Imperial College London


Faculty of MedicineNational Heart & Lung Institute

Clinical Research Fellow







Block B Hammersmith HospitalHammersmith Campus





Publication Type

7 results found

Ramakrishnan A, Miller M, 2021, A brief guide to public involvement in cardiovascular research, HEART, Vol: 107, Pages: 851-853, ISSN: 1355-6037

Journal article

Ratneswaren A, 2020, The I in COVID: The importance of community and patient involvement in COVID-19 research, Clinical Medicine, Vol: 20, Pages: e120-e122, ISSN: 1470-2118

Journal article

Hughes AD, Park C, Ramakrishnan A, Mayet J, Chaturvedi N, Parker KHet al., 2020, Feasibility of estimation of aortic wave intensity using non-invasive pressure recordings in the absence of flow velocity in man, Frontiers in Physiology, Vol: 11, Pages: 1-9, ISSN: 1664-042X

Background: Wave intensity analysis provides valuable information on ventriculo-arterial function, hemodynamics, and energy transfer in the arterial circulation. Widespread use of wave intensity analysis is limited by the need for concurrent measurement of pressure and flow waveforms. We describe a method that can estimate wave intensity patterns using only non-invasive pressure waveforms (pWIA).Methods: Radial artery pressure and left ventricular outflow tract (LVOT) flow velocity waveforms were recorded in 12 participants in the Southall and Brent Revisited (SABRE) study. Pressure waveforms were analyzed using custom-written software to derive the excess pressure (Pxs) which was scaled to peak LVOT velocity and used to calculate wave intensity. These data were compared with wave intensity calculated using the measured LVOT flow velocity waveform. In a separate study, repeat measures of pWIA were performed on 34 individuals who attended two clinic visits at an interval of ≈1 month to assess reproducibility and reliability of the method.Results: Pxs waveforms were similar in shape to aortic flow velocity waveforms and the time of peak Pxs and peak aortic velocity agreed closely. Wave intensity estimated using pWIA showed acceptable agreement with estimates using LVOT velocity tracings and estimates of wave intensity were similar to values reported previously in the literature. The method showed fair to good reproducibility for most parameters.Conclusion: The Pxs is a surrogate of LVOT flow velocity which, when appropriately scaled, allows estimation of aortic wave intensity with acceptable reproducibility. This may enable wider application of wave intensity analysis to large studies.

Journal article

Nandra TK, Ramakrishnan A, Felekos I, Pavlidis ANet al., 2019, Spinal Hematoma Following Coronary Angioplasty: An Uncommon Complication, Cardiovascular Revascularization Medicine, Vol: 20, Pages: 3-5, ISSN: 1553-8389

Journal article

Dunford EK, Guggilla RK, Ratneswaran A, Webster JL, Maulik PK, Neal BCet al., 2015, The adherence of packaged food products in Hyderabad, India with nutritional labelling guidelines, ASIA PACIFIC JOURNAL OF CLINICAL NUTRITION, Vol: 24, Pages: 540-545, ISSN: 0964-7058

Journal article

Greaves G, Laverty AA, Pape U, Ratneswaren A, Majeed A, Millett Cet al., 2015, Performance of new alternative providers of primary care services in England: an observational study, Journal of the Royal Society of Medicine, ISSN: 1758-1095

Journal article

Johnson O, Ratneswaren A, Beynon F, 2009, Humanitarian crisis in Vanni, Sri Lanka, The Lancet, Vol: 373, Pages: 809-810, ISSN: 0140-6736

Journal article

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