Akhilesh Gonuguntla

ORCID: 0000-0003-0873-2217
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About
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Research Areas
  • Atrial Fibrillation Management and Outcomes
  • Cardiac Arrhythmias and Treatments
  • Cardiac Imaging and Diagnostics
  • Coronary Interventions and Diagnostics
  • Cardiac pacing and defibrillation studies
  • Long-Term Effects of COVID-19
  • Aortic Disease and Treatment Approaches
  • Venous Thromboembolism Diagnosis and Management
  • Vascular anomalies and interventions
  • Amoebic Infections and Treatments
  • Gastroesophageal reflux and treatments
  • Quality and Safety in Healthcare
  • Electrostatic Discharge in Electronics
  • Takotsubo Cardiomyopathy and Associated Phenomena
  • Vascular Procedures and Complications
  • Infective Endocarditis Diagnosis and Management
  • Heart Rate Variability and Autonomic Control
  • Alcoholism and Thiamine Deficiency
  • Kawasaki Disease and Coronary Complications
  • Plasma Applications and Diagnostics
  • Pneumothorax, Barotrauma, Emphysema
  • Cardiac electrophysiology and arrhythmias
  • Aortic aneurysm repair treatments
  • Microbial Inactivation Methods
  • Botulinum Toxin and Related Neurological Disorders

Johns Hopkins University
2023-2024

University of Alabama at Birmingham
2024

Narayan Medical College and Hospital
2023

Detroit Medical Center
2023

Kasturba Medical College, Manipal
2022-2023

Louisiana State University in Shreveport
2023

Sinai Grace Hospital
2023

Manipal Academy of Higher Education
2022

Abstract Aims Pulsed field ablation (PFA) is a non-thermal ablative approach in which cardiomyocyte death obtained through irreversible electroporation (IRE). Data correlating the biophysical characteristics of IRE and lesion are limited. The aim this study was to assess effect different procedural parameters [voltage, number cycles (NoCs), contact] on vegetal animal model for IRE. Methods results Two hundred four Russet potatoes were used. lesions delivered 3 cm cored potato specimens using...

10.1093/europace/euad257 article EN cc-by-nc EP Europace 2023-08-02

Dynamic left ventricular outflow tract obstruction (dLVOTO) is an important cause of cardiogenic shock to consider as its management differs from garden-variety systolic dysfunction. It best suited for serial evaluation by point-of-care ultrasound (POCUS) dynamic nature may it be missed on routine echocardiograms. We present a case 95-year-old male who presented constipation and went into cardiac arrest after manual disimpaction. After intubation advanced cardiovascular life support with...

10.1177/29768675251344037 article EN Therapeutic Advances in Pulmonary and Critical Care Medicine 2025-05-01

Background: Stress cardiomyopathy (SCM) is rarely triggered by ketamine and seldom leads to cardiogenic shock. Ketamine-induced catecholaminergic surge can lead myocardial stunning with transient ischemia subsequent reversible heart failure. Mechanical circulatory support be successfully leveraged in SCM-associated shock while awaiting recovery. Case Presentation: A 28-year-old female chronic pain was admitted for failure thrive secondary opioid-induced gastroparesis. The patient weaned off...

10.1161/circ.150.suppl_1.4145408 article EN Circulation 2024-11-12

Duodenal perforation most commonly presents with life-threatening symptoms of acute abdomen. However, in rare cases, a may have an indolent course due to subclinical progression, and the patient present complications at first visit. We case anterior abdominal abscess as initial presentation duodenal 65-year-old female no pre-morbidities. The presented painful mass right upper quadrant associated fever. Physical examination revealed tender, erythematous swelling hypochondrium lumbar regions...

10.7759/cureus.44522 article EN Cureus 2023-09-01

The prevalence of Helicobacter pylori (Hp) in India is approximately 64%. However, substantial regional variations necessitate high-fidelity, locality-specific studies to characterise its population distribution India. We conducted a cross-sectional study including 2998 dyspeptic patients at tertiary care centre Karnataka and investigated the relationship between Hp Multidimensional Poverty Index (MPI) by district. our was 43.2% with significant correlation district-specific MPI. This data...

10.1177/00494755231206850 article EN Tropical Doctor 2023-10-11

Introduction Transnasal cooling has been shown to improve symptoms in patients with migraine headaches a recent clinical trial. However, the mechanism underlying this phenomenon is unclear. Methods We sought explore potential autonomic responses transnasal 10 by measuring changes facial temperature and heart rate. Results observed decrease average temperatures at end of intervention compared baseline all regions measured, namely forehead (−0.55 ± 0.58°F, p = 0.007), opposite cheek (−0.44...

10.1177/25158163241276487 article EN cc-by-nc Cephalalgia Reports 2024-01-01

Background: Kawasaki disease (KD) is a systemic vasculitis that rare and underdiagnosed in adults given its atypical presentation, especially non-Asian patients. Incomplete KD characterized by less than 4 of the classic clinical findings mucocutaneous inflammation more common adults. shock syndrome (KSS) complication has features both cardiogenic vasoplegic shock. Case: A 48-year-old Black male was admitted for subjective fevers, abdominal pain, cervical adenopathy, jaundice. Labs include...

10.1161/circ.150.suppl_1.4145414 article EN Circulation 2024-11-12

The aberrant right subclavian artery (ARSA, arteria lusoria) is the most common intrathoracic vascular anomaly, affecting up to 2% of population. However, aneurysms congenital anomalies are extremely unusual and often present with dysphagia, dysphonia, or dyspnea due compression surrounding structures. We report a case an asymptomatic 57-year-old male chronic kidney disease who was incidentally found have large aneurysm ARSA on preoperative computed tomography for laparoscopic nephrectomy....

10.5758/vsi.210069 article EN cc-by-nc Vascular Specialist International 2022-03-21

Pulmonary sequestration is a rare bronchopulmonary foregut anomaly that occurs when portion of the lung derives its blood supply from an aberrant vessel rather than customary tracheobronchial supply. The can be classified as intralobar or extralobar. Most patients with are asymptomatic. Among symptomatic patients, presentations vary greatly, fever, cough expectoration, exertional dyspnea, pleuritic chest pain, and hemoptysis to eventual abscess empyema. Contrast-enhanced computed...

10.1080/08998280.2022.2062980 article EN Baylor University Medical Center Proceedings 2022-05-02

We report a case of recurrent ST-segment elevation myocardial infarction (STEMI) due to previously implanted under-expanded stent with in-stent thrombosis refractory traditional interventional techniques. underscore the utility bail-out shockwave intravascular lithotripsy tackle stents in this acute setting.

10.14797/mdcvj.1257 article EN cc-by-nc Methodist DeBakey Cardiovascular Journal 2023-01-01

Background: The association between congenital spigelian hernia and ipsilateral ectopic testis has been debated in the literature, management of such cases yet to be standardized. Both pediatric surgeons sonographers should aware this entity allow for prompt diagnosis monitoring/repair because hernias have a high risk incarceration. Case Report: A 3-month-old male presented with left-sided abdominal wall swelling present since birth coexisting undescended testis. Ultrasound confirmed...

10.31486/toj.21.0134 article EN cc-by Ochsner Journal 2022-01-01
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