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Dr. Nathan Almeida

Internal Medicine - Cardiology
Little River, SC
24 years experience male

Locations

McLeod Cardiology Associates

Little River, SC

Address

3980 Hwy 9E, Suite 220, Little River, SC
Directions

About

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.

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 30-year-old member asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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
A 17-year-old male asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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
A 29-year-old female asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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
A 40-year-old male asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 years experience
No: Oatmeal or cinnamon is not a trigger for atrial fib/flutter.
A 38-year-old member asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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.
A 31-year-old male asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 years experience
Possible CAD: Your goals for LDL are based on your risk factors for atherosclerosis, so unable to tell you accurately about your "ideal" lipid levels. However, you ... Read More
A 54-year-old female asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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
A 30-year-old male asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 years experience
Post CABG confusion: Cognitive impairment can occur after cabg. If significant she needs brain imaging (MRI) to look from a new stroke.
A 54-year-old male asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 years experience
Depends: What you are referring to, is opening a totally blocked LAD long after it has closed off. Depends if there are collaterals ( natural bypass vessels of... Read More
A 33-year-old male asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 years experience
Unrelated: Smoking is clinically proven to raise your bp, not lower it.
A 45-year-old member asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 years experience
No: Any cigarette smoking is detrimental. If it is for a very short period of time, it may not have long term side effects. However, even smoking 100 ciga... Read More
A 36-year-old member asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 years experience
Very different: Heart failure is the inability of the heart to meet the metabolic demands of the body (either the heart is abnormal or the body's demands are excessiv... Read More
A member asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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
A 43-year-old male asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 years experience
Not necessarily: If you have atrial fibrillation, excessive alcohol intake can precipitate an event. Dofetilide has an additional potential to cause dangerous cardia... Read More
A 71-year-old female asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 years experience
Reasonable: What condition of aortic valve do you have? If you have severe symptomatic aortic stenosis, aortic valve replacement is the only solution. Most people... Read More
A member asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 years experience
Bleeding: Was this a coronary angiogram via radial approach? If that is so, the bruising is from bleeding within the arm from the procedure. This is usually sel... Read More
A 28-year-old male asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 years experience
Unlikely: The only way you can pass out due to lack of circulation to the brain is to have severe blockages in both carotid/vertebral arteries - which is very ... Read More
A 18-year-old female asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 years experience
Depends: Athletes have a more efficient cardiovascular system (higher volume of blood circulating with each heart beat, better oxygen extraction by muscles) an... Read More
A 19-year-old female asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 years experience
No: Anorexia is, by definition, unhealthy weight loss, usually due to loss of appetite from some systemic illness. "anorexia nervosa" is an eating disorde... Read More
A 37-year-old member asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 years experience
Yes: Caffeine is a stimulant and can increase both blood pressure and heart rate.
A 30-year-old female asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 years experience
Talk to your doc: Persistent palpitations may indicate a cardiac arrhythmia. Document your pulse during the palpitations (?Fast, ?Regular).Try to get an ECG while you a... Read More
A male asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 years experience
Many causes: Difficulty in breathing is a symptom that has many causes. You may have normal oxygenation, but have narrowed airway (as in asthma), a lung infection ... Read More
A 28-year-old male asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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
A 68-year-old male asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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
A 39-year-old female asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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
A 25-year-old male asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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
A 29-year-old female asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 years experience
Probably not: Very unlikely to be cardiac related. It is most likely musculoskeletal or neurological in origin, and probably benign.
A 29-year-old male asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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
A 25-year-old male asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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
A 32-year-old female asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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
A 40-year-old member asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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.
A 56-year-old male asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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
A 65-year-old female asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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
A 19-year-old female asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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
A 42-year-old member asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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
A 30-year-old female asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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
A 21-year-old male asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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
A 43-year-old member asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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
A 56-year-old female asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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
A 30-year-old female asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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
A 38-year-old member asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 years experience
Yes: Fiber binds to dietary cholesterol and reduces its absorption in the gut, hence reducing cholesterol ( approximately by 10-15%).
A 56-year-old female asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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
A 39-year-old member asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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
A 36-year-old female asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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
A 71-year-old male asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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
A 26-year-old female asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 years experience
Benign: Likely a benign finding. Some degree (usually trace) regurgitation is normal across most cardiac valves except the aortic valve.
A 47-year-old male asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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
A 43-year-old member asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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
A 46-year-old member asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 years experience
No: Hyperthyroidism (not hypothyroidism) is associated with atrial fibrillation. Sometimes, over treatment of hypothyroidism may result in hyperthyroid... Read More
A 58-year-old female asked:
Dr. Nathan Almeida
Internal Medicine - Cardiology 24 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

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Testimonials
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
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