About
Bio
I am a general cardiologist and practice in the Philadelphia area. I am board-certified in Internal Medicine and Cardiologyand have a special interest in general cardiology, hypertension. lipid abnormalities, cardiovascular diagnostic testing and cardiac rhythm disorders.
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
Licenses
United States: Pennsylvania
Languages spoken
Malayalam, Tamil
Doctor Q&A
553 Answers
231 Agrees
The number of answers this doctor has agreed with.
A 29-year-old male asked:
Dr. Ramalingaier Parameswarananswered
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Not safe.: It is difficult to know what you mean by "Low blood pressure" and also "low BPM". Taking beta blockers should be considered only after evaluation by y... Read More
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524 viewsReviewed >2 years ago
A 16-year-old male asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
At age 16, likely anxiety as a major factor to consider. AnECG, CT scan and chest xray for the symptoms you describe sound excessive for the symptoms ... Read More
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Reviewed Apr 12, 2021
A 20-year-old female asked:
Dr. Ramalingaier Parameswarananswered
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Do not believe dizziness is related to her blood pressure. A full evaluation is required to investigate the cause of the falls and the dizziness. Exa... Read More
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Answered Jun 17, 2021
A 16-year-old male asked:
Dr. Ramalingaier Parameswarananswered
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Brugada pattern may appear after a stress test, Remember that your suspicion is based on the ECG appearance poststress and it is impossible to make a ... Read More
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Answered Sep 01, 2021
A 30-year-old male asked:
Dr. Ramalingaier Parameswarananswered
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If all the tests that you mention were normal, it is reassuring and I would suggest no further testing. I assume you are not taking any other medicati... Read More
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Reviewed Sep 08, 2021
A 17-year-old male asked:
Dr. Ramalingaier Parameswarananswered
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If the heart is truly enlarged, the palpable heart impulse should not vary in location to the degree described by you. I applaud your apparent skills ... Read More
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Answered Apr 30, 2021
A 73-year-old male asked:
Dr. Ramalingaier Parameswarananswered
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Defects in perfusion imaging without reversibility is usually interpreted as evidence of prior heart attack related scar. However, a number of factors... Read More
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Reviewed May 09, 2021
A 66-year-old female asked:
Dr. Ramalingaier Parameswarananswered
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Poor R wave progression in an otherwise normal ECG is most often due to incorrect electrode placement. Despite it being a common "problem" , I am dis... Read More
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Answered Jul 21, 2021
A 30-year-old male asked:
Dr. Ramalingaier Parameswarananswered
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Depends n what is causing the fibrosis and what technique was used to make the diagnosis. If the fibrosis is diffuse, a search should be made for othe... Read More
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Answered May 30, 2021
A 61-year-old male asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
Only if determined to be medically necessary.If you have any of the risk factors for coronary disease such as a strong family history, high cholestero... Read More
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Answered Aug 10, 2021
A 21-year-old female asked:
Dr. Ramalingaier Parameswarananswered
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If it has been confirmed that you indeed have episodes is atrial fibrillation, I would strongly recommend evaluation by a cardiologist .
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Reviewed Apr 28, 2021
A 24-year-old male asked:
Dr. Ramalingaier Parameswarananswered
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Clearly, the number of PACS recorded in 24 hours or per hour requires further studies to rule out structural heart disease, electrolyte abnormalities,... Read More
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Reviewed Jun 19, 2021
A 30-year-old male asked:
Dr. Ramalingaier Parameswarananswered
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Depends on whether the study was performed at rest or during exercise. The ejection fraction is usually lower at rest , but may increase during vigoro... Read More
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Answered May 30, 2021
A 68-year-old male asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
A calcium score of 150 is abnormal and suggests an increased coronary artery disease risk and may be seen despite all the test results you provide. Th... Read More
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Reviewed May 30, 2021
A 31-year-old male asked:
Dr. Ramalingaier Parameswarananswered
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If your heart has been felt to be structurally normal, PAC's are considered benign. This is expecially so if the echo shows a structurally normal hear... Read More
Created for people with ongoing healthcare needs but benefits everyone.
Reviewed Jun 28, 2021
A 30-year-old male asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
While junctional rhythm at a rate of 50-60 beats/minute is common in athletes, junctional tachycardia defined sustained junctional beats at a rate gr... Read More
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Answered Jun 18, 2021
A 43-year-old female asked:
Dr. Ramalingaier Parameswarananswered
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Grade 2 early systolic murmur could be entirely benign but your physician is in a better position to comment further.
The right ventricular systolic p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
Answered Jul 27, 2021
A 50-year-old female asked:
Dr. Ramalingaier Parameswarananswered
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T wave abnormality is non-specific and is not diagnostic of any specific problem. If the remainder of your cardiac exam is unremarkable, this may not ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
Answered Apr 25, 2021
A 49-year-old male asked:
Dr. Ramalingaier Parameswarananswered
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BP not under control: I do not know what Prexum is. Your blood pressure is not adequately controlled. Please follow up with your doctor. Anxiety about your blood pressure m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
14 viewsReviewed >2 years ago
A 22-year-old female asked:
Dr. Ramalingaier Parameswarananswered
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Anxiety raises BP.: You have risk factors that can be controlled weight reduction, low fat diet and medications if necessary. Equally important is treatment of anxiety. B... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3 viewsAnswered >2 years ago
A 34-year-old female asked:
Dr. Ramalingaier Parameswarananswered
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As indicated, use of medications during pregnancy have the potential to affect the fetus and should be foremost in the mind of the treating physician.
Created for people with ongoing healthcare needs but benefits everyone.
Reviewed Apr 12, 2021
A 26-year-old female asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
Needs more detailed : Variability in the ST segment from beat to beat in the same lead may be an artefact due to patient movement. Changes in the ST segments in several con... Read More
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14 viewsAnswered >2 years ago
A 25-year-old male asked:
Dr. Ramalingaier Parameswarananswered
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Not due to heart.: Description does not suggest a heart problem. Heart symptoms usually caused by exertion, emotion, or a condition causing rapid heart rates. Your sympt... Read More
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15 viewsReviewed >2 years ago
A 31-year-old male asked:
Dr. Ramalingaier Parameswarananswered
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Probably unrelated.: Chest pain while taking a deep breath could be unrelated to cardiomyopathy unless there is coexisting pericarditis. Chest pain only occurring with bre... Read More
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4 viewsAnswered >2 years ago
A 28-year-old male asked:
Dr. Ramalingaier Parameswarananswered
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Although pro BNP is useful in the diagnosis of heart failure, no single test is the final word in this diagnosis. A detailed history, a careful examin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
Reviewed >2 years ago
A 21-year-old female asked:
Dr. Ramalingaier Parameswarananswered
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If your blood pressure is high each time it is checked, it needs further evaluation, testing., and possibly medications. I do not know what you mean b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
Answered >2 years ago
A 17-year-old male asked:
Dr. Ramalingaier Parameswarananswered
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If the electrocardiographic diagnosis of left anterior hemiblock is indeed correct, it is an abnormality that needs to be investigated further. ECG “a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
Reviewed Apr 12, 2021
A 42-year-old female asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
Agree with Dr. Romano. A detailed description of the chest pain is essential in the diagnosis of cardiac disease. In the absence of detailed history, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
Reviewed Apr 08, 2021
A 17-year-old male asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
You need a full cardiology evaluation. Not all individuals with ventricular premature beats are at risk for serious cardiac events but a full cardiolo... Read More
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Reviewed Apr 25, 2021
A 38-year-old female asked:
Dr. Ramalingaier Parameswarananswered
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If the Holter showed high(150s) and low rates(40s), I am not sure what else would be accomplished by a loop recorder. If there is bradycardia tachycar... Read More
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Answered May 19, 2021
A 31-year-old female asked:
Dr. Ramalingaier Parameswarananswered
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I am sure you have already worried about this without much relief from the symptoms. Now it is time to have your doctor evaluate you and try to help y... Read More
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Answered Nov 22, 2021
A 46-year-old female asked:
Dr. Ramalingaier Parameswarananswered
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After a heart attack, initial resumption of activity must be supervised for any symptoms of concern. If no symptoms, duration of activity should be in... Read More
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Reviewed Nov 21, 2021
A 30-year-old female asked:
Dr. Ramalingaier Parameswarananswered
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These could be due to vasodilatation caused by dypyridamole. Not knowing the indication for this drug and other drugs you are taking, cannot provide m... Read More
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Reviewed Nov 01, 2021
A 33-year-old female asked:
Dr. Ramalingaier Parameswarananswered
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I am not sure what "TOAN" stands for.
T wave abnormalities in the anterior precordial leads is common and may be due to incorrect electrode position o... Read More
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Answered Jul 25, 2021
A 17-year-old female asked:
Dr. Ramalingaier Parameswarananswered
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Your description suggests orthostatic tachycardia. My suggestion is that you see your physician for an evaluation. I am asking you to do this since yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
Answered Aug 06, 2021
A 66-year-old female asked:
Dr. Ramalingaier Parameswarananswered
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Considering that this was the opinion of three different individuals, I would suspect that this is of no significance. CT and MRI might be useful. I... Read More
Created for people with ongoing healthcare needs but benefits everyone.
Reviewed Jan 31, 2022
A 26-year-old female asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
I am glad that your echo showed no abnormality . The measurement you are providing is the internal diameter of the right ventricle and not the wall th... Read More
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Reviewed Apr 16, 2021
A 46-year-old male asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
Your VLDL and triglyceride levels are high. There has been significant controversy regarding the use of aspirin for primary prevention of coronary eve... Read More
Created for people with ongoing healthcare needs but benefits everyone.
Reviewed Apr 20, 2021
A 61-year-old female asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
Cannot be sure it is: While decreased count in the anterior wall may be caused by ischemia( inadequate blood flow), there are frequently other causes. In females, decreased... Read More
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3.4k viewsReviewed >2 years ago
A 36-year-old female asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
The description provided does not have adequate detail to make a diagnosis and reassure. The only way to answer your question adequately is to have yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
Answered Jan 16, 2022
A 42-year-old male asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
Just a good history and examination would have given you the same reassurance as the multiple tests. Always good to remember that history and clinical... Read More
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Reviewed Dec 12, 2021
A 68-year-old male asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
While there are differences in potency, I am not aware of a statin that is "better" in the way you are asking. Remember that
avoidance of smoking, a ... Read More
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Reviewed Nov 06, 2021
A 39-year-old female asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
Differentiating cardiac symptoms from gastrointestinal symptoms is sometimes difficult. The symptoms you provide need a detailed history, examination ... Read More
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Reviewed Dec 03, 2021
A 23-year-old female asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
The ECG abnormalities described by you are non-specific and ay be of no significance. However, clinical correlation should always be made. This is bes... Read More
Created for people with ongoing healthcare needs but benefits everyone.
Answered Oct 17, 2021
A 17-year-old male asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
The most reliable way is by getting an ECG in a single recoding or with continuous ECG monitoring (Holter) to ensure that that the heart rhythm is rec... Read More
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Reviewed Apr 12, 2021
A 58-year-old female asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
Not enough detail in your question to provide an answer. I do not believe your symptoms are related to the vaccine. Episodic rise in blood pressure as... Read More
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Reviewed May 23, 2021
A 17-year-old male asked:
Got back my ecg today and the result is repolarization abnormalities is present should i be concern?
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
This is a frequently used and vague label which is difficult to interpret. Sometimes it is encountered in a computer read ECG.
"Repolarization abnor... Read More
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Answered Sep 16, 2021
A 29-year-old male asked:
Dr. Ramalingaier Parameswarananswered
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Palpitations and skipped beats are very common among otherwise healthy people. To come to this conclusion however, you need to under a detailed histor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
Answered Sep 07, 2021
A 23-year-old male asked:
Dr. Ramalingaier Parameswarananswered
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A blood pressure of 95/60 associated with the symptoms warrants an evaluation, an increase in your sodium intake if stringently restricted, and a revi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
Answered Nov 29, 2021
A 40-year-old female asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
Not clear whether you actually had an echo. Sounds like your doctors did not understand whether you had a problem. I am not sure why you would need an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
Answered Oct 07, 2021
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
273
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Parameswaran is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Parameswaran is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you :) My primary didnt ask anything he just ref me to cardio :/
HealthTap member
Yes I do strength and cardio excercise. My heart rate use to be 70/80s
HealthTap member
I have appt. with cardiologist. Thank you for your time in answering.
Education & Training
Medical/Graduate school
Kerala University, Medical College Thiruvananthapuram, India
MD
Medical/Graduate school
Kerala University, Medical College Thiruvananthapuram, India
MD
Awards
Founding Knowledge Editor, First Place, Pennsylvania - Winter
2016
Top Cardiologist, First Place, the Nation - Spring
2017
Top Cardiologist, First Place, the Nation - Fall
2017
Affiliations
AMERICAN COLLEGE OF PHYSICIANS
American College of Cardiology
American Society of Echocardiography
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