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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
Nuclear Medicine
Licenses
United States: California
Languages spoken
English
Doctor Q&A
296 Answers
75 Agrees
The number of answers this doctor has agreed with.
A 41-year-old female asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Yes: After approximately 7-10 days on this dose, however, BP ought to be re-assessed and if BP still not optimal, uptitration to 100 mg ought to be conside... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 89-year-old male asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Tachybrady syndrome: As we age, the electrical system in our heart get tired and can take "time-outs" so to speak. Variable heart rate like yours at your age is most likel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 21-year-old male asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Unlikely to be heart: Typical chest pain in a male is not described as "cramp" and unlikely for cardiac enzymes and EKG to be normal if performed while having chest/heart s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 39-year-old male asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Avoid dehydration: The #1 benign cause of fast heart rate is dehydration. It is very important to drink lots of water, and by that I donot mean coffee and tea (which hav... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 52-year-old male asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Depends on LDL level: AHA/ACC guidelines =treat based on an assessment of lifetime risk of developing heart disease. Typically, before statins are started, a sincere attemp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsReviewed >2 years ago
A 33-year-old female asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Possibly: Brugada syndrome refers to a very specific finding on ECG -- saddle/humpback ST changes in V!-V2, and maybe V3. It is associated with arrhythmias, sp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 29-year-old female asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Biomarker: High sensitivity CRP first of all not just CRP is a surrogate risk factor for developing heart disease. Age, cholesterol, fam hx, and tobacco use are ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 26-year-old female asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Short Answer: yes!: Coughing black phlegm is not normal!! Dark bc there is blood in it? That would be called hemoptysis. NOt sure how the CAnadian system is, but you need... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.6k viewsReviewed >2 years ago
A 23-year-old female asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Heart rate > 100 bpm: Normal resting heart rate is 60-100 beats/min
Created for people with ongoing healthcare needs but benefits everyone.
2.6k viewsAnswered >2 years ago
A 20-year-old female asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Dehydration: You are tachycardic (heart rate>100 bpm), very possibly because you are dehydrated especially if you are vomiting. You need to get to the cause of ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Variable: Your husband ought to see a reputable, good cardiologist. Digoxin is an old drug, that typically is not used today -- "to dig or not to dig" article b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 32-year-old male asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
No: An echocardiogram can tell valve "leakiness", valve "stenosis" and other structural abnormalities such as cholesterol build up, "healed" scar from pri... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.6k viewsAnswered >2 years ago
A 41-year-old female asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Can't give you a %: BUT your risk is definitely increased significantly compared with a premenopausal woman, nonsmoker and with "all good tests". Tobacco is toxic to end... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 28-year-old male asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
No need to be scared: Seeing that you are on Propranolol (a beta blocker) that works to lower heart rate, I am not surprised by your heart rate of 58 bpm. Suspect you are ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 44-year-old female asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
No: So it is not common for ECG interpretation to vary that much, that is, one year RBBB and another year LBBB as the etiologies of the two are diffferent... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 61-year-old female asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Suggestive of ischem: A small area of anterior septal ischemia of the LV = small area of reduced blood flow at peak stress test. Few things to be mindful: Small refers to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.4k viewsAnswered >2 years ago
A 37-year-old female asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Angina: Your symptoms, especially pain radiating to the left jaw are concerning for angina. Women present "atypically" for chest pain. You should see a cardio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 27-year-old female asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Not necessarily: GAD can be challenging to treat and some times medicines is not the right therapy for everyone; you may wish to consider simultaneous behavioral thera... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 40-year-old member asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Kidney disease: From a blood test, I suspect your internist is checking your BUN/Creatinine, makers of kidney function. Some BP medicines affect this parameter advers... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 45-year-old female asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Yes: Depending on the severity, general anxiety disorder can cause a variety of "flight or fright responses" manifesting as diarrhea, sweating, muscle twit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 28-year-old male asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Vasovagal syncope: Still related to perturbations in vascular tone and/or inappropriate tachycardia, also benefits from compression stockings.
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 20-year-old female asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Stress: Are you "stressed" the days you know you have to go to work? The gastointestinal tract is highly innervated and sensitive to "state of mind". In othe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 38-year-old female asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Various connections: Certainly if you are in any kind of GI distress causing nausea your heart rate can go up simply because you are anxious. Increased heart rate can also... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 27-year-old male asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
No: There is plenty of data to show that isolated PVCS do not need treatment nor are they harmful. That your echo is Norma and u a have no structural hear... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsAnswered >2 years ago
A member asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Differential dx: Pain in left leg and left arm could be medicine side effect. Although that may sound bizarre, pls recall if any med started new and temporally connect... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsAnswered >2 years ago
A 26-year-old male asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
MR = regurgitation: Per your comments in quotation marks, yes, you have mitral regurgitation or insufficiency. As to its severiry, mild, moderate or severe, is not mentio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsAnswered >2 years ago
A 38-year-old male asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Yes: First you need to get your pericarditis treated and in remission before you worry about limiting activity causing worse heart outcomes long term. The... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsAnswered >2 years ago
A male asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Yes : Any negative intotrope is fine for treatment of HOCM; beta blockers preferred to calcium channel blockers however because of additional cardio protect... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsReviewed >2 years ago
A male asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Optimization medicin: Plus lifestyle changes (walk even daily 30 mins, eat as much of a MEditerranean diet as possible, and de-stress = meditate). Given your LBBB, some pl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 18-year-old male asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Yes probably: in a young person as yourself, if you have no structural heart disease and this is "lone atrial fibrillation", then that ought not to prohibit you fro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.1k viewsAnswered >2 years ago
A 34-year-old female asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
No more than a few: Show your log, give your opinion, and it ought to become apparent to your doctor that u have white coat hypertension. If still an issue, a 24 hr ambu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3k viewsReviewed >2 years ago
A 35-year-old female asked:
Do you think atrial fibrillation would improve with an ablation? only remedy so far is cardioversion
Dr. Anita Prakashanswered
Cardiology 31 years experience
Yes: RF ablation for atrial fibrillation and/or atrial flutter in good hands ought to be curative. Factors that determine success: electrophysiologists exp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsAnswered >2 years ago
A female asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Too many queries: But I will answer as fully as possible: concentric LVH means "thickening of wall" of left ventricle (main pumping chamber of heart) due to excess pres... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsReviewed >2 years ago
A 65-year-old male asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Yes: AF ablation is a non-invasive procedure done by an EP doctor. Howver, while undergoing open heart surgery, other methods exist to rid off AF and/or em... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.6k viewsReviewed >2 years ago
A female asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Pharmacokinetics: CArdizem CD basically is long acting. Typically this form is to be taken once/day as it is supposed to give you coverage for 24 hours. The other one, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
That is normal: The heart is a muscle and when it is resting and/ or one is in good shape, resting heart rate can be as low as 40 BPM. That is what is typically seen ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsAnswered >2 years ago
A 65-year-old male asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Atrial clip exper: The jury is still out on the utility, safety and efficacy of the left atrial clip to decrease thromboembolic risk in patients with AF. SO I would proc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsAnswered >2 years ago
A 43-year-old female asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Depend pretest proba: A plain exercise treadmill stress test is less sensitive than a treadmill test with an imaging agent (i.e. Ultrasound or nuclear camera). In other wo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.5k viewsReviewed >2 years ago
A 26-year-old male asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
It can : A complete ECG is all 12 leads. Having said that a 3 lead ECG can give suspicion to prior injury or infarct, but not confirm for as confidently. Also ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.2k viewsAnswered >2 years ago
A 48-year-old male asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
See MD: Your blood pressure is too high. You need to see a doctor ASAP and get it checked and under control of high. Further I️
Created for people with ongoing healthcare needs but benefits everyone.
484 viewsAnswered >2 years ago
A 51-year-old male asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Get a second opinion: That a surgeon says he can operate on your carotid artery that's 50%. Blocked is different from SHOULD it be. Typically 50% lesions are not intervened... Read More
Created for people with ongoing healthcare needs but benefits everyone.
743 viewsReviewed >2 years ago
A 59-year-old female asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Sleep apnea and AFib: There is a well known association between hypoxemia (low circulating oxygen in blood) and stress on heart manifesting as arrhythmia. In ur husbands ca... Read More
Created for people with ongoing healthcare needs but benefits everyone.
841 viewsReviewed >2 years ago
A 44-year-old male asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Most likely not : LVEF quantification by LV angiogram less accurate, reproducible, user dependent and quality of cath. CMRI clearly shown to be more accurate in assessm... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.8k viewsReviewed >2 years ago
A 50-year-old male asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Renal dosages....: Pradaxa is a strong blood thinner (direct thrombin inhibitor); needs to be taken carefully to Kidney patients to prevent BAD outcomes. If Crealtinine ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.4k viewsAnswered >2 years ago
A 20-year-old female asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
No: ideal BP is 130/80 mmhg or less
Created for people with ongoing healthcare needs but benefits everyone.
1.8k viewsAnswered >2 years ago
A 26-year-old male asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Probably a fungal : infection. See an MD, confirm fungal infection and get antifungal medicine for it. More importantly need to look into why this happened -- typically s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
1.9k viewsAnswered >2 years ago
A 32-year-old male asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Depends: Statin have pleiotropic benefits: antilipids, anit-inflammatory, endothelium stabilization. So depending on yr overall risk for heart disease (fam hi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsReviewed >2 years ago
A 66-year-old male asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
See a cardiologist : As your symptoms may be secondary to your heart rate, you need to see a cardiologist. Having said that, if you felt fine (that is, no lightheaded ness... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsAnswered >2 years ago
A 49-year-old member asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Yes: For a 49-year-old male your lipids ought to better and your risk of heart disease is elevated with these numbers. However, additional risk factors inc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k viewsAnswered >2 years ago
A 44-year-old member asked:
Dr. Anita Prakashanswered
Cardiology 31 years experience
Definitely: A fasting lipid panel is what is needed to get reliable numbers, especially if they are being used to risk stratify you and/or calculate your lifetime... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.7k 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.
13
Recommendations
319
Thank you notes
Sep 30, 2014
Being thorough
HealthTap member
Dec 21, 2014
Dr. Anita Prakash took my condition seriously and really searched into the furthest corner of her knowledge to help me, unlike many other doctors that I've seen.
HealthTap member
Nov 29, 2016
Dr Prakash is very generous in answering important questions
in depth learn't a lot from her many professional
answers .Great for healthtap.
HealthTap member
This was very helpful. Thanks! Thanks Dr Prakash for your professional advice although very hard to convince my mother who is anti-Statins as they caused leg cramps but Ubiquinol could work with stati...Read More
HealthTap member
This was very helpful. Thanks! Amiodarone made me so sick that had the catheter ablation not been done quickly, I would have killed myself. Post-ablation, I still feel sick. This is a horrid drug. T...Read More
HealthTap member
This was very helpful. Thanks! Yes. I asked a nurse manager the question today and was told that a person would enter a rehab facility and insurance will be looked at closely about home care. thanks f...Read More
Education & Training
Medical/Graduate school
State University of New York at Stony Brook School of Medicine, NY
Graduated 1996MD
Medical/Graduate school
Columbia College, Bachelor of Arts
Graduated 1992MD
Residency
St. Vincents Hospital, NY, NY
Awards
Top Cardiologist , Second Place, California - Fall
2014
Most Influential, First Place, the San Jose Region - Spring
2017
Top Cardiologist, Second Place, California - Spring
2017
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