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Dr. Rama Garimella

Cardiology
Cary, NC
34 years experience female

Locations

Office

Cary, NC

Address

300 Keisler Drive, Cary, NC
Directions

My office hours

Wednesday: 8:00am - 5:00pm
Show more

Office

Detroit, MI

About

Bio

INVASIVE CARDIOLOGIST . BOARD CERTIFIED in INTERNAL MEDICINE , CARDIOVASCULAR DISEASES , ECHOCARDIOGRAPHY , NUCLEAR CARDIOLOGY and CARDIAC CT. HOBBIES : Walking with Dog Max.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Cardiology

Languages spoken

English

Doctor Q&A

107 Answers
44 Agrees
The number of answers this doctor has agreed with.
A male asked:
Dr. Rama Garimella
Cardiology 34 years experience
It is usefull: Increased intake of epa and dha has been shown to prevent pre-term labor and delivery, lower the risk of pre-eclampsia and may increase birth weight. ... Read More
A 48-year-old male asked:
Dr. Rama Garimella
Cardiology 34 years experience
Need to see your DR: Sounds like new ? Unstable angina. You need to start on asa, chol med may be beta blocker and need to be evaluated for stress test / coronary angiogra... Read More
A 33-year-old male asked:
Dr. Rama Garimella
Cardiology 34 years experience
Yes: One of the side effects is erectile dysfunction.
A 25-year-old member asked:
Dr. Rama Garimella
Cardiology 34 years experience
Drink gatorade: Drink fluids with electrolytes and increase salt and fluid intake in diet.
A 41-year-old member asked:
Dr. Rama Garimella
Cardiology 34 years experience
Get a heart monitor.: Watch what you are eating and drinking and see if there is a pattern. If you eat certain foods or drinks you notice symptoms try to, avoid triggers an... Read More
A 51-year-old member asked:
Dr. Rama Garimella
Cardiology 34 years experience
Different receptor : They work on different receptors.The antiarrhythmic propertiesbeta & ccbs are related to their ability to decrease the firing rate of aberrant pacema... Read More
A 30-year-old member asked:
Dr. Rama Garimella
Cardiology 34 years experience
Depends on pts age: For critical aortic stenosis in elderley pts and who are high risk for surgery to replace valve, there is a procedure called transcutaneous aortic val... Read More
A 33-year-old member asked:
Dr. Rama Garimella
Cardiology 34 years experience
See below: A long, thin, flexible tube called a catheter is put into a blood vessel in your arm, groin (upper thigh), or neck and threaded to your heart.Your doc... Read More
A 28-year-old member asked:
Dr. Rama Garimella
Cardiology 34 years experience
Could be muscles: Could be having twitcings in pectoral or intercoastal muscles.Get your potassium and magnesium checked.
A 40-year-old member asked:
Dr. Rama Garimella
Cardiology 34 years experience
Can.: If BP is high and not treated can cause flushing of face( red face). Some of the BP meds can have side effects on skin including dryness, flushing, r... Read More
A 35-year-old male asked:
Dr. Rama Garimella
Cardiology 34 years experience
Causes as below: Trauma, prlonged coughing or vomitting, allergies, taking blood thinners, surgeries, blood disorders, including problems with blood clotting such as h... Read More
A 39-year-old member asked:
Dr. Rama Garimella
Cardiology 34 years experience
Increase, decreasehr: An arrhythmia (ah-rith-me-ah) is a problem with the rate or rhythm of the heartbeat. During an arrhythmia, the heart can beat too fast, too slow, or w... Read More
A 36-year-old member asked:
Dr. Rama Garimella
Cardiology 34 years experience
Get BP checked by MD: If your pulse volume is different in both arms, it could be concerning. Get checked by md both pulse and bp. Typically concerns are blockages in the a... Read More
A 60-year-old female asked:
Dr. Rama Garimella
Cardiology 34 years experience
Lipitorverapamil can: Lipitor (atorvastatin) and verapamil: combo may incr. Lipitor (atorvastatin) levels, risk of myopathy, rhabdomyolysis (hepatic metab. Inhibited). Lipi... Read More
A 82-year-old female asked:
Dr. Rama Garimella
Cardiology 34 years experience
Normal bp <!140/90: If you feel dizzy all the time, even though your number is normal, it is not good. Recommend you to get checked for orthostatic hypotension and any bl... Read More
A 27-year-old female asked:
Dr. Rama Garimella
Cardiology 34 years experience
Yes, it is safe.: People with syncope and orthostatic hypotension, we do recommend compression stocking during the day.If it is prescribed by md with proper pressure, t... Read More
A 44-year-old female asked:
Dr. Rama Garimella
Cardiology 34 years experience
Not sure: If you are having non sustained venticular tachycardia and crushing cp, I am surprised, they sent you home with checking ekg only?. I am not sure I ha... Read More
A 30-year-old member asked:
Dr. Rama Garimella
Cardiology 34 years experience
120/70: BP in 30yr olds rage from systolic 90-140. Diastolic 60-80.
A 51-year-old male asked:
Dr. Rama Garimella
Cardiology 34 years experience
Yes: Ejection fraction improving from 20 to 50% is a very good sign. Ef below 35% has poorer prognosis, not only sec to congestive heart failure, they are ... Read More
A 21-year-old female asked:
Dr. Rama Garimella
Cardiology 34 years experience
Yes: Mv repair involves anuloplasty ring, they will do additional repair depending on the valve eg; if there is flair chord they will fix it, if there is p... Read More
A 30-year-old female asked:
Dr. Rama Garimella
Cardiology 34 years experience
Maybe vasovagal sync: Generally we evaluate fainting with your history, if your dr is not concerned he might have felt it is vasovagal syncope. With one episode in people a... Read More
A 22-year-old female asked:
Dr. Rama Garimella
Cardiology 34 years experience
It is ok: Perindopril is ace inhibitor and amlodipine is calcium channel blocker, typically in my experience, if you required 10 mg of amlodipine to control bp,... Read More
A 35-year-old member asked:
Dr. Rama Garimella
Cardiology 34 years experience
Yes and No: Alcohol causes a dramatic rise in triglycerides. You should not drink alcohol for at least 24 hours before having your blood checked for cholesterol l... Read More
A 37-year-old male asked:
Dr. Rama Garimella
Cardiology 34 years experience
Doubt it: Some patients have peripheral denervation (neuropathic pots); have symptoms that are due to sustained or parosyxmal overactivity of the sympathetic n... Read More
A 55-year-old female asked:
Dr. Rama Garimella
Cardiology 34 years experience
No: Typically if your diatolic is 40 or less i will start getting concerned. As long as you do not have symptoms you can cont with current dose of toprol ... Read More
A 46-year-old male asked:
Dr. Rama Garimella
Cardiology 34 years experience
HTN and DM: Htn, diabetes and atherosclerosis are major causes.
A 36-year-old male asked:
Dr. Rama Garimella
Cardiology 34 years experience
Watch: Watch diet, daily exercise prescribed by cardiologist. Dont take erectile dys pills and nitro togeth.
A 48-year-old member asked:
Dr. Rama Garimella
Cardiology 34 years experience
Not my first choice: Nicardipine is pregnancy category c. Typically we use IV labetolol, Hydralazine and PO nidepine as first line agents. There is some data using nicardi... Read More
A 38-year-old member asked:
Dr. Rama Garimella
Cardiology 34 years experience
Could be clot: If charley horse is associating with swelling i would be very concerned about deep venous thrombosis which is highly dangerous and can travel to lungs... Read More
A 29-year-old male asked:
Dr. Rama Garimella
Cardiology 34 years experience
MINI STROKE: The warning signs of a TIA are exactly the same as for a stroke: 1. Sudden numbness or weakness of the face, arm or leg, especially on one side of the... Read More
A 18-year-old female asked:
Dr. Rama Garimella
Cardiology 34 years experience
Could be dehydrated: Recommend to drink lot of fluids and fluids with electrolytes. If does not get better, get checked out with ekg, orthostatic BP etc.
A 37-year-old male asked:
Dr. Rama Garimella
Cardiology 34 years experience
May or may not: Try taking coenzyme q10 upto 100 mg twice a day and see if that helps, if it does not help, sometimes cutting Crestor (rosuvastatin) dose might help, ... Read More
A 32-year-old male asked:
Dr. Rama Garimella
Cardiology 34 years experience
POTS syndrome.: You could be have postural orthostatic tachycardia syndrome (pots). Increased intake of fluids and salt and having regular aerobic exercise clearly se... Read More
A 33-year-old member asked:
Dr. Rama Garimella
Cardiology 34 years experience
Infection?: Tachycardia could be sec to multiple reasons. A reaction to certain medications congenital (present at birth) electrical pathway abnormalities in th... Read More
A 30-year-old female asked:
Dr. Rama Garimella
Cardiology 34 years experience
Heart monitor: If you wear heart monitor , if it is svt it will show, if it is panic attack, it will show nl heart rate with attack.
A 30-year-old female asked:
Dr. Rama Garimella
Cardiology 34 years experience
Hypercoagulable stat: Get checked for other hypercoagulable states like protien c & s, antiphospholipid antibody, prothrombin gene mutation, antithrombin3, homocysteine et... Read More
A 38-year-old member asked:
Dr. Rama Garimella
Cardiology 34 years experience
If HA goes away: If head ache goes away with BP improvement, it is highly likely it is from bp. If it does not improve with BP undercontrol, it is probably secondary t... Read More
A 38-year-old male asked:
Dr. Rama Garimella
Cardiology 34 years experience
Get evaluated: Blood in urine is called hematuria. 3 yrs is long time. Hematuria can be caused by menstruation, vigorous exercise, sexual activity, viral illness, tr... Read More
A 60-year-old male asked:
Dr. Rama Garimella
Cardiology 34 years experience
Depends on risk : If your risk of stroke is high ( we caliculate depending on your risk factors including age>75, htn, dm, CHF and stroke or mini stroke), if your sc... Read More
A 29-year-old female asked:
Dr. Rama Garimella
Cardiology 34 years experience
Possible: Get checked out. Heart monitor might help determine if your svt is back.
A 41-year-old male asked:
Dr. Rama Garimella
Cardiology 34 years experience
Depends on pt: You will have only symptoms from cad, if your blocked arteries are >70% blocked. But people can have heart attack from plaque rupture from blockage... Read More
A 24-year-old female asked:
Dr. Rama Garimella
Cardiology 34 years experience
Get echo of heart: Rheumatoid heart is very uncommon in us in 24yrs old. We mostly see in immigrants at this age.Most common valve effected is mital valve withl stenosis... Read More
A 29-year-old male asked:
Dr. Rama Garimella
Cardiology 34 years experience
Irregular heart beat: Atrial fibrillation is an irregular and often rapid heart rate that commonly causes poor blood flow to the body. During atrial fibrillation, the heart... Read More
A 26-year-old female asked:
Dr. Rama Garimella
Cardiology 34 years experience
Sugar might go up: You can get metformin for 4 $ script at wal- mart or target. If you are already having urinating multiple times and at night , suspect sugars are stil... Read More
A 21-year-old female asked:
Dr. Rama Garimella
Cardiology 34 years experience
Can : Alcohol can cause dilated cardiomyopathy with dilated heart and can cause anular dilatation and can cause mitral regurgitation. Once yoy recover from ... Read More
A 40-year-old male asked:
Dr. Rama Garimella
Cardiology 34 years experience
It is too old: Medicine expired 2 yrs ago is too long. Not going to work.
A 41-year-old male asked:
Dr. Rama Garimella
Cardiology 34 years experience
Life style betablock: Lifestyle changes. Eliminating common PVC triggers — such as caffeine or tobacco — can decrease the frequency and severity of your symptoms. Medicati... Read More
A 35-year-old member asked:
Dr. Rama Garimella
Cardiology 34 years experience
Depends: Depending on your bp, other risk factors, weight etc. Try diet, exercise and loose some weight, if BP continues to be high , you may have to consider ... Read More
A 28-year-old member asked:
Dr. Rama Garimella
Cardiology 34 years experience
Yes: Uncontolled HTN is main cause for end stage renal disease and dialysis.

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
124
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Garimella is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Garimella is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This saved my life. Thank You! thank you so much.my cardio cleared me already but i cant help the symptoms im still thinking im gonna die with heart attack.normal 2decho,e
HealthTap member
Thanks for your quick reply! thanks! the xl version of metoptolol is approved in 47.5 mg dosing...
HealthTap member
Thank you, your answer was very helpful! This saved some time for us, THANK YOU VERY MUCH!

Education & Training

Medical/Graduate school

Andhra Medical College
Graduated 1988MD

Residency

Robert Wood Johnson University Hospital

Residency

Robert Wood Johnson University Hospital

Awards

Top Doctor, Third Place, Raleigh Region, NC - Summer
2013
Top Cardiologist , First Place, North Carolina - Summer
2013
HealthTap Doctor Mom

Affiliations

American Society of Echocardiography
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less