Payal Kohli, MD

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Articles

ACE Inhibitors and ARBs Not Equivalent in Diabetics

May 02, 2014

An extensive meta-analysis calls into question the standard practice of switching from an ACEI to an ARB in patients with type 2 diabetes.

Statins May Improve Erectile Dysfunction: A New Way to Encourage Compliance?

April 28, 2014

The exact mechanism responsible for this effect is still open for debate. A salutatory side effect of the news may be the impact on medication adherence among men with both elevated LDL-C and erectile dysfunction.

Ablation vs Medication: Which First for Atrial Fibrillation and for Who?

April 14, 2014

A small study provides good evidence that radiofrequency ablation as first-line therapy has a lower failure rate vis a vis recurrence of AF when compared with antiarrhythmic therapy. But, there is more to this story.

NSAID Use Increases Risk of Atrial Arrhythmias

April 09, 2014

According to a study published in the British Medical Journal, the risk of atrial fibrillation/atrial flutter is greater in NSAID-naive patients than in those with previous exposure.

2014 Atrial Fibrillation Management Guidelines Released

April 08, 2014

Four updates to the guidelines are important for primary care physicians to review.

Road Rage–like Anger Linked to Increased Cardiovascular Risk

March 14, 2014

A wide-ranging meta-alaysis found that brief, intense outbursts of anger triggered onset of acute myocardial infarction, acute coronary syndrome, and dangerous ventricular arrhythmias.

Intensive Cardiovascular Risk Reduction Can Positively Alter Gene Expression

March 12, 2014

The authors investigated changes in specific proinflammatory genes associated with neutrophil activation in patients with known coronary artery disease or with significant risk factors.

Genotype-Guided Warfarin Dosing: Does It Improve TTR?

March 06, 2014

In clinical scenarios where warfarin is still the drug of choice for anticoagulation, it is still a challenge to achieve optimal time in therapeutic range. Is there promise in a new dosing paradigm?

Complex LAA Shape Predicts Thromboembolic Risk

March 06, 2014

Results of a new study suggest that number of LAA lobes may one day be useful as an element of the CHADS2 scoring system for embolic risk in patients with atrial fibrillation.

RE-LY AF Registry: Hypertension Most Common Risk Factor Worldwide

March 05, 2014

Comprising 15,400 patients from 46 countries, the RE-LY AF registry offers a notable opportunity to study variations in presentation of atrial fibrillation and its risk factors.