Dr. Ashwal A J : Cardiologists in Shimoga | Narayana Health

Dr. Ashwal A J

MBBS, MD, DM(Cardiology) Consultant

  • SpecialityCardiology - Adult

  • HospitalShimoga - Sahyadri Narayana Multispeciality Hospital


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Narayana Health » Shimoga » Cardiology Adult » Dr Ashwal J

Brief Profile

Dr.Ashwal A J, done his MBBS from J J M Medical college Davanagere, MD Medicine from J S S Medical College Mysore, DNB Medicine, and DM from B J Medical College, Ahmedabad and FACC, FSCAI, AFESC.

Currently working as Consultant at Sahyadri Narayana Multispecialty Hospital in the Department of CARDILOGY.


  • D.M. (Cardiology) from BJ Medical College, Ahmadabad, Gujarat [2010-2013]
  • M.D.(General Medicine) from J.S.S Medical College, (RGUHS), Mysore, Karnataka [2005- 2008]
  • M.B.B.S. from J.J.M Medical College, (RGUHS), Davanagere, Karnataka [1999-2005]

Post held in past

  • Interventional Cardiologist. Nanjappa Life Care , Shimoga. 2013-2014
  • Assistant Professor, Dept. of Cardiology, Kasturba Hospital, Manipal. 2014 December -2016 December
  • Associate Professor, Dept. of Cardiology, Kasturba Hospital, Manipal. 2016 December- till now
  • Unit Chief Cardiology Unit 3, Dept. of Cardiology, Kasturba Hospital, Manipal from August 2018.
  • Professor, Dept. of Cardiology, Kasturba Hospital, Manipal. March 2020 to April 2021


  • Thakkar B, Madan T, Ashwal AJ .Transcatheter right ventricular outflow tract stenting in children with postoperative infundibular stenosis and preserved pulmonary valve function..J Invasive Cardiol. 2013 Jul;25(7):E151-4.
  • Shukla AN, Madan TH, Jayaram AA, Kute VB, Rawal JR, Manjunath AP, Udhreja S: Prevalence and predictors of renal artery stenosis in patients undergoing peripheral and coronary angiography. Int Urol Nephrol 2013;45:1629-1635
  • Sharma KH, Jain S, Shukla A, Bohora S, Roy B, Gandhi GD , Ashwal AJ. Patient profile and results of percutaneous transvenous mitral commissurotomy in mitral restenosis following prior percutaneous transvenous mitral commissurotomy vs surgical commissurotomy. Indian Heart J. 2014 Mar-Apr;66(2):164-8
  • Shukla AN, Thakkar B, Jayaram AA, et al. Efficacy and safety of tenecteplase in pulmonary embolism. J Thromb Thrombolysis. 2014;38(1):24–29
  • Jain, S.R., Prajapati, J.S., Phasalkar, M.A., Roy, B.H., Jayram, A.A., Shah, S.R., Singh, T. and Thakkar, A.S. (2014) Clinical Spectrum of Infective Endocarditis in a Tertiary Care Centre in Western India: A Prospective Study. International Journal of Clinical Medicine, 5, 177-187
  • Rao, M.S., Jayaram, A.A., Ramachandran, P., Poondru, R.R. Dual RCA culprit or companion.. BMJ Case Rep. 2015;
  • Reddy, S., Ashwal, A., Padmakumar, R., Reddy, R., Rao, S.: An interesting and rare case of dextrocardia: asymptomatic left atrial aneurysm in an adult. Eur. J. Cardiovasc. Med. 3(1), 464–465 (2015)
  • Padmakumar R, Dr. Rohith Poondru Reddy, Ashwal A J, M Sudhakar Rao, Sumit Agarwal, Shrikiran A Hebbar.Hereditary Haemorrhagic Telangiectasia with Thrombocytopenia - A Rare Association with an Atypical Presentation 2015. Eur. J. Cardiovasc. Med.3(1),444-446
  • A.A. Jayaram, S. Shah .Risk factors, clinical features, angiographic characteristics and treatment outcomes of young myocardial infarction patients. J Indian Coll Cardiol , 5 (2015), pp. 203-208
  • Jayaram AA, Ramachandran P, Devasiya T, Kumeri AR, Pai U. All That Glitters is Not Gold: All Unilateral Oedema is Not DVT. J Clin Diagn Res. 2016;10(7):OD10-OD11.
  • Ramachandran P, Reddy RP, Rao MS, Jayaram AA. A Novel Approach for the Retrieval of Broken Catheter Fragment - Using Balloon Dilatation Technique. J Clin Diagn Res. 2016;10(3):OD10-OD11.
  • Ashwal A, Murugaiyan R, Padmakumar R, Reddy R, Rao S. A rare and uncommon association: A case of Takayasu arteritis presenting as typical coarctation of aorta in a pediatric patient. Journal of Indian College of Cardiology.
  • 2016;6(1):38-40.
  • An Interesting Case Of Absent Pulmonary Artery!. Reddy PK, Rao MS, Rajan RM, Aj A, Kumar PR, Katukuri GR .Research Journal Of Pharmaceutical Biological And Chemical Sciences. 2016 Jul 1;7(4):705-8.
  • Vamsi Krishna Kamana, Padmakumar Ramchandran, Ashwal, A. J., Sumith Aggarwal and Umesh Pai, Balloon angioplasty for an unusual cause of bilateral brachial artery occlusion: A rare manifestation of fibro muscular dysplasia : M. International Journal of Current Research.2016, 8, (05), 31951-31954
  • Srikrishna Raghavendra Boddu, Dr. M. Sudhakar Rao, Dr. Padmakumar, R. and Dr. Ashwal, A. J. Isolated aortic regurgitation – Are we missing something!!! International Journal of Current Research.2016,8,(01),2563-25636.
  • Agarwal S, Rao SM, Padmakumar R, Ashwal AJ. Tako-Tsubo Cardiomyopathy And Complete Heart Block: An Under-Recognised Association. Research Journal Of Pharmaceutical Biological And Chemical Sciences. 2016 May 1;7(3):1511-4.
  • Jayaram AA, Rao MS, Padmakumar R, Razak UA. Prinzmetals Angina Masquerading as Acute Pericarditis. J Clin Diagn Res. 2017;11(1):OD08-OD09.
  • Jayaram AA, Shukla AN, Shah S, Nayak V, Prabhu S, Pai U. Sinus Rhythm in Rheumatic Mitral Stenosis after Balloon Mitral Valvotomy: Is it Feasible?. J Clin Diagn Res. 2017;11(2):OC01-OC05.
  • Maddala RNM, Ashwal AJ, Rao MS, Padmakumar R. Chronic lithium intoxication: Varying electrocardiogram manifestations. Indian J Pharmacol. 2017;49(1):127-129.
  • Ashwal AJ, Padmakumar R, Abdul Razak UK, Naveen Chandra GS. Percutaneous intervention for restoration of patency of occluded lower limb arteriovenous dialysis access. Indian Heart J. 2018;70(3):450-454.
  • Ramachandran P, Naik N, Jayaram AA, Rao MS. Takotsubo cardiomyopathy: A hype or a hypo?. Heart India 2017;5:102-4
  • Jayaram AA, Nayak K, Razak A, Padmakumar R, Pai U.Culprit or Companion-Foetal Right Ventricular Diverticulum: Role of M-mode Echocardiography in Distinguishing it from Ventricular Aneurysm. ?. J Clin Diagn Res.2019;12(10):TD01-TD02
  • Aj A, Razak Uk A, R P, Pai U, M S. Percutaneous intervention for symptomatic central vein stenosis in patients with upper limb arteriovenous dialysis access. Indian Heart J. 2018;70(5):690-698.
  • Sushanth Wattal, Ashwal Adamane Jayaram, Padmakumar Ramachandran, Abdul UK Razak, Suheil Dhanse.A Difficult Case in Clinical Practice: Combined Polycythaemia Vera and Protein S Deficiency in a Patient with both Thrombotic and Bleeding Complications. J Clin Diagn Res. 2018; 12(4): 11-14
  • Ashwal A, Ramachandra P, Nayak K, Prabhu M, Monappa V. A “malignant” cause for syncope: Cardiac metastases from tonsillar carcinoma. IHJ Cardiovascular Case Reports (CVCR). 2018;2:S27-S31.
  • Sharma A, RS R, R P, Pai U, A J A, Aslam M et al. A Cross Sectional Study on Assessment of Coronary Artery Disease in Patients with Peripheral Arterial Disease. Journal of Medical Science And clinical Research. 2018;6(12).
  • Ashwal A, Padmakumar R, Abdul Razak U, Naveen Chandra G. Percutaneous intervention for restoration of patency of occluded lower limb arteriovenous dialysis access. Indian Heart Journal. 2018;70(3):450-454.
  • Jayaram A, Iype J, Karkera D, Rao S, Devasiya T, Ramachandran P et al. Prevalence of Coronary Artery Disease and Its Risk Factors in Patients Undergoing Permanent Pacemaker Implantation. International Journal of Cardiovascular Practice. 2019;4(2):50-54
  • Jayaram A, Ramachandra P, Nayak K, Pai U. An unusual case of abdominal aneurysm: Inferior vena cava aneurysm — A case report. Journal of Cardiology Cases. 2019;19(2):41-46.
  • Shukla A, Jayaram A, Doshi D, Patel P, Shah K, Shinde A et al. The Young Myocardial Infarction Study of the Western Indians: YOUTH Registry. Global Heart. 2019;14(1):27.
  • Rao M, Devasia T, P G. Serum cortisol as a predictor of outcome in patients undergoing primary percutaneous intervention for ST segment elevation myocardial infarction. Indian Heart Journal. 2018;70:S107.
  • Jayaram A, Nayak K, Rao S, Samanth J, T Kvellur S, Saleel A et al. Lipid Profile Parameters and Coronary Artery Disease in Young Patients Undergoing Diagnostic Angiography. International Journal of Cardiovascular Practice. 2019;4(3):74-80.
  • Paramasivam G, Devasia T, Jayaram A, et al. In-stent restenosis of drug-eluting stents in patients with diabetes mellitus: Clinical presentation, angiographic features, and outcomes. Anatol J Cardiol. 2020;23(1):28-34.
  • Ashwal AJ, Mugula SR, Samanth J, Paramasivam G, Nayak K, Padmakumar R. Role of deformation imaging in left ventricular non-compaction and hypertrophic cardiomyopathy: an Indian perspective. Egypt Heart J. 2020;72(1):6.
  • Vishal Poptani, Ashwal Adamane Jayaram , Sharad Jain, Jyothi Samanth A study of Narrow QRS Tachycardia with Emphasis on the Clinical Features, ECG, Electrophysiology / Radiofrequency Ablation. Future Cardiology. Accepted on 2020
  • Adamane Jayaram A, Uddina Kumeri AR, Rao SM, Tuli A, Nayak K. Double interatrial septum with persistent interatrial chamber: A rare but clinically significant anomaly. Echocardiography. 2020 Oct;37(10):1694-1697.
  • Hegde N, Ashwal A, Deekonda S, Suresh K. A case series of rare neurological and cardio-pulmonary manifestations of thiamine deficiency in pregnancy and lactation. Obstetric Medicine. October 2020. doi:10.1177/1753495X20960906
  • Rao MS, Dhanse S, Ramachandran P, Devasia T, Paramasivam G, Ashwal AJ. Effectiveness of Ultrasonography guided cardiac sympathetic denervation in acute control of Electrical storm: A non-surgical strike on a key pathophysiologic factor. Indian Pacing and Electrophysiology Journal. 2021 Jan 1;21(1):47.
  • Gudigar A, Nayak S, Samanth J, Raghavendra U, A J A, Barua PD, et al. Recent Trends in Artificial Intelligence-Assisted Coronary Atherosclerotic Plaque Characterization. International Journal of Environmental Research and Public Health 2021;18:10003.
  • Simple heart rate and QT parameters during stress exercise testing to assess presence and severity of stable coronary artery disease. Murugaiyan Rajarajan, Mugula Sudhakar Rao, Padmakumar Ramachandran, Ashwal A Jayaram. Future Cardiology 2021 17:7, 1233-1239
  • Sagar, H., Jayaram, A., Surendra, V., Nayak, K., Rao, S. A Rare Presentation of Lung Carcinoma: Cardiac Metastasis With Left Atrial Involvement Through the Pulmonary Veins. Iranian Heart Journal, 2021; 22(4): 148-155.
  • Rao SM, Jayaram AA, VB M, UK AR, Rangaswamy D, Samath J. Trans-radial percutaneous intervention for thrombosed hemodialysis access: A single-center experience. The Journal of Vascular Access. November 2021. doi:10.1177/11297298211058984

Rare/ Unique Skills

  • Excellent exposure and versatile hands on experience in all forms of Percutaneous Cardiac Interventions
  • Have performed independently more than 1000 Coronary Angioplasties
  • Have performed Coronary interventions involving ROTA, Bifurcation stenting, Left main stenting
  • Have performed more than 100 pediatric Interventions including ASD closure, VSD closure and PDA closures
  • Have experience in neonatal interventions like PDA stenting Balloon atrial septostomy
  • Have performed more than 100 Single chamber/dual chamber pacemakers and ICDs
  • Have performed more than 100 peripheral arterial interventions
  • Excellent exposure to adult as well as pediatric echos, IVUS and OCTs


  • Complex coronary interventions
  • Cardiac Transplant

Languages Spoken

Kannada English