- Cardiac Imaging and Diagnostics
- Sarcoidosis and Beryllium Toxicity Research
- Neurological and metabolic disorders
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Cardiac Structural Anomalies and Repair
- Autoimmune Neurological Disorders and Treatments
- Medical Imaging and Pathology Studies
- Pleural and Pulmonary Diseases
- Infectious Diseases and Tuberculosis
- Chemotherapy-induced cardiotoxicity and mitigation
- Epilepsy research and treatment
- Cardiovascular Function and Risk Factors
- Cardiac pacing and defibrillation studies
- Sinusitis and nasal conditions
- Takotsubo Cardiomyopathy and Associated Phenomena
- Potassium and Related Disorders
- Ultrasound in Clinical Applications
- HER2/EGFR in Cancer Research
- Cervical and Thoracic Myelopathy
- Foreign Body Medical Cases
- Facial Nerve Paralysis Treatment and Research
- Pneumocystis jirovecii pneumonia detection and treatment
- Pericarditis and Cardiac Tamponade
- Diagnosis and Treatment of Venous Diseases
- Abdominal Trauma and Injuries
University of Minnesota Medical Center
2019-2025
Saint Agnes Medical Center
2021-2025
University of Minnesota
2021-2023
Medical University of the Americas
2019-2021
Institute of Medical Sciences
2018-2021
University of Hawaii System
2019-2021
BLK Super Speciality Hospital
2021
Manipal Hospital
2021
Jawaharlal Nehru Medical College
2021
Patna Medical College and Hospital
2021
In patients with sarcoidosis suspected cardiac involvement, late gadolinium enhancement (LGE) on cardiovascular magnetic resonance imaging (CMR) identifies those an increased risk of adverse outcomes. However, these outcomes are experienced by only a minority LGE, and identifying this subgroup may improve treatment in patients.To assess whether CMR phenotypes based left ventricular ejection fraction (LVEF) LGE (CS) associated during follow-up.This cohort study included consecutive...
BACKGROUND: Randomized trials in obstructive coronary artery disease (CAD) have largely shown no prognostic benefit from revascularization. Although there are several potential reasons for the lack of benefit, an underexplored possible reason is presence coincidental nonischemic cardiomyopathy (NICM). We investigated prevalence and significance NICM patients with CAD (CAD-NICM). METHODS: conducted a registry study consecutive on angiography who underwent contrast-enhanced cardiovascular...
Background: There are few data on sex differences in suspected cardiac sarcoidosis. Methods: Consecutive patients with histologically proven sarcoidosis and involvement were studied. We investigated presenting features, involvement, the long-term incidence of a primary composite end point all-cause death or significant ventricular arrhythmia secondary points arrhythmia. Results: Among 324 patients, 163 (50.3%) female 161 (49.7%) male patients. Female had greater prevalence chest pain (37.4%...
BACKGROUND: In heart transplant recipients, right ventricular (RV) dysfunction may occur for a variety of reasons. Whether RV in the stable phase after transplantation is associated with long-term adverse outcomes unknown. We aimed to determine prognostic significance identified on cardiovascular magnetic resonance imaging (CMR) at least 1 year transplantation. METHODS: consecutive recipients who underwent CMR surveillance, we assessed 2 measures function: ejection fraction and global...
The S1Q3T3 electrocardiographic (ECG) pattern is commonly described in patients with acute pulmonary embolism (PE). However, it a nonspecific, nonsensitive ECG finding associated right heart strain that can be found other presentations as well. Most of these diseases are cardiac or origin and pathophysiology. Acute abdominal pathologies not well-known etiologies for this characteristic pattern. We present case postoperative colonic dilation ileus showed up acute, new atrial fibrillation (AF)...
Abstract Aims Systemic sclerosis (SSc) is a rare autoimmune disorder associated with high risk of cardiovascular diseases. We aimed to determine the long-term prognostic value left and right ventricular (LV RV) systolic dysfunction in SSc patients clinically suspected cardiac disease. Methods Results conducted retrospective cohort study consecutive adults who had magnetic resonance imaging (CMR) for assessed two CMR measures LV RV function, ejection fraction (EF) feature tracking-derived...
Abstract Background and Aims Implementing societal recommendations for primary prevention implantable cardioverter-defibrillators (ICDs) in cardiac sarcoidosis requires an accurate diagnosis. However, diagnostic schemes are inconsistent often produce conflicting results. This study aimed to compare the discriminative accuracy of cardiovascular magnetic resonance imaging (CMR) phenotyping with predicting long-term ventricular arrhythmic outcomes patients suspected sarcoidosis, regardless...
Abstract Aims In cancer patients with cardiomyopathy related to anthracyclines and/or trastuzumab, data regarding late gadolinium enhancement (LGE) on cardiovascular magnetic resonance imaging are confusing. The prevalence ranges from 0% 30% and the patterns ill-defined. Whether treatment trastuzumab is associated LGE unclear. We aimed investigate these topics in a large cohort of consecutive suspected cardiotoxicity trastuzumab. Methods results studied 298 patients, analysed prevalence,...
Abstract Aims Current management of left ventricular (LV) thrombus relies on limited, non-contemporary, echocardiography-based studies. Data LV evolution and the associated embolic risk are scarce. We aimed to describe serial cardiovascular magnetic resonance imaging (CMR)—the current reference standard for detection thrombus—and identify correlates no resolution with status. Methods results conducted a retrospective cohort study 107 consecutive patients who had 213 CMRs at median 255 days...
We aimed to determine the prevalence of right ventricular (RV) systolic dysfunction on cardiovascular magnetic resonance imaging (CMR) and its impact long-term adverse outcomes in a large cohort cancer survivors treated with anthracycline-based chemotherapy.Consecutive anthracyclines who underwent clinical CMR for suspected anthracycline-related cardiomyopathy were studied. The primary endpoint was composite all-cause death or major cardiac events (MACE): heart failure hospitalization,...
Hirayama disease is a rare neurological condition also known as monomelic amyotrophy (MMA). It type of cervical myelopathy, which involves the anterior horn cells and affects distal upper extremities. self-limited, asymmetrical lower motor weakness hands forearms. Young males are more commonly affected. The hypothesized to occur due an asymmetric compression spinal cord by dural sac, however, exact mechanism(s) continue be investigated. We report case 20-year-old male who presented with...
May-Thurner syndrome, which is also known as iliac vein compression caused when an anatomical variant of the left common with a lateral or anterior spur compressed by right artery, resulting in thrombosis vein. It can present deep lead to pulmonary embolism chronic changes venous insufficiency lower limb. We report 27-year-old female pain abdomen, who was diagnosed have syndrome.
Metronidazole is a very commonly used drug for the treatment of ailments caused by bacteria and parasites. It can treat vast array conditions like rosacea, sexually transmitted diseases (STDs), liver abscess, bedsores, etc. comes with generic side-effects nausea, vomiting, dizziness, metallic taste, also rare paresthesia, syncope, cerebellar symptoms, psychosis but mania side-effect. Here, we present case metronidazole induced in 50-year-old male no past medical history who initially...
During the coronavirus 2019 (COVID-19) pandemic, sundry dermatological conditions related to COVID-19 pneumonia have been published. primarily affects respiratory system, but secondarily it also heart, kidney, brain, skin, spinal cord, etc. Herpes Zoster (HZ) is considerably important morbidity associated with pneumonia. Recrudescence of HZ occurs because latent varicella-zoster virus (VZV) predominantly decline in cell-mediated immunity (CMI). Abating CMI due increasing age, could occur if...
Intramural duodenal hematoma is an uncommon entity, usually associated with trauma. Spontaneous intramural even more rare phenomenon reported in patients anticoagulation therapy, gastrointestinal endoscopy procedure or coagulopathy. We report a case of spontaneous 30-year-old male as pancreatitis complication, very few cases have been known the past and still lot to be discovered about this pancreatitis. This condition can catastrophic consequences should managed appropriately.
Legionnaires disease is primarily a pneumonic illness with possible multisystem involvement. Major risk factors include immunodeficiency, smoking, alcoholism and chronic obstructive pulmonary among others. We report peculiar case of presenting diarrhea as the chief complaint no respiratory symptoms throughout course disease. The patient had for recent travel history or sick contacts. Acute not an uncommon manifestation disease, although isolated absence concurrent Legionella makes this...
Adult-onset Still's disease (AOSD) is a rare inflammatory disorder involving multiple systems. It can present wide range of symptoms like maculopapular rash, fever, and arthralgia, which may overlap with many other disorders, making it difficult to diagnose. Unknown etiology no diagnostic tests further make complex establish the diagnosis AOSD. We report case 30-year-old female who presented persistent joint pain, along positive antinuclear antibodies (ANA), diagnosed this condition. The...
Pseudo-Meigs' syndrome is defined as malignant ovarian tumor leading to ascites or/and pleural effusion, whereas Meigs' a triad of ascites, and benign tumor. The removal an underlying leads rapid improvement in patient symptoms both conditions. It rare phenomenon, only 1% tumors account for syndrome. We report case 70-year-old female presented with complaints shortness breath, vaginal bleeding, bloating, increased abdominal girth. X-ray lab workup revealed effusion raised CA 125 (cancer...
Computed tomography angiography is frequently used for double rule out of obstructive coronary artery disease and pulmonary embolism in patients presenting to the emergency department with acute chest pain, but it rare see concomitant occlusion on same computed scan. (Level Difficulty: Beginner.)
Hemiconvulsion-hemiplegia-epilepsy (HHE) syndrome is a rare condition, characterized by sudden onset of unilateral seizures leading to cerebral hemisphere atrophy and hemiplegia which might persist for lifetime. It believed be outcome prolonged or unmanaged status epilepticus in pediatric age group. HHE diagnosed during childhood but we report an undiagnosed case 30-year-old male who was dealing with uncontrolled seizure, phenytoin toxicity hemiparesis. He based on characteristic imaging...
Antidepressant discontinuation syndrome (ADDS) is reported to occur in almost 30-50% of the patients who take antidepressants for a duration at least four six weeks and then suddenly discontinue drug. Since there an increase use various reasons by general practitioners, patient education about when how drug not acknowledged enough. It with different classes - selective serotonin reuptake inhibitor (SSRI), monoamineoxidase (MAOI), tricyclic (TCAs), atypical antipsychotics like risperidone,...
Long QT syndrome (LQTS) is a rare arrhythmogenic condition characterized by abnormally long intervals on an electrocardiogram. The prevalence varies between 1 in 3000 and 10,000 but often remains undiagnosed. It responsible for to 4000 sudden deaths among children adults the United States alone. LQTS can lead torsades de pointes which seen as twisting of QRS complex We report case 35-year-old patient with who presented syncope was found have pointes. After acute management advised automatic...
Introduction Rhinolithiasis is an uncommon condition. It usually confused with both benign and malignant nasal tumors. They have various clinical presentations. Case Presentation We report a rare case of rhinolith due to inhalation industrial fumes. The patient presented the OPD Saraswathi institute medical sciences, hospital history obstruction, yellowish discharge, frequent headache epistaxis 3 months duration. was worker by profession gave fumes (zinc oxide). After taking thorough...
Cerebellar ataxia has a very broad differential diagnosis in adults, including paraneoplastic and postinfectious etiologies. We report case of 56-year-old male presented with right-sided cerebellar dysfunction preceded by fever headache. He was diagnosed subacute ataxia. Blood serology showed the presence anti-amphiphysin anti-Ri (ANNA-2, antineuronal nuclear autoantibody type 2) antibodies, which have known association syndrome. The patient subsequently improved steroids. Although no...