Atrial Fibrillation Prevention: A Three-legged Stool April 17, 2017By Payal Kohli MDA tripartite strategy targets lifestyle change, treats CV risk factors and CV disease, and encourages more global thinking. Mechanical FallA 72-year-old woman sustains a distal radius fracture during a fall after losing her balance. She denies syncope. What's your ECG read? Stroke Prevention in the Patient with Afib and T2DM: NOACs vs VKAs March 12, 2017By Payal Kohli MDWhich anticoagulant therapy has the greater absolute benefit in these complex patients? ACC Statement on Perioperative Anticoagulation: 5 questions to ask February 28, 2017By Payal Kohli MDAnswers to these 5 questions about patient and pending procedure create a pathway to decisions about perioperative anticoagulation. Tachycardia in a 24-year-old WomanYoung woman without known medical history; past bouts of anxiety and palpitations dismissed as "panic attacks." What's your ECG read? Incidental ECG Finding in a 77-Year-Old ManHis hernia surgery is scheduled but these results of a routine pre-op ECG could change plans. What's your ECG read? Underuse of VKAs: How Physician, Patient Perceptions Shape PracticeA new analysis of qualitative studies points to poor communication on multiple levels. Hypertension Complicated by Heart DiseaseWhat is the optimal treatment for hypertension when the patient also has Afib, CAD, or heart failure? ECG Challenge: Weak, Dry, and SickECG Challenge: A 72-year-old woman has progressive weakness, dyspnea, decreased oral intake, and feels "sick." ACS or something else? Afib of Less than 48 Hours: A Look at Thromboembolic Risk November 15, 2016By Payal Kohli MDNew research suggests that even a short time spent in atrial fibrillation increases thromboembolic risk nearly 5-fold.