EXPERT
Premala Raja
Cardiologist | Cardiovascular Disease
Dr. Premala Raja is a top Cardiologist in Englewood, . With a passion for the field and an unwavering commitment to their specialty, Dr. Premala Raja is an expert in changing the lives of their patients for the better. Through their designated cause and expertise in the field, Dr. Premala Raja is a prime example of a true leader in healthcare. As a leader and expert in their field, Dr. Premala Raja is passionate about enhancing patient quality of life. They embody the values of communication, safety, and trust when dealing directly with patients. In Englewood, Florida, Dr. Premala Raja is a true asset to their field and dedicated to the profession of medicine.
42 years
Experience
Premala Raja
- Englewood, Florida
- St.Joseph's Hospital , N.J.
- Accepting new patients
TIMING IS CRUCIAL!
I like to advise the patients to seek for help when one experiences chest pain or symptoms from stroke ASAP or STAT. If you do not seek for help on timely fashion, it is too late....
COOPERATION & DETERMINATION
Physicians are here to help the patients. We recommend how to proceed with the life style after the heart attack, after stent for CAD, & after bypass surgery. Patients have...
How to treat this issue?
I am sorry for you. you are too young to have chest pain from hardening of the arteries.You are going thro' anxiety subconsciously. yoga will help to relax. I do not recommend READ MORE
I am sorry for you. you are too young to have chest pain from hardening of the arteries.You are going thro' anxiety subconsciously. yoga will help to relax. I do not recommend meds for anxiety. You are too young to take these meds. i recommend Regular stress test to give you assurance & echocardiogram to r/o mitral valve prolapse .counseling will help you too.
Can you tell if you have heart fibrillation by taking your pulse?
when you check your pulse, it will be very , very irregular. Now a days ,apple watch is able to get the tracing of the cardiac rhythm. Pulsr rate won't be constant.
Do heart stents last forever?
not really. If one has drug eluting stent, it is supposed to keep the artery open for a while. We do not use Bare metal stent very often since it is not the best. On some occasions READ MORE
not really. If one has drug eluting stent, it is supposed to keep the artery open for a while. We do not use Bare metal stent very often since it is not the best. On some occasions , we use them. If patient does not take 2 antiplatlet agents for 1 year,( mandatory) & continue either aspirin or plavix for the rest of the years, it is high chance for the stent to close. Of course, keeping LDL level under 70. & No smoking will keep the stent patent for a while.
Is physical therapy good after a heart attack?
Cardiac Rehab will help you. it should be covered by your insurance . It gives you piece of mind after the heart attack, after bypass surgery & stent placement. Mentally ,you are READ MORE
Cardiac Rehab will help you. it should be covered by your insurance . It gives you piece of mind after the heart attack, after bypass surgery & stent placement.
Mentally ,you are afraid to do anything. This cardiac rehab is done under supervision.
Mentally ,you are afraid to do anything. This cardiac rehab is done under supervision.
Pericardial infusion?
# 1 cause is viral infection. it is usually self limited. If thyroid gland is under functioning, it can cause pericardial effusion. collagen diseases, like lupus & rheumatoid arthritis READ MORE
# 1 cause is viral infection. it is usually self limited. If thyroid gland is under functioning, it can cause pericardial effusion. collagen diseases, like lupus & rheumatoid arthritis can cause, After the heart attack,one can get it.After open heart surgery ,one can get it. Ofcourse , infection & cancer can cause when it spreads to the heart & lung.
Is this a heart attack?
Even though heart attacks are seen more in males than in females, your symptoms are highly suggestive of heart related problem. You are in menopause age, that means the risk for READ MORE
Even though heart attacks are seen more in males than in females, your symptoms are highly suggestive of heart related problem. You are in menopause age, that means the risk for heart attack is equally similar to males. you have hypertension. so you should go to ER.if it is new onset & last longer.
Concerned chest pain?
Do not wait. Call 911 & go to the nearest hospital for ER checkup. It means you are expecting heart attack until it is ruled out.
Feel abnormal and very unwell?
You have to see a cardiologist for further work up . When you say palpitation, it means your heart rate is fast. It does not say if it is Atrial fib,flutter or SVT. So you need READ MORE
You have to see a cardiologist for further work up . When you say palpitation, it means your heart rate is fast. It does not say if it is Atrial fib,flutter or SVT. So you need Event moniter or Holter moniter with ekg , lab tests to check potassium level & thyroid test. Once the Arrhythmia is found, it will be treated correctly . Especially if it is Atrial fib or flutter, you need blood thinner to prevent stroke.
Are there any natural alternatives to Plavix?
I do not know why you are given plavix with asa for 6 yrs after CABG. Did you have stroke ? If you did not have stroke, you do not need both. Just baby asa is adequate
eliquis
I do not think acupuncture is invasive. If the person who does this procedure wants you to stop it then you can skip one dose on the previous day &am on the DOP. Then restart.
How long does a stent last in your heart?
Once one has a stent, it is there forever. For some patients, they may not need another stent or bypass surgery for several years. Some patients may need another stent for the READ MORE
Once one has a stent, it is there forever. For some patients, they may not need another stent or bypass surgery for several years. Some patients may need another stent for the same artery blockage in one year. It depends upon how the ldl level is kept, activities of the patient, and if the patient takes aspirin or not daily.
Is it safe to go to the gym 6 months after coronary artery bypass surgery?
As long as you are cleared by your surgeon & cardiologist, there is no reason why you can't go to the gym. In fact, you should be able to resume your exercise after 6 weeks without READ MORE
As long as you are cleared by your surgeon & cardiologist, there is no reason why you can't go to the gym. In fact, you should be able to resume your exercise after 6 weeks without any restrictions, gradually.
Can you have a heart attack without knowing it?
Yes. Especially if the patient is diabetic, the patient does not feel the chest pain as described in the book. The patient may feel like he or she has flu-like symptoms.when the READ MORE
Yes. Especially if the patient is diabetic, the patient does not feel the chest pain as described in the book. The patient may feel like he or she has flu-like symptoms.when the patient has EKG a few months later for some reason, it may show that the patient had a heart attack,That's why I recommend EKG done at least once a year. Sometimes, patients may feel indigestion-like symptoms.
Are heart diseases heriditary?
Weak heart is hereditory as well. if you have echo-c , it will show if your heart is dilated or not. Cardiac arrest can be from hardening of the arteries too. to make sure that READ MORE
Weak heart is hereditory as well. if you have echo-c , it will show if your heart is dilated or not. Cardiac arrest can be from hardening of the arteries too. to make sure that you have stress test done periodically.check your cholestrol level, potassium & magnesium levels.Sometime we recommend you to take aspirin 81mg once daily if there is no contraindication.
What should you do if someone starts complaining of chest pain?
He or she should be seen by a doctor for ruling out hardening of the artery. if he has chest pain after the daytime hours, call paramedics . do not drive the motor vehicle by yourself. READ MORE
He or she should be seen by a doctor for ruling out hardening of the artery. if he has chest pain after the daytime hours, call paramedics . do not drive the motor vehicle by yourself. Chew 4 baby aspirin while you wait for paramedic.
Is it normal for a child to have chest pain?
Not normal. It could be from mitral valve prolapse, or from muscular pain. Echocardiogram will help to rule out pain from MVP. To look for cardiac arrhythmia
Can you die from a heart attack?
Definitely. Heart attack is due to occlusion of a blood vessel that supplies the heart muscle. If the heart damage is smaller in size, patient will recover with minimal complication. READ MORE
Definitely. Heart attack is due to occlusion of a blood vessel that supplies the heart muscle. If the heart damage is smaller in size, patient will recover with minimal complication. If the damage is a larger size or if it involves the crucial area of the heart, the patient can have cardiac arrest, hole in the heart muscle, or rupture of the heart muscle or delayed complication like CHF, etc.
Can you explain to me what a sinus arrhythmia is?
Most of the time, the heart beat is regular. When you check the pulse on the wrist, there is regular rhythm. In sinus arrhythmia, the heart rate or pulse is not regular. One feels READ MORE
Most of the time, the heart beat is regular. When you check the pulse on the wrist, there is regular rhythm. In sinus arrhythmia, the heart rate or pulse is not regular. One feels that there is some irregularity with regular rhythm, it is also associated with respiratory phase. That means the heart rate will be slightly faster with regularity during inhalation & exhalation.
Are heart murmurs life threatening?
Yes, you should see a cardiologist to find out: 1. if you have a heart murmur; 2. what is the source of the heart murmur; and 3. the severity of the heart murmur. From the cardiac READ MORE
Yes, you should see a cardiologist to find out: 1. if you have a heart murmur; 2. what is the source of the heart murmur; and 3. the severity of the heart murmur. From the cardiac ultrasound test, most of the information can be obtained.
Is heart failure usually sudden?
Most of the time, heart failure is due to weakness of the heart muscle, which is due to heart attack or alcohol abuse or viral infection. Sometimes, the weakness of the heart muscle READ MORE
Most of the time, heart failure is due to weakness of the heart muscle, which is due to heart attack or alcohol abuse or viral infection. Sometimes, the weakness of the heart muscle is hereditary, too. If the heart valves are either stenotic or leaky, heart failure can occur. Most of the time, it is progressive. If there is rupture of the tendon or papillory muscles inside the heart, this can result in sudden onset of chf. Acute heart attack can result in chf.
