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Dr. Mikhail Kirnus, MD

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Specializes in: Interventional Cardiology and Adult Cardiology

Professional interests include: pain, anxiety, coronary artery disease, and more.

1300 S COLUMBIA ROAD
Grand Forks, ND 58201

(701) 780-6236

Dr. Mikhail Kirnus, MD is an interventional cardiologist in Grand Forks, ND specializing in interventional cardiology and adult cardiology. Dr. Mikhail Kirnus, MD is affiliated with Altru Health System.

Office Locations

Address:

1300 S COLUMBIA ROAD
Grand Forks, ND 58201

Some issues Dr. Mikhail Kirnus, MD can help you with:

Anxiety

Anxiety is a generic name given to a variety of conditions characterized by unusual amounts of fear and worry, especially unrealistic fears and tension. People who suffer from anxiety often are aware that their fears are irrational, but that knowledge does not make the feeling of being scared and anxious go away. To qualify as anxiety, symptoms must last for 6 months or more and interfere with the way a person lives their daily life. Some cases may be mild, where, for example, a person simply avoids certain situations. Other cases can be severe enough to be disabling.

Some of the specific conditions covered under the general label of anxiety include:

Generalized anxiety disorder
Obsessive-compulsive disorder
Phobias
Post-traumatic stress disorder
Social phobia
Panic disorder

Collectively, anxiety disorders are the most common mental health issues diagnosed in the United States -- even more common than depression. Women are more likely than men to be diagnosed with anxiety, and it is extremely common for a person with anxiety to have another illness at the same time, such as depression, a physical illness, or substance abuse.

Treatment for anxiety usually involves medication and psychotherapy together. Medications used may include antidepressants (which also work for anxiety), anti-anxiety medications, or beta blockers (which can be used to control the physical symptoms of anxiety). Psychotherapy can be useful to teach patients new ways of thinking and reacting so that they can manage their feelings of worry and fear. Support groups can also be very effective for anxiety, and they can be a form of treatment themselves for social phobias. Stress management, relaxation techniques, and meditation all help reduce feelings of anxiety or of being out of control. Finally, having a strong support network of family and friends is an excellent way to help manage the difficulties of life with anxiety.

Coronary Artery Disease

Coronary artery disease (CAD) is the most common type of heart disease. It happens when the blood vessels carrying blood to the heart, called coronary arteries, narrow and harden. This occurs when cholesterol, a type of fat found in the blood, builds up to form plaque, which sticks to the inner walls of the arteries. As plaque accumulates, less blood can flow through the arteries, which may lead to the following:

Angina, which is chest pain that occurs when the heart does not receive enough blood flow.
Heart attack, which happens if the arteries leading to the heart are completely blocked.
Arrhythmia, or irregular heartbeat, which can develop if the heart does not have enough blood supply.
Heart failure, which may occur if a heart attack damages the heart and it becomes too weak to pump enough blood to the rest of the body.

Certain factors may increase risk for the disease, like smoking, lack of exercise, being overweight, high cholesterol, high blood pressure, and diabetes. CAD tends to develop over decades, so it can go undetected until it has become quite severe. A diagnosis may be established using such tests as:

Electrocardiogram (ECG), which records the heart's electrical activity over a period of time. ECGs can detect whether there is enough blood flow to the heart or if a heart attack has occurred.
Echocardiogram (echo), which creates images of the heart using sound waves. Echos can show whether the heart is able to pump blood normally.
Stress tests, where an ECG or echo is combined with exercise, like riding a stationary bike or walking on a treadmill. This test is done to find out if the heart can function properly while performing a strenuous activity.

Treatments for the disease include medications such as vasodilators, like nitroglycerin, which dilates (widens) the coronary arteries. CAD may also be treated by a procedure called angioplasty with stent placement, where a balloon is inflated inside a diseased artery to flatten the plaque deposits against the artery walls, creating more room for blood to flow.

In some severe cases of the disease, multiple arteries may be blocked, and an open heart surgery called coronary artery bypass surgery may be necessary. This operation transplants a vessel from another part of the body to form a graft that goes past the narrowed arteries, thus enabling blood to flow around those arteries.

Heart Problems

The heart is one of the most important organs in the body. This smooth muscle expands and contracts rhythmically an entire lifetime, pumping blood to the lungs and then to every other cell in the body. When heart problems occur, it becomes difficult for the body to get the nutrients and oxygen it needs via the blood. So while there are a variety of illnesses and disorders that affect the heart, most of them cause weakness, exhaustion and shortness of breath. The most common heart conditions include heart disease, angina, arrhythmia, and valve disorders.

Heart disease is the leading cause of death in the United States for both men and women. This includes coronary artery disease, heart attacks, congestive heart failure, and congenital heart disease. Some conditions, such as genetics, cannot be controlled. But there are many other things one can do to lower their risk for heart disease. Controlling high blood pressure and cholesterol levels, reducing or stopping smoking, exercising more and losing weight if needed, and eating a diet low in sodium can all protect the heart.

Angina is a squeezing type of chest pain that happens when the muscles around the heart don't get enough oxygen. It can be regular or infrequent. Usually, angina is caused by coronary heart disease. However, not all chest pain is angina. Chest pain can also be caused by a lung infection or panic attack, for example, so it is important to have any sudden pain checked.

Arrhythmia is the word for when the heart beats too fast, too slow, or irregularly with skipped beats. It can feel frightening, and depending on the type it can be dangerous, but in most cases arrhythmia is not serious and can be treated. It is very common, especially in older adults.

Heart valve problems can happen in any one of the the heart's four valves that keep blood flowing where it needs to go. Babies can be born with problems in their heart valves, or valves can be damaged by infections. The valves can stiffen and become less mobile, or they can stop closing properly and 'leak' when the heart beats. Valve problems can usually be repaired surgically.

angioplasty	52
blood draw	45
cardiac procedures	805
catheterization	139
diagnostic procedures	62
doctor visit	499
hospital care	135
inpatient care	136
lab tests	30
minimally invasive procedures	151
preventive care	11
stent placement (stenting)	52
stress testing	124
ultrasound (sonogram)	543
vascular procedures	61

**Gender**
Male	564
Female	624

**Ethnicity**
Non-Hispanic White	1101
Black	0
Hispanic	14
Asian	0
Other	0
Native American	54

**Age**
From 65 to 74	386
From 75 to 84	403
85 and over	250
Less than 65	149

Hypertension	75
High Cholesterol	67
Stroke	9
Ischemic Heart Disease	65
Depression	25
Chronic Kidney Disease	38
Asthma	12
Osteoperosis	9
Atrial Fibrilation	23
Heart Failure	39
Chronic Obstructive Pulmonary Disease	30
Diabetes	36
Dementia	14
Cancer	13

angioplasty	82
blood draw	26
cardiac procedures	813
catheterization	224
diagnostic procedures	102
doctor visit	738
hospital care	114
inpatient care	115
lab tests	16
minimally invasive procedures	240
stent placement (stenting)	82
stress testing	111
ultrasound (sonogram)	479
vascular procedures	112

**Gender**
Male	656
Female	784

**Ethnicity**
Non-Hispanic White	1329
Black	0
Hispanic	22
Asian	0
Other	0
Native American	70

**Age**
From 65 to 74	488
From 75 to 84	468
85 and over	288
Less than 65	196

Hypertension	75
High Cholesterol	65
Stroke	6
Ischemic Heart Disease	60
Depression	26
Chronic Kidney Disease	39
Asthma	10
Osteoperosis	8
Atrial Fibrilation	21
Heart Failure	36
Chronic Obstructive Pulmonary Disease	24
Diabetes	34
Dementia	13
Cancer	13

angioplasty	54
blood draw	27
cardiac procedures	784
catheterization	178
diagnostic procedures	85
doctor visit	702
emergency care	12
hospital care	141
inpatient care	142
lab tests	15
minimally invasive procedures	177
stent placement (stenting)	54
stress testing	129
ultrasound (sonogram)	501
vascular procedures	84

**Gender**
Male	1482
Female	1502

**Ethnicity**
Non-Hispanic White	2744
Black	0
Hispanic	40
Asian	0
Other	0
Native American	160

**Age**
From 65 to 74	988
From 75 to 84	1034
85 and over	604
Less than 65	358

Hypertension	75
High Cholesterol	64
Stroke	9
Ischemic Heart Disease	61
Depression	25
Chronic Kidney Disease	42
Asthma	17
Osteoperosis	8
Atrial Fibrilation	22
Heart Failure	35
Chronic Obstructive Pulmonary Disease	27
Diabetes	36
Dementia	15
Cancer	15

angioplasty	84
blood draw	21
cardiac procedures	665
catheterization	213
diagnostic procedures	77
doctor visit	416
emergency care	10
hospital care	197
inpatient care	185
lab tests	17
minimally invasive procedures	227
outpatient care	12
stent placement (stenting)	84
stress testing	79
ultrasound (sonogram)	374
vascular procedures	87

**Gender**
Male	566
Female	544

**Ethnicity**
Non-Hispanic White	989
Black	21
Hispanic	15
Asian	0
Other	11
Native American	74

**Age**
From 65 to 74	386
From 75 to 84	345
85 and over	244
Less than 65	135

Hypertension	75
High Cholesterol	68
Stroke	8
Ischemic Heart Disease	66
Depression	25
Chronic Kidney Disease	43
Asthma	29
Osteoperosis	11
Atrial Fibrilation	23
Heart Failure	36
Chronic Obstructive Pulmonary Disease	27
Diabetes	39
Dementia	14
Cancer	13

**Gender**
Male	370
Female	357

**Ethnicity**
Non-Hispanic White	616
Black	74
Hispanic	19
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	280
From 75 to 84	247
85 and over	103
Less than 65	97

Hypertension	75
High Cholesterol	75
Stroke	12
Ischemic Heart Disease	68
Depression	30
Chronic Kidney Disease	53
Asthma	10
Osteoperosis	12
Atrial Fibrilation	29
Heart Failure	43
Chronic Obstructive Pulmonary Disease	31
Diabetes	48
Dementia	19
Cancer	17

ambulatory monitoring	17
angioplasty	94
cardiac procedures	589
catheterization	222
diagnostic procedures	71
doctor visit	396
emergency care	10
hospital care	572
inpatient care	514
minimally invasive procedures	232
outpatient care	58
preventive care	12
stent placement (stenting)	94
stress testing	119
ultrasound (sonogram)	231
vaccines	13
vascular procedures	70

**Gender**
Male	379
Female	387

**Ethnicity**
Non-Hispanic White	671
Black	66
Hispanic	16
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	311
From 75 to 84	218
85 and over	136
Less than 65	101

Hypertension	75
High Cholesterol	75
Stroke	11
Ischemic Heart Disease	66
Depression	30
Chronic Kidney Disease	54
Asthma	8
Osteoperosis	10
Atrial Fibrilation	28
Heart Failure	41
Chronic Obstructive Pulmonary Disease	31
Diabetes	45
Dementia	20
Cancer	16

ambulatory monitoring	13
angioplasty	116
cardiac procedures	658
catheterization	258
diagnostic procedures	73
doctor visit	371
emergency care	11
hospital care	558
inpatient care	521
minimally invasive procedures	271
outpatient care	37
preventive care	12
stent placement (stenting)	116
stress testing	91
ultrasound (sonogram)	296
vaccines	13
vascular procedures	72

**Gender**
Male	602
Female	548

**Ethnicity**
Non-Hispanic White	1028
Black	56
Hispanic	23
Asian	0
Other	23
Native American	0

**Age**
From 65 to 74	445
From 75 to 84	345
85 and over	206
Less than 65	154

Hypertension	75
High Cholesterol	74
Stroke	11
Ischemic Heart Disease	65
Depression	30
Chronic Kidney Disease	50
Asthma	8
Osteoperosis	9
Atrial Fibrilation	26
Heart Failure	43
Chronic Obstructive Pulmonary Disease	31
Diabetes	41
Dementia	18
Cancer	16

angioplasty	82
cardiac procedures	1085
catheterization	311
diagnostic procedures	162
doctor visit	272
emergency care	26
hospital care	151
inpatient care	152
minimally invasive procedures	329
stent placement (stenting)	82
stress testing	55
ultrasound (sonogram)	704
vascular procedures	177

**Gender**
Male	1002
Female	1014

**Ethnicity**
Non-Hispanic White	1855
Black	0
Hispanic	34
Asian	0
Other	34
Native American	72

**Age**
From 65 to 74	747
From 75 to 84	679
85 and over	358
Less than 65	232

Hypertension	75
High Cholesterol	65
Stroke	9
Ischemic Heart Disease	59
Depression	27
Chronic Kidney Disease	49
Asthma	8
Osteoperosis	9
Atrial Fibrilation	26
Heart Failure	40
Chronic Obstructive Pulmonary Disease	26
Diabetes	37
Dementia	12
Cancer	14

angioplasty	156
blood draw	13
cardiac procedures	1828
catheterization	536
diagnostic procedures	287
doctor visit	594
emergency care	15
hospital care	104
inpatient care	105
minimally invasive procedures	535
stent placement (stenting)	156
stress testing	124
ultrasound (sonogram)	1163
vascular procedures	298

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Mikhail Kirnus, MD for Medicare patients.

The highest averages for the top procedures that Dr. Mikhail Kirnus, MD treated as an interventional cardiologist in Grand Forks, ND were cardiac procedures, ultrasound (sonogram), hospital care and minimally invasive procedures.

ambulatory monitoring	14
angioplasty	91
blood draw	26
cardiac procedures	866
catheterization	259
diagnostic procedures	111
doctor visit	476
emergency care	14
hospital care	281
inpatient care	258
lab tests	20
minimally invasive procedures	268
outpatient care	51
preventive care	14
stent placement (stenting)	91
stress testing	105
ultrasound (sonogram)	495
vaccines	14
vascular procedures	118

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Mikhail Kirnus, MD.

**Gender**
Male	562
Female	576

**Ethnicity**
Black / African American	21
Asian / Pacific Islander	0
Non-Hispanic White	1033
Native American / Alaskan Native	43
Hispanic	18
Other	6

**Age**
75 to 84	373
85 and over	218
Less than 65	142
65 to 74	403

Average of Total of Conditions of Medicare patients treated by Dr. Mikhail Kirnus, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Mikhail Kirnus, MD treated were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	60
High Cholesterol	55
Stroke	7
Ischemic Heart Disease	51
Depression	21
Chronic Kidney Disease	36
Asthma	10
Osteoporosis	7
Heart Failure	31
Chronic Obstructive Pulmonary Disease	22
Diabetes	31
Atrial Fibrillation	19
Cancer	11
Dementia	12

Education & Training

He has a state license in Montana.

Licensed In: Montana

Affiliations & Hospitals

Dr. Mikhail Kirnus, MD is associated with these hospitals and organizations:

Altru Health System

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Mikhail Kirnus, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Medtronic Vascular, Inc.	$21,073 Implantable Cardioverter Defibrillators - ICDs $4,343	Pacemakers $3,576	Cardiac Monitors - Insertable $3,558	Cardiac Diagnostics and Monitoring $1,322	Cardiac Resynchronization Therapy - CRT $599	Other $7,676
Edwards Lifesciences Corporation	$3,590 EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE (THV) $734	Edwards SAPIEN 3 Ultra Transcatheter Heart Valve $664	SAPIEN 3 Ultra RESILIA $80	Edwards SAPIEN 3 Transcatheter Heart Valve $59	$2,054
Merit Medical Systems Inc	$3,343 PreludeSync Distal $1,758	Performa Catheters $626	$959
Boston Scientific Corporation	$3,126 GENERAL - VASCULAR ACCESS $1,139	COMET $231	GUIDEZILLA $157	AVVIGO Guidance System $145	STENTS $122	Other $1,332
Novartis Pharmaceuticals Corporation	$2,872 ENTRESTO $2,872
Other	$20,376 iFR $2,904	CRM $2,377	Peripheral Wire $1,597	Vascular $1,360	Xience V coronary stent system $1,346	Other $10,792

**Types of Payments**
Travel and Lodging	$31,842
Food and Beverage	$22,036
Consulting Fee	$300
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$150
Education	$53

Biography

Dr. Mikhail Kirnus' medical specialty is adult cardiology and interventional cardiology. His clinical interests include pain, anxiety, and coronary artery disease. He is affiliated with Altru Health System. Dr. Kirnus is not accepting new patients at this time according to Doctor.com.

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Dr. Mikhail Kirnus, MD

Office Locations

Some issues Dr. Mikhail Kirnus, MD can help you with:

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Mikhail Kirnus, MD in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Mikhail Kirnus, MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Mikhail Kirnus, MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Mikhail Kirnus, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Mikhail Kirnus, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Mikhail Kirnus, MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Mikhail Kirnus, MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Mikhail Kirnus, MD in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Average Medicare Procedure Volume From 2013 - 2021

Average Medicare Patient Data From 2013 - 2021

Average of Total of Conditions of Medicare patients treated by Dr. Mikhail Kirnus, MD From 2013 - 2021

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Biography

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