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Dr. Paul Alfred Gurbel, MD

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Specializes in: Interventional Cardiology and Adult Cardiology

University of Maryland School of Medicine (1983)

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

2700 Quarry Lake Drive Suite 240
Baltimore, MD 21209

(410) 367-2590

Dr. Paul Alfred Gurbel, MD is an interventional cardiologist in Baltimore, MD specializing in interventional cardiology and adult cardiology. He graduated from University of Maryland School of Medicine in 1983 and has 41 years of experience. Dr. Paul Alfred Gurbel, MD is affiliated with Sinai Hospital of Baltimore.

Office Locations

Address:

2700 Quarry Lake Drive Suite 240
Baltimore, MD 21209

Some issues Dr. Paul Alfred Gurbel, MD can help you with:

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.

In The News (see more mentions in the news)

“LifeBridge Health Dr. Paul Gurbel talks about what you need to do to stay heart healthy.”—"LifeBridge Health Dr. Paul Gurbel Talks About Heart Health And His Latest COVID-Related Discoveries", CBS Boston, February 2021

“In response to the new research, Bayer Aspirin spokesperson Dr. Paul Gurbel said that a daily aspirin remains important for the secondary prevention of a heart attack or stroke.”—"Millions still take aspirin for their heart without a doctor's recommendation, research suggests", CNN, July 2019

“Dr. Paul A. Gurbel and researchers at the Sinai Center for Thrombosis Research in Baltimore were among scientists who found in 2003 that some people don't respond to clopidogrel therapy.”—"UM doctors want more patients tested for gene variant that makes heart drug ineffective", Daily Press, January 2017

angioplasty	56
cardiac procedures	198
catheterization	204
diagnostic procedures	106
doctor visit	439
emergency care	13
hospital care	62
inpatient care	62
minimally invasive procedures	204
stent placement (stenting)	56
vascular procedures	104

**Gender**
Male	190
Female	182

**Ethnicity**
Non-Hispanic White	221
Black	132
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	143
From 75 to 84	143
85 and over	63
Less than 65	23

Hypertension	75
High Cholesterol	75
Stroke	8
Ischemic Heart Disease	75
Depression	16
Chronic Kidney Disease	31
Asthma	9
Osteoperosis	7
Atrial Fibrilation	22
Heart Failure	32
Chronic Obstructive Pulmonary Disease	17
Diabetes	46
Dementia	13
Cancer	14

angioplasty	78
cardiac procedures	257
catheterization	244
diagnostic procedures	110
doctor visit	532
emergency care	16
hospital care	86
inpatient care	86
minimally invasive procedures	244
stent placement (stenting)	78
vascular procedures	127

**Gender**
Male	216
Female	220

**Ethnicity**
Non-Hispanic White	256
Black	161
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	164
From 75 to 84	160
85 and over	76
Less than 65	36

Hypertension	75
High Cholesterol	75
Stroke	9
Ischemic Heart Disease	75
Depression	22
Chronic Kidney Disease	34
Asthma	10
Osteoperosis	8
Atrial Fibrilation	21
Heart Failure	34
Chronic Obstructive Pulmonary Disease	17
Diabetes	50
Dementia	15
Cancer	18

**Gender**
Male	388
Female	412

**Ethnicity**
Non-Hispanic White	420
Black	330
Hispanic	0
Asian	0
Other	24
Native American	0

**Age**
From 65 to 74	302
From 75 to 84	288
85 and over	132
Less than 65	78

Hypertension	75
High Cholesterol	75
Stroke	11
Ischemic Heart Disease	75
Depression	21
Chronic Kidney Disease	32
Asthma	14
Osteoperosis	7
Atrial Fibrilation	19
Heart Failure	32
Chronic Obstructive Pulmonary Disease	18
Diabetes	48
Dementia	12
Cancer	16

angioplasty	38
cardiac procedures	111
catheterization	98
diagnostic procedures	42
doctor visit	406
hospital care	120
inpatient care	120
minimally invasive procedures	98
stent placement (stenting)	38
vascular procedures	59

**Gender**
Male	164
Female	182

**Ethnicity**
Non-Hispanic White	176
Black	143
Hispanic	0
Asian	12
Other	0
Native American	0

**Age**
From 65 to 74	146
From 75 to 84	122
85 and over	59
Less than 65	19

Hypertension	75
High Cholesterol	75
Stroke	7
Ischemic Heart Disease	75
Depression	18
Chronic Kidney Disease	37
Asthma	18
Osteoperosis	6
Atrial Fibrilation	18
Heart Failure	29
Chronic Obstructive Pulmonary Disease	15
Diabetes	51
Dementia	10
Cancer	16

angioplasty	30
cardiac procedures	315
catheterization	103
diagnostic procedures	59
doctor visit	588
hospital care	119
inpatient care	119
minimally invasive procedures	103
nuclear scan	37
stent placement (stenting)	30
stress testing	91
thoracic (chest) imaging	11
ultrasound (sonogram)	185
vascular procedures	105
X-rays	11

**Gender**
Male	198
Female	199

**Ethnicity**
Non-Hispanic White	220
Black	142
Hispanic	0
Asian	0
Other	17
Native American	0

**Age**
From 65 to 74	180
From 75 to 84	148
85 and over	48
Less than 65	21

Hypertension	75
High Cholesterol	67
Stroke	9
Ischemic Heart Disease	75
Depression	15
Chronic Kidney Disease	35
Asthma	8
Osteoperosis	9
Atrial Fibrilation	15
Heart Failure	27
Chronic Obstructive Pulmonary Disease	12
Diabetes	46
Dementia	7
Cancer	15

angioplasty	46
cardiac procedures	392
catheterization	173
diagnostic procedures	105
doctor visit	538
hospital care	41
inpatient care	41
minimally invasive procedures	173
nuclear scan	55
stent placement (stenting)	46
stress testing	104
ultrasound (sonogram)	158
vascular procedures	147

**Gender**
Male	204
Female	229

**Ethnicity**
Non-Hispanic White	248
Black	146
Hispanic	0
Asian	0
Other	21
Native American	0

**Age**
From 65 to 74	196
From 75 to 84	160
85 and over	58
Less than 65	19

Hypertension	75
High Cholesterol	75
Stroke	9
Ischemic Heart Disease	75
Depression	18
Chronic Kidney Disease	40
Asthma	8
Osteoperosis	9
Atrial Fibrilation	19
Heart Failure	28
Chronic Obstructive Pulmonary Disease	12
Diabetes	47
Dementia	7
Cancer	15

angioplasty	66
cardiac procedures	194
catheterization	200
diagnostic procedures	102
doctor visit	597
minimally invasive procedures	200
stent placement (stenting)	66
vascular procedures	100

**Gender**
Male	231
Female	234

**Ethnicity**
Non-Hispanic White	270
Black	160
Hispanic	0
Asian	0
Other	18
Native American	0

**Age**
From 65 to 74	203
From 75 to 84	161
85 and over	77
Less than 65	24

Hypertension	75
High Cholesterol	75
Stroke	12
Ischemic Heart Disease	75
Depression	18
Chronic Kidney Disease	42
Asthma	8
Osteoperosis	10
Atrial Fibrilation	19
Heart Failure	30
Chronic Obstructive Pulmonary Disease	17
Diabetes	47
Dementia	9
Cancer	14

angioplasty	34
cardiac procedures	117
catheterization	123
diagnostic procedures	73
doctor visit	617
minimally invasive procedures	123
stent placement (stenting)	34
vascular procedures	71

**Gender**
Male	198
Female	179

**Ethnicity**
Non-Hispanic White	231
Black	124
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	158
From 75 to 84	142
85 and over	62
Less than 65	15

Hypertension	75
High Cholesterol	75
Stroke	6
Ischemic Heart Disease	75
Depression	18
Chronic Kidney Disease	41
Asthma	8
Osteoperosis	8
Atrial Fibrilation	21
Heart Failure	28
Chronic Obstructive Pulmonary Disease	12
Diabetes	45
Dementia	8
Cancer	14

angioplasty	140
cardiac procedures	384
catheterization	390
diagnostic procedures	181
doctor visit	1474
hospital care	33
inpatient care	33
minimally invasive procedures	390
stent placement (stenting)	140
vascular procedures	179

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Paul Alfred Gurbel, MD for Medicare patients.

The highest averages for the top procedures that Dr. Paul Alfred Gurbel, MD treated as an interventional cardiologist in Baltimore, MD were cardiac procedures, minimally invasive procedures, catheterization and ultrasound (sonogram).

angioplasty	60
cardiac procedures	243
catheterization	189
diagnostic procedures	94
doctor visit	641
emergency care	16
hospital care	83
inpatient care	83
minimally invasive procedures	189
nuclear scan	46
stent placement (stenting)	60
stress testing	98
thoracic (chest) imaging	11
ultrasound (sonogram)	172
vascular procedures	110
X-rays	11

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Paul Alfred Gurbel, MD.

**Gender**
Male	178
Female	183

**Ethnicity**
Black / African American	133
Asian / Pacific Islander	1
Non-Hispanic White	204
Native American / Alaskan Native	0
Hispanic	0
Other	8

**Age**
75 to 84	132
85 and over	57
Less than 65	23
65 to 74	149

Average of Total of Conditions of Medicare patients treated by Dr. Paul Alfred Gurbel, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Paul Alfred Gurbel, MD treated were hypertension, ischemic heart disease, high cholesterol and diabetes.

Hypertension	60
High Cholesterol	59
Stroke	7
Ischemic Heart Disease	60
Depression	14
Chronic Kidney Disease	29
Asthma	8
Osteoporosis	6
Heart Failure	24
Chronic Obstructive Pulmonary Disease	12
Diabetes	38
Atrial Fibrillation	15
Cancer	12
Dementia	8

Education & Training

Dr. Paul Alfred Gurbel, MD graduated from University of Maryland School of Medicine in 1983. He has a state license in Maryland.

Medical School: University of Maryland School of Medicine (1983)

Licensed In: Maryland

Affiliations & Hospitals

Dr. Paul Alfred Gurbel, MD is associated with these hospitals and organizations:

Sinai Hospital of Baltimore

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General Payments

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

**Payments by Company**
AstraZeneca Pharmaceuticals LP	$242,739 BRILINTA $241,624	FARXIGA $22	$1,093
Merck Sharp & Dohme Corporation	$146,155 ZONTIVITY $118,988	NON-PRODUCT $27,002	VERQUVO $131	INTEGRILIN $35
Janssen Research & Development, LLC	$23,435 $23,435
Janssen Pharmaceuticals, Inc	$18,567 XARELTO $18,544	INVOKANA $22
Lilly USA, LLC	$18,208 Effient $18,208
Other	$73,672 Vascepa $8,125	PRALUENT (alirocumab) Injection $7,211	Resolute $3,885	Aggrastat (tirofiban HCl) $3,538	TEG $3,071	Other $47,841

**Types of Payments**
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$299,115
Consulting Fee	$128,527
Travel and Lodging	$68,476
Food and Beverage	$24,646
Honoraria	$2,000
Other	$13

Research Payments

Dr. Paul Alfred Gurbel, MD has received 154 research payments totaling $2,423,601.

Biography

Dr. Paul Gurbel is an adult cardiology and interventional cardiology specialist in Baltimore, MD. Dr. Gurbel's areas of clinical interest consist of high cholesterol (hyperlipidemia), angina, and cardiomyopathy. He is professionally affiliated with Sinai Hospital of Baltimore. Doctor.com reports that he is closed to new patients at this time. He attended medical school at the University of Maryland School of Medicine.