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
555 Answers
232 Agrees
The number of answers this doctor has agreed with.
A 37-year-old male asked:
Dr. Ramalingaier Parameswarananswered
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I think you have reached the right conclusion. Warming the skin induces dilatation of your capillaries and facilitates absorption.
Does the Voltaren s... Read More
Reviewed Jul 07, 2021
A 52-year-old male asked:
Dr. Ramalingaier Parameswarananswered
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The sequence of events and the return of pain during movement are highly suggestive of muscular injury. Evaluation by an orthopedist may be the best ... Read More
Answered Apr 23, 2021
A 38-year-old male asked:
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If the stress test did not include nuclear imaging, it may be helpful to repeat it with such imaging.However, your description of “constant” and “rib ... Read More
Answered May 18, 2021
A 22-year-old female asked:
Dr. Ramalingaier Parameswarananswered
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Please get evaluated: Beta blockers are known to produce slowing of heart rate and reduction of the blood pressure. A reduction in the dose MAY help solve the problem. This... Read More
14 viewsReviewed Jan 05, 2021
A 75-year-old male asked:
Dr. Ramalingaier Parameswarananswered
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All that is clear from your description is that you had sinus rhythm with PVCs. It is not clear whether the QRS pattern you refer to is noted in sinus... Read More
Answered Jan 27, 2022
A 58-year-old female asked:
Dr. Ramalingaier Parameswarananswered
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Probably not.: The presence of PVCs is always of some concern. When they occur in the absence of demonstrable heart abnormality, it is reassuring.
However, continue... Read More
4 viewsAnswered Feb 10, 2021
A 27-year-old male asked:
Dr. Ramalingaier Parameswarananswered
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Physician supervisio: Both conditions can lead to long-term complications if inadequately treated or treatment is prematurely stopped. I would strongly suggest that you see... Read More
5 viewsReviewed Feb 08, 2021
A 30-year-old female asked:
Dr. Ramalingaier Parameswarananswered
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Your symptoms and the ferritin levels may be due to anemia and iron deficiency.shortness of breath and palpitations are common with anemia and will re... Read More
Answered Mar 06, 2021
A 31-year-old female asked:
Dr. Ramalingaier Parameswarananswered
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The effects of anger on heart health are harmful. Cannot tell you precisely how long it takes to see evidence of damage to the arteries. It is well k... Read More
Answered Jan 13, 2022
A 20-year-old male asked:
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Published data suggests a relationship between psoriasis associated with arthritis and atherosclerosis including cardiovascular disease. Some studies ... Read More
Answered Jun 23, 2021
A 46-year-old male asked:
Dr. Ramalingaier Parameswarananswered
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Your ECG intervals are essentially unremarkable. The P wave duration and the PR interval are at the upper limits of normal, but remember that manual m... Read More
Answered Sep 14, 2021
A 22-year-old female asked:
Dr. Ramalingaier Parameswarananswered
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It has been suggested that non-selective agents like propranolol are superior to selective beta blockers. Besides beta blockers, a variety of other me... Read More
Reviewed Nov 06, 2021
A 30-year-old male asked:
Dr. Ramalingaier Parameswarananswered
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Your triglycerides are elevated. Increased in triglyceride levels is a vascular risk factor but treatment can be effective. What you can do on your ow... Read More
Reviewed Apr 30, 2021
A 23-year-old male asked:
Dr. Ramalingaier Parameswarananswered
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Coronary artery calcification is abnormal and often a marker for coronary artery disease. However, it is difficult to comment further since there are ... Read More
Answered Sep 15, 2021
A 24-year-old female asked:
Dr. Ramalingaier Parameswarananswered
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Surgery is not generally recommended unless there is severe mitral regurgitation or rupture of a mitral valve chord. Regularly scheduled follow up vis... Read More
Answered Sep 22, 2021
A 61-year-old male asked:
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None of these drugs interact with each other. You may take them in the morning or at night , together or separately.
Reviewed Apr 10, 2021
A 37-year-old female asked:
Dr. Ramalingaier Parameswarananswered
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"Sharp, stabbing chest pain is non-cardiac and is not due to POTS. Precipitation by deep breath suggest chest wall pain of musculoskeletal origin. I d... Read More
Reviewed Dec 24, 2021
A 72-year-old male asked:
Dr. Ramalingaier Parameswarananswered
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“Fixed” describes areas describe areas of myocardium which show no evidence of blood perfusion during stress or at rest indicating damage or infarctio... Read More
Answered Mar 07, 2021
A 55-year-old male asked:
Dr. Ramalingaier Parameswarananswered
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Generally safe. The most common adverse effects are muscle pain, abnormal liver enzymes etc. Some have described neurocognitive problems but these are... Read More
Reviewed May 28, 2021
A 40-year-old male asked:
Dr. Ramalingaier Parameswarananswered
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Agree with Dr. Singh with regard to salt and water. I am surprised that you are waiting to see a doctor. Congestive heart failure could be a serious p... Read More
Reviewed Apr 19, 2021
A 43-year-old female asked:
Dr. Ramalingaier Parameswarananswered
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A heart rate of 48-56 bpm suggests that your hyperthyoidism is probably adequately controlled on methimazole alone. You should discuss this further wi... Read More
Answered Dec 21, 2021
A 38-year-old female asked:
Dr. Ramalingaier Parameswarananswered
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There have been and there still are questions concerning the use of beta blockers during pregnancy with regard to adverse effects on the fetus. Any de... Read More
Answered Nov 01, 2021
A 46-year-old female asked:
Dr. Ramalingaier Parameswarananswered
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Other than minor differences in the QRS voltage, QT duration and nonspecific T wave abnormality in females, I am not aware of any. I am not also sure... Read More
Answered Nov 21, 2021
A 30-year-old member asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
"heart palpitations" is really a vague term, but the sensation of palpitations does not necessarily mean a heart problem. The best person to answer yo... Read More
Answered Oct 15, 2021
A 24-year-old female asked:
Dr. Ramalingaier Parameswarananswered
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Moderate to severe myxomatous mitral valve with prolapse is not life threatening. If it is associated with severe mitral regurgitation, you may need e... Read More
Answered Sep 14, 2021
A 42-year-old female asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
Your lipid results are abnormal and need evaluation and treatment by an experienced physician. While a low fat diet and regular exercise are important... Read More
Answered Nov 15, 2021
A 22-year-old female asked:
Dr. Ramalingaier Parameswarananswered
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Worry does not help: Throbbing sensation in the stomach could indeed be the heartbeat if associated with fear or anxiety. Talking to your doctor is the best way to get an ... Read More
3.4k viewsAnswered >2 years ago
A 21-year-old male asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
Most likely.: Given your age, the negative tests etc. would consider your symptoms to be non-cardiac. It is wise however to follow up if you note any change in symp... Read More
447 viewsAnswered >2 years ago
A 29-year-old female asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
It is not clear from your description whether the palpitations were also present with is episode. “Palpitations “ is a vague term and cannot be adequa... Read More
Reviewed Mar 19, 2021
A 37-year-old female asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
Blood pressure should be measured while at rest in a comfortable position for at least 10 minutes. The patient should not be engaged in conversation w... Read More
Reviewed May 06, 2021
A 32-year-old female asked:
Dr. Ramalingaier Parameswarananswered
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The IVC is the largest vein draining the blood from the lower half of the body to return it to heart for oxygenation in close proximity to the liver.T... Read More
Answered May 13, 2021
A 40-year-old male asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
Good idea.: What you describe sounds very much like an occasional premature beat. This is not uncommon in otherwise healthy individuals. Caffeine, carbonated drin... Read More
11 viewsAnswered Jan 14, 2021
A 49-year-old male asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
See your family MD: Without specific information as to how high it is an which component ( LDL, total cholesterol, triglyceride etc), difficult to give a specific answer.... Read More
11 viewsReviewed Jan 14, 2021
A 21-year-old male asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
This pain is not from your heart. Typical heart pain occurs during activity and disappears with rest. The duration is usually several minutes. The rea... Read More
Reviewed May 06, 2021
A 42-year-old male asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
See your doctor ASAP: Blood pressure is much too high. It is difficult to make suggestions without more details about your history. You should be evaluated and medications ... Read More
12 viewsReviewed Jan 11, 2021
A 18-year-old female asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
Your question does not give adequate details to give you a specific answer. Rheumatic heart disease does not always require surgery. There are instanc... Read More
Answered Nov 17, 2021
A 30-year-old member asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
Palpitations are not always due to a heart problem. You had extensive testing to find the cause and no abnormality was found. However, when the docto... Read More
Answered Dec 29, 2021
A 23-year-old male asked:
Dr. Ramalingaier Parameswarananswered
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Yes.: At your age, it is unlikely that you have heart disease causing symptoms unless there are significant risk factors. Not knowing your detailed history ... Read More
12 viewsReviewed Jan 10, 2021
A 33-year-old male asked:
Dr. Ramalingaier Parameswarananswered
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Venous thrombosis?: Your history suggests venous thrombosis and anticoagulants to prevent pulmonary embolism and it’s serious consequences. Please have a detailed discuss... Read More
4 viewsReviewed Feb 14, 2021
A 60-year-old female asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
Kidney problems can be associated with hypertension. It is not clear what you mean by “quit taking other stuff”. If your doctor prescribed other medic... Read More
Reviewed May 15, 2021
A 25-year-old male asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
Yes.: Do not know what you mean by “cut off”. More than one morphology of a PVC can be described as multi focal. Keep in mind that sinus beats interspersed ... Read More
4 viewsAnswered Feb 11, 2021
A 30-year-old female asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
History & exam first: If you passed out and your blood pressure is variable as you describe, a detailed history and exam should come first. If the history suggests possible... Read More
11 viewsReviewed Jan 17, 2021
A 28-year-old male asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
Musculoskeletal pain: Sounds like musculoskeletal pain. If your doctor can elicit sharply localized tenderness over the area, it would confirm the clinical impression.
13 viewsAnswered Jan 06, 2021
A 57-year-old female asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
If the measurement is accurate, it suggests borderline dilatation and warrants further evaluation. Your aortic size alone does NOT justify repair. If ... Read More
Reviewed Apr 25, 2021
A 38-year-old female asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
My understanding of “presyncope” is that you feel as though you are about to faint.Low heart rate and BP suggest slow heart rate and low BP as the cau... Read More
Reviewed May 13, 2021
A 28-year-old male asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
Please see a doctor.: Your description does not give me any idea as to what the problem might be.However, the onset and the persistence suggests that this needs to be evalu... Read More
11 viewsReviewed Jan 14, 2021
A 31-year-old female asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
Your question suggests that this happens each time you lie on your right side. Sometimes the effort involved in rolling over may transiently increase... Read More
Reviewed Mar 07, 2021
A 43-year-old female asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
Judging from the details you provide, you have had a thorough evaluation which showed no significant problem. In general premature ventricular beats o... Read More
Answered May 06, 2021
A 38-year-old male asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
Not necessarily. However they are both major risk factors that need education, dietary and other means to control and thereby avoid long term consequ... Read More
Reviewed Mar 15, 2021
A 46-year-old female asked:
Dr. Ramalingaier Parameswarananswered
A US doctor answeredLearn more
Have him evaluated.: The symptoms are somewhat non-specific but need further evaluation, particularly if he has risk factors for heart disease.
14 viewsReviewed Jan 02, 2021
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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
265
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 for taking the time to answer my question! Have a great day.
HealthTap member
Thank you somuch Dr. Parameswaran for the information
AND reassurance
HealthTap member
Thank you so much, doc! I This really helped. I would take your advice
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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