias or correlate symptoms with heart rhythm.
- Stress Testing Supervision & Interpretation: Overseeing and interpreting exercise treadmill tests, stress echocardiograms, or nuclear stress tests to assess for coronary artery blockages and exercise capacity.
- Anticoagulation Management (e.g., for AFib, Clots): Managing blood-thinning medications to prevent stroke or blood clots, including monitoring and dose adjustments.
Note: This list highlights key areas of cardiovascular care provided by Dr. Nussbaum. The specific services required will depend on your individual diagnosis and referral. Please discuss specific service needs with your referring physician.
All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO).
Dr. Nussbaum primarily practices at The Peterborough Clinic, located in the Unionville (South), Buttonville, Milliken Mills West neighbourhood of Markham, near the Markham Fairgrounds. The clinic is easily accessible via York Region Transit (YRT) / Viva. The facility is wheelchair accessible. Parking is available at the facility.
- Are cardiology consultations and tests ordered by Dr. Nussbaum covered by Ontario Health Insurance Plan (OHIP)?
- Yes, consultations with specialists like Dr. Nussbaum are typically covered by Ontario Health Insurance Plan (OHIP) in ON when you have a valid health card and a required referral. Most medically necessary diagnostic tests ordered by a cardiologist (like ECGs, standard echocardiograms, stress tests) are also usually covered. Some advanced tests or specific procedures might have different coverage rules or require pre-approval. It's always best to confirm specific coverage with Ontario Health Insurance Plan (OHIP) or the testing facility.
- Do I need a referral from my family doctor to see Dr. Nussbaum?
- Yes, as a specialist in Cardiology, a referral from your family doctor or another referring physician is required to schedule an appointment with Dr. Nussbaum. This ensures the consultation is appropriate for your medical needs and facilitates coordination of your care. Please ask your doctor to send a referral request.
- Does Dr. Earl Bram Nussbaum replace my family doctor for general care?
- No, Dr. Nussbaum focuses specifically on your cardiovascular health as a specialist consultant. Your family doctor remains central to your overall healthcare, managing other health issues and coordinating routine care. Dr. Nussbaum collaborates closely with your family doctor, providing reports and recommendations.
- What are some common heart tests Dr. Nussbaum might order?
- Common tests include: Electrocardiogram (ECG), Echocardiogram (heart ultrasound), Stress Test (treadmill or chemical), Holter monitoring (24hr+ ECG), and blood tests (e.g., cholesterol, kidney function). Depending on your situation, he might also consider Ambulatory Blood Pressure Monitoring, Cardiac CT, MRI, or referral for Cardiac Catheterization if needed. The reason for each test will be explained.
The Peterborough Clinic
600 Alden Rd
Markham, ON L3R 0E7
Phone: (289) 844-7600 | Fax: (289) 472-5643
The facility is wheelchair accessible.
Dr. Nussbaum is a licensed physician regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Medicine Act, 1991 in ON. Patients are typically seen by referral from their primary care physician.
Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Nussbaum-Earl-Bram/0062075-70564