Dr. Nathan Almeida
Internal Medicine - Cardiology
Little River, SC
25 years experience male
Locations
McLeod Cardiology Associates
Little River, SC
About
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.
Internal Medicine - Cardiology
Cardiology
Internal Medicine
Languages spoken
English
Doctor Q&A
64 Answers
17 Agrees
The number of answers this doctor has agreed with.
A 28-year-old male asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Pericarditis: Pericarditis is the inflammation of the membrane that surrounds the heart. Inflammation of the heart muscle itself is called myocarditis.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A member asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
?wrong test: Are you sure you had a cardiac MRI for stroke workup? Mri of brain will not give you any information about cardiac blood vessels. Your report implies ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsAnswered >2 years ago
A 46-year-old female asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Depends: Whether it is necessary depends on hte clinical scenario.
Coronary angiography is the gold standard to assess for coronary artery disease. It does ha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 27-year-old female asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Several: Look out for left atrial enlargement or mitral valve narrowing/leakiness on echocardiogram, which would indicate structural heart problems.. If echo i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 17-year-old male asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Go with the Echo: The ekg is not as specific or sensitive for lvh. If your echo shows no lvh, you do not have lvh.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 49-year-old female asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
No: If irregular "heart beat" is atrial fibrillation, and if you are on warfarin for anticoagulation ( is that why you are checking your inr?), then a the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 58-year-old female asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Treat Hypertension: You need to get your BP controlled asap. Neurological (brain) and cardiac (heart) dysfunction may occur in the setting of markedly elevated blood pres... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 47-year-old male asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Depends: 3 medications that are proven to help strengthen the heart in "systolic" heart failure (i.e. Weak heart muscle) are beta blocker ( like metoprolol), a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Yes: Rheumatoid arthritis (and any chronic inflammatory state) accelerates formation of atherosclerotic plaques in the blood vessels, and hence is a risk f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 46-year-old member asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
No: Hyperthyroidism (not hypothyroidism) is associated with atrial fibrillation.
Sometimes, over treatment of hypothyroidism may result in hyperthyroid... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 59-year-old female asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Treat cause: CRP is a non-specific protein produced by the liver in inflammatory states. If you have injuries, infection or inflammation, CRP will rise. The goal i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 50-year-old female asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Not necessarily: Not necessarily concerning if you do not feel dizzy, have not passed out and if your heart rate picks up with activity. I would advise you to check yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 23-year-old female asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Yes: People who require cabg, have coronary artery disease ( blockages in the heart's blood vessels). Medications known to prolong your life/prevent future... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
ECG finding: Inferior Q waves on ECG indicate possible prior inferior wall myocardial infarction (heart attack). To be significant, the q wave must be at least 25%... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 45-year-old male asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
No: Lisinopril (ace inhibitor) is not known to cause weight gain.
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 22-year-old male asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Discuss with doc: Avoid caffeinated beverages. Adderall (dextroamphetamine and racemic amphetamine) may also precipitate palpitations, if that is a new med for you. Get... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsReviewed >2 years ago
A 20-year-old male asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Yes: Some people are sensitive to caffeine and can get svt/ atrial fibrillation from larger doses. Binge drinking of alcohol can precipitate atrial fibrill... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 50-year-old female asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Normal response: That is a normal response of the body. If your blood pressure drops, the body compensates by increasing the pulse rate ("reflex tachycardia"). The opp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 40-year-old member asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Short term: Iabp is used for systolic heart failure for a short time, usually 2-3 days, often as a bridge to some other therapy.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 68-year-old male asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Any: Being on valium does not affect the choice of your high blood pressure medication.
If your heart rate is not well controlled while in atrial fibrill... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 42-year-old member asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Lying down: Lying down may effectively prevent a majority of the fainting spells (the so called vasovagal syncope). A smaller number of fainting events may be fro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 26-year-old female asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Benign: Likely a benign finding. Some degree (usually trace) regurgitation is normal across most cardiac valves except the aortic valve.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 56-year-old female asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
ARB: Are you sure this is an anaphylactic ( allergic) reaction or "angioedema"?
Lisinopril ( and all ace inhibitors) can cause angioedema in a small numb... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 71-year-old male asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Options available: I rarely use more than Coreg (carvedilol) 25mg twice a day, but doses uptown 50mg twice a day for body weight >85kg are permitted, if heart rate an... 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. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Yes: Fiber binds to dietary cholesterol and reduces its absorption in the gut, hence reducing cholesterol ( approximately by 10-15%).
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 36-year-old female asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Talk to your doc: The "stress" portion of your stress test appears to be normal, as you reached a reasonable stress (9 mets), reached target heart rate and no ischemia ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsAnswered >2 years ago
A 39-year-old female asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Raise head of bed: Nocturnal urinary frequency may be seen in POTS, and may worsen symptoms. Try raising the head of bed by at least 30-45 degrees
Created for people with ongoing healthcare needs but benefits everyone.
1.9k viewsReviewed >2 years ago
A 21-year-old male asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Very accurate: You are comparing apples to oranges. Echocardiogram gives a 2d picture of the heart in real time and is the gold standard to assess the cardiac struct... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 30-year-old female asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
No: Inappropriate sinus tachycardia does not cause atrial fibrillation, though the 2 may coexist. If you did have a procedure such as ablation, you could ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Highly successful: Overall success depends where the accessory WPW is located in the heart, but with modern ep mapping systems, the procedure has a high success rate. R... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 25-year-old male asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
No: With massive troponin elevation (300!), you have to rule out coronary occlusion (thrombosis/dissection/embolism) - need coronary angiography to rule t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsAnswered >2 years ago
A 29-year-old female asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Probably not: Very unlikely to be cardiac related. It is most likely musculoskeletal or neurological in origin, and probably benign.
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Yes: Aspirin can be taken with ace inhibitor such as lisinopril.
There was some observational data indicating decreased efficacy of ace inhibitor if used... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 29-year-old male asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Relatively safe: Relatively safe medication, can cause mild ankle swelling ( benign). Discuss with your doc about using a single antihypertensive instead of small dose... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 32-year-old female asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
LVH : Yes, EKG is not very accurate for LVH, and the criteria are different for people in their 30s... The LVH on your EKG was probably an automatic read by... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.9k viewsReviewed >2 years ago
A 56-year-old female asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Not sure: Pacemaker leads are located in veins of the upper chest, not in the neck arteries. Not sure if you have a different wire that lodged in the neck due t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 27-year-old male asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Yes: Cough due to CHF is due to excessive fluid buildup in lungs due to inefficient heart function. Cough due to ace inhibitors is a benign (though irritat... 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. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Modest success: "rate control" medications such beta blockers and calcium channel blockers are first line, and there is a new medication called ivabradine which may a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 28-year-old male asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Antiarrhythmic: Amiodarone is an a medication to prevent abnormal heart rhythms that originate in either the atria or ventricles (top or bottom chambers of the heart)... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 19-year-old female asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Lying down: Symptoms of hf worsen at night as you assume a supine posture. The supine posture ("lying down") causes fluid that was stored in the lower extremity v... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 56-year-old male asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Maybe not: We try to identify a reversible precipitating cause for atrial fibrillation, so that fixing that cause may result in elimination of atrial fib.
In yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 65-year-old female asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Yes: Defibrillator/pacemaker does not change the heart pump function, though a biventricular icd may do so. Prognosis in advanced heart failure is extreme... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 30-year-old member asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Sometimes: The hallmark of WPW ECG is the " delta wave". That should disappear with successful ablation.
However, sometimes we are not able to ablate the entir... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 30-year-old male asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Post CABG confusion: Cognitive impairment can occur after cabg. If significant she needs brain imaging (MRI) to look from a new stroke.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Many symptoms/signs: Shortness of breath at rest or mild exertion which may worsen on lying down, swelling of legs, fatigue, considerable weight gain in a short time.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 40-year-old male asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
No: Oatmeal or cinnamon is not a trigger for atrial fib/flutter.
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 54-year-old female asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Depends: Depends on the cause of your heart failure. In any case, you should be on a betablocker (such as Carvedilol or metoprolol), an ace inhibitor ( such as... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 17-year-old male asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Yes: Gradual LVH is mostly from hypertension or heart valve problems. Lvh can occur more rapidly in conditions like hypertrophic cardiomyopathy (commoner),... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 29-year-old female asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Yes: Is your kidney function normal? If not, higher doses of lasix/or addition of other diuretics like Metolazone may help. But your renal function and ele... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A member asked:
Dr. Nathan Almeidaanswered
Internal Medicine - Cardiology 25 years experience
Yes: Congratulations on your decision to quit tobacco use. Nicotine replacement such as nicotine gum/ patches may be used in the short term to help avoid c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k 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
100
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Almeida is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Almeida is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
she's had an MRI and its clear apparently! she's on an oxygen mask constantly they thought she had pneumonia as something on her lungs
HealthTap member
This saved my life. Thank you. Thank you ever so much for your Expert advice and Kindness and Generosity.
HealthTap member
Thank you, your answer was very helpful! Aortic stenosis is listed as severe. Thank you for your reply.
Education & Training
Medical/Graduate school
Goa University, Goa Medical College, India
Graduated 1998MD
Medical/Graduate school
University of Alabama at Birmingham, AL
Graduated 2004MD
Residency
CREIGHTON UNIVERSITY MEDICAL CENTER - SAINT JOSEPH
Awards
Fellow of American College of Cardiology
Fellow of American College of Physicians
Top Doctor, First Place, Charleston, SC - Winter
2013
Affiliations
FACC
FACP
Publications
Cerebral air embolism resulting from an airplane flight
Gender specific echocardiographic findings in nonagenarians with Cardiovascular disease
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