Dr. Ramalingaier Parameswaran

Cardiology
Philadelphia, PA
male

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.

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.

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 member asked:
Having a pacemaker should not affect ordinary activities significantly. If the pacemaker is below your collarbone, upper extremity exercise such as w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Could be from HCM: This combination is usually from hypertrophic cardiomyopathy especially if accompanied by shortness of breath with exertion, or discomfort in the ches... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Alcohol does affect even though there are no specific reports of its effect on the valve tissue. My best advice would be to refrain from alcohol if yo... Read More
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A 29-year-old female asked:
Common due to reflux: Common during pregnancy due to reflux. May be helped with antacids, smaller meals and avoid recumbent position especially after eating. Does not refle... Read More
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A 19-year-old female asked:
Yes. A diagnosis is not made from one symptom alone, especially when it concerns the heart. The risk factors, prior medical history, and findings on ... Read More
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A 18-year-old male asked:
May be within normal: It is normal for heart rate to increase when standing up from lying position.How much it will increase depends on how fast you stand up, how long it t... Read More
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A 61-year-old male asked:
Here are a few suggestion. Please seek your doctor’s advice with regard to smoking and alcohol cessation if applicable and acid inhibiting diets. Lose... Read More
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A 27-year-old female asked:
It could .: Propranolol could slow or block conduction of the signal from the upper chamber to the lower chamber. Your doctor probably prescribed slow dose for th... Read More
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A 77-year-old female asked:
You are asking two different questions. Aspirin can cause bleeding but it is unclear what you mean by "every little scratch". If you are on aspirin ev... Read More
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A 67-year-old male asked:
Equivalent doses are not precisely defined. 5mgm of Crestor may be equivalent to 20 mgm of Atorvastatin(Lipitor). I do not believe that 10 mgm of Lipi... Read More
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A 54-year-old female asked:
You have a number of abnormalities that warrant a cardiac evaluation as soon as you can arrange for it. Heart irregularity, a dilated aorta and chest ... Read More
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A 25-year-old male asked:
3 consecutive beats.: By definition, 3 consecutive ventricular beats meet the demotion of Non-sustained ventricular tachycardia.I don’t know what “group beat phenomenon “ i... Read More
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A 30-year-old male asked:
No clinical details which makes interpretation difficult. Assuming that the rhythm is sinus and not idioventricular, one would suspect progression of ... Read More
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A 35-year-old male asked:
Your LDL cholesterol is abnormal. Given your family history of hyperlipidemia, you should get further evaluation and appropriate treatment. It would b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Visible pulsation at the sites described by you is not necessarily abnormal as they are in close proximity to the great arteries and the aorta. This m... Read More
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A female asked:
I assume the echo was ordered by a general physician. If this is the case please have a pediatric cardiologist examine your son, review the echo discu... Read More
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A 79-year-old male asked:
I am aware of one study which suggested that a combination of vitamin D and calcium may be associated with progression of aortic stenosis. Having no i... Read More
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A 23-year-old female asked:
Have him see a doctor as soon as possible for prompt and proper treatment. Today if possible. Diabetic control and antibiotic treatment are urgent nee... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old female asked:
Additional details will be helpful. Did the symptoms occur during activity or emotional stress? Was there associated shortness of breath or sweating? ... Read More
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A 24-year-old female asked:
Chest pain on taking a deep breath may occur with inflammation of the lining around the lungs(pleuritic pain) or the lining around the heart(pericardi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old male asked:
Unless you are a doctor I do not expect you to be sure. You should see your doctor to answer your question regarding heart disease and the safest form... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old male asked:
Your cholesterol and LDL are high and need treatment. While diet is always the first step, you may need medications depending on other risk factors su... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 57-year-old female asked:
Not enough detail to to attempt to answer your question. If “heart racing”means episodic increase in the heart rate the cause could be exertion, anxie... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old male asked:
The LAD is a very important artery and any LAD disease if of concern. Quantification of the narrowing must be performed by the cardiologist and if he/... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Agree with your PCP: Cardiac pain most often is located in the front of the chest, the jaws, or in the back. It is virtually never felt as "shooting" pain. It could possib... Read More
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A 38-year-old female asked:
Unlikely to be DVT .: DVT is usually characterized by aching pain in the entire limb and 5 days after the onset would also show swelling of the leg extending proximally. Th... Read More
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A 35-year-old female asked:
Being aware of the pule in your head and ears is common during exertion, anxiety etc and in not necessarily indicative of a heart "problem". However i... Read More
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A 28-year-old female asked:
Probably nothing if you are otherwise well. It is unfortunate that most echo readers do not add a comment to the report stating that trace, trivial re... Read More
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A 21-year-old female asked:
Estimation of right ventricular pressure from a Doppler is dependent on the quality of the study the expertise of the interpreter etc. My own recommen... Read More
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A 26-year-old female asked:
I assume you mean SVT. If there is no associated cardiac abnormality and your tachycardia is not associated serious structural heart abnormality, you ... Read More
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A 33-year-old male asked:
Your question does not provide adequate information. “Mild dilatation” of what chamber?,using what test? Regurgitation of tricuspid, pulmonic and mitr... Read More
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A 43-year-old female asked:
Suggest that you see an internist that you have confidence in for further assessment of your cholesterol, your family history,your diet, and weight ma... Read More
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A 49-year-old male asked:
Difficult to speculate what the cause might be. Dehydration could be one possibility. Others include medications if any, low grade anxiety etc. The b... Read More
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A 24-year-old male asked:
The normal red cell count is 4.5 -6 million/microliter. You may know that red cell counts are subject to error. Given the errors, 4.26 million is not ... Read More
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A 31-year-old male asked:
Further evaluation.: The occurrence of shortness of breath with activity and worsening on lying down does raise the possibility of a cardiac abnormality. The sudden onset ... Read More
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A 67-year-old female asked:
A teaching hospital.: A University hospital in SpringfieldU Tufts U. Medical Center, or any of the reputed medical centers in New York, such as Mount Sinai, Presbyterial w... Read More
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A 61-year-old female asked:
Troponin considered normal up to a level of 14ng/L in the UK. Remember that your troponin levels do not exclude the heart as the source of chest pain.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 68-year-old male asked:
The change in your LDL from 78 to 83 is probably within the range of lab error. You stated "when retested later" but do not specify how much later. I... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Visible venous pulsations in the recumbent position is not abnormal. A normal echocardiogram and ECG although not necessary to answer your question ar... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old female asked:
Please have a cardiologist examine your child. Not all murmurs are serious. This determination can be made by examination, and may sometimes require a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old female asked:
Not aware of any direct relation between nasal polyp and diastolic dysfunction. The diagnosis of diastolic dysfunction has become fashionable with the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old male asked:
Hypertension is best treated by medications. A variety of medications can be used and the doses adjusted according to response. The occurrence of head... Read More
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A 58-year-old female asked:
Depends on how low your heart rate is and what the doctor attributes it to. It is not uncommon for the heart rate to be slower than usual in active an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old female asked:
Your blood pressure is significantly elevated and requires continued treatment. Remember that salt and fluid restriction will also be necessary. With ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
See your doctor.: Without any further details or knowledge of your medical history, it is difficult to give you a defenitive opinion. It is important for you to know th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old male asked:
See the doctor today: Foot ulcers in diabetics can be a serious problem and should be examinaed and treated by your physician right away. The only thing worse than not seei... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old female asked:
In a 17 year-old individual this is most likely minor injury or bruising of the ribs. If pressure over the area worsens the pain, it is a minor local ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old male asked:
If the ablation of the abnormal pathway was successful, and you have had no recurrence, I am reassured. However, if you were able to avoid caffeine fo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 58-year-old female asked:
It is always difficult to make predictions with regard to life expectancy. What you describe is a very serious heart problem with a poor outlook. Howe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
ECG interpretation is not always reliable. "Old anterior MI" can be mimicked by incorect placement of electrodes on the chest wall. ECGs can be overre... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
275
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
Thanks much. I'm taking 2 x BP meds. Would love to reduce if possible
HealthTap member
Thank you. That's helpful as heartburn and anxiety have been ruled out
HealthTap member
Thank you :) My primary didnt ask anything he just ref me to cardio :/

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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