Locations
Office
Cary, NC
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.
SpecialtiesDoctors 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.
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 37-year-old member asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
Depending on med: If you are given once a day med, typically they should work 24hrs, if you are given twice a day med try to take 12 hrs apart. Lot of times BP rises ea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 47-year-old member asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
Arrhthmia: It could be atrial fibrillation, atrial flutter and pvcs. Treatment depends on what the monitored showed. Lot of times if your sleep apnea gets trea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A member asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
Limited Data: Limited information indicates that maternal Pindolol produces low levels in milk. It also has a short half-life and only moderate renal excretion, so ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
No: Can cause stomach ulcers , high BP etc. Recommend not to take 2 nsaids together every day.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 36-year-old female asked:
Does normal ekg & stress test rule out heart issue? enlarged heart in xray, edema, no breath, sweats
Dr. Rama Garimellaanswered
Cardiology 35 years experience
No: If you have enalarged heart and sob you might need echocardiogram to rule out for enlarged and weak heart.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 41-year-old male asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
No best time: I am not a big fan of fibrates. Especially in combination with statin. If you have to take both use very low dose statin.Combination
increases risk... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 28-year-old member asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
45 min 1hr/day: We recommend 45 min-1 hr of exercise everyday. Exercise has to be all at one time. Not with split times.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
CP, cardiac arrest : Cardiovascular emergencies are life-threatening disorders that must be diagnosed quickly to avoid delay in treatment and to minimize morbidity and mor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
Stress imaging: If you have plain treadmill, if it is equivocal, go with stress test with imaging or cardiac ct, before going with cardiac cath.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 29-year-old member asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
Bp must be high: When your BP is high you can have headache and feel bad, if you miss your meds your BP can go up and have symptoms of high bp.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 45-year-old male asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
It depends on pt: Most people ok to have 1 glass a day.
Certain population is at highrisk for liver damage: being female – this could be because women develop higher ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 44-year-old member asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
They can: Innocent heart murmurs can be present in pts with hypertension.
People with congenital heart disease with bicuspid aortic valve with heart murmur, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 41-year-old female asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
It is not PVD: Blood pooling in legs is not peripheral vascular disease.Blood pooling in legs is the reason for neurocardiogenic syncope.Pvd will be caused by same r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 36-year-old member asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
Hydration.: Depending on severity and etiology.
Trndlenberg positon( head down). Iv fluids, if there is bleedins give blood transfusion. If they are on hypertens... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 39-year-old male asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
Yes: Exercise improves reduction in symptoms, increase exercise tolerance and long term survival.Not only helps with risk factor control, it helps with end... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
100hrs.: Half life of Rosuvastatin is 19hrs. Typically takes 5 half lifes to eliminate most of the drug.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
Typically 24 hrs: If you know this is new onset atrial fibrillation, typically clot forms in 24 hrs.
If pt is high risk pt ( h/o htn, dm, age more than 75 , h/o heart... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 33-year-old male asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
That is great: If you have no risk factors, if your exercise treadmill is negative with no CP and arrhthmia, your risk of having cardiac event in next3 -5 yrs is ver... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A female asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
HTN,CAD, Hyperthyroi: High blood pressure
heart attacks
alcohol
heart defects you're born with (congenital)
an overactive thyroid gland or other metabolic imbalance
ex... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
3-5yrs.: 80+ % 1 yr survival.
50-55% 5 yr survival and 28% 10 yr survival. With lung transplant.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 40-year-old female asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
No: Small vessel disease typically not seen with any of the above tests. Sometimes we can see in angiogram. Sometimes it is more of a clinical diagnosis.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 20-year-old male asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
?HTN: Multiple things can cause above symptoms. Htn is main one. Blood disorders ( eg: polycythemia). Get checked out.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 26-year-old male asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
Yes: Most ep doctors have training in general cardiology and echo.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 18-year-old male asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
No: If electricle impulse from top chamber travels throw, WPW pathway delta wave shows up, if impulse travels throw normal pathway we do not see delta wav... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
Yes Called CONTUSION: Auto accidents with impact from the steering wheel are the most common cause of this type of injury. Other causes include animal kicks, falls, impact ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 45-year-old female asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
Sounds little low.: Typically normal global strain 21-30s in labs i know. But each lab or each machine are different. You need to ask the lab you had procedure, what the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 42-year-old male asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
Yes , if no angina: With propranolo, yor heart rate does not go up like before with same level of activity. Some people have side effect of tiredness and not able to do a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 29-year-old female asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
He needs cardiac w.u: He needs cardiac w.U, to start with exam and ekg and needs to be ruled out for valvular issues with echo and possibly stress test.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 45-year-old female asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
ECHO/MRI: Srain is still experimental new technology in echo and recently developed in mri. Attached image may be helpful.. Url for the reference is http://circ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
No: Alchol is one of the major causes for hypertension. I generally recommend my hypertensive pts to avoid alchol.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 23-year-old male asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
No: In CHF pts:systolic blood pressure - the top number of the blood pressure reading - lower than 100 mmhg had a mortality rate of 50 percent, significan... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 35-year-old male asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
Yes: Metoprolol 47.5 mg?. How do you get that dose?.It comes in 25 mg or 50mg, if you do 1 and1/2 it will be 37.5 mg. With micardis, (telmisartan) yes it i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 41-year-old male asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
Yes: Hiatal hernia is one of the differential diagnosis for cp.We see quite a few pt present to er with CP has no cardiac condition and w.U reveals hiatal ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 25-year-old male asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
Diet and exercise: www.heart.org/.../cholesterol/preventiontreatmentofhighcholesterol/co. Please check this web site for low chol diets.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 22-year-old female asked:
Dr. Rama Garimellaanswered
Cardiology 35 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
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Rama Garimellaanswered
Cardiology 35 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
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. Rama Garimellaanswered
Cardiology 35 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
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 28-year-old member asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
Could be muscles: Could be having twitcings in pectoral or intercoastal muscles.Get your potassium and magnesium checked.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 36-year-old male asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
Watch: Watch diet, daily exercise prescribed by cardiologist.
Dont take erectile dys pills and nitro togeth.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 36-year-old member asked:
Dr. Rama Garimellaanswered
Cardiology 35 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
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 51-year-old member asked:
Dr. Rama Garimellaanswered
Cardiology 35 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
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 33-year-old male asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
Yes: One of the side effects is erectile dysfunction.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Rama Garimellaanswered
Cardiology 35 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
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. Rama Garimellaanswered
Cardiology 35 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
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 25-year-old member asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
Drink gatorade: Drink fluids with electrolytes and increase salt and fluid intake in diet.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 30-year-old member asked:
Dr. Rama Garimellaanswered
Cardiology 35 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
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 30-year-old female asked:
Dr. Rama Garimellaanswered
Cardiology 35 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.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 21-year-old female asked:
Dr. Rama Garimellaanswered
Cardiology 35 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
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Rama Garimellaanswered
Cardiology 35 years experience
120/70: BP in 30yr olds rage from systolic 90-140. Diastolic 60-80.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 30-year-old female asked:
Dr. Rama Garimellaanswered
Cardiology 35 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
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
125
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
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