2020
NOAC-Based Sual Therapy Versus Warfarin-Based Triple Therapy After Percutaneous Coronary Intervention or Acute Coronary Syndrome in Patients With Atrial Fibrillation: A Systematic Review and Meta-Analysis
Dahal K, Mosleh W, Almnajam M, Khaddr M, Adeel M, Vashist A, Robinson P, Azrin M, Lee J. NOAC-Based Sual Therapy Versus Warfarin-Based Triple Therapy After Percutaneous Coronary Intervention or Acute Coronary Syndrome in Patients With Atrial Fibrillation: A Systematic Review and Meta-Analysis. Cardiovascular Revascularization Medicine 2020, 21: 1202-1208. PMID: 32173329, DOI: 10.1016/j.carrev.2020.03.012.Peer-Reviewed Original ResearchConceptsAcute coronary syndromePercutaneous coronary interventionRandomized clinical trialsDual therapyTriple therapyStent thrombosisAtrial fibrillationCoronary syndromeCoronary interventionSystematic reviewRelevant non-major bleedingRisk of STComposite of mortalityConcomitant atrial fibrillationEfficacy of NOACsMajor efficacy outcomeNon-major bleedingTIMI minor bleedingDual antiplatelet therapyPrimary safety outcomeBleeding outcomesCRNM bleedingIschemic outcomesISTH majorP2Y12 agents
2018
Antiplatelet Therapy in Coronary Artery Disease: A Daunting Dilemma
Chaturvedula S, Diver D, Vashist A. Antiplatelet Therapy in Coronary Artery Disease: A Daunting Dilemma. Journal Of Clinical Medicine 2018, 7: 74. PMID: 29642547, PMCID: PMC5920448, DOI: 10.3390/jcm7040074.Peer-Reviewed Original ResearchAcute coronary syndromePercutaneous coronary interventionDAPT durationDuration of DAPTOlder patient populationCoronary artery diseasePotent antiplatelet agentsMajor societal guidelinesNovel anticoagulant drugsAntiplatelet therapyCoronary syndromeMultiple comorbiditiesP2Y12 inhibitorsTriple therapyCoronary interventionAntiplatelet agentsArtery diseasePatient populationSocietal guidelinesAnticoagulant drugsOptimal durationClinical decisionAvailable evidenceTherapyNew stent
2016
Innovation in Data Abstraction, Education, and Consistent Application of Best Practice Guidelines: Experience and Real-World Results from a University Hospital in a Cost-Centric Environment.
Lakireddy P, Canning P, Lee J, Azrin M, Vashist A. Innovation in Data Abstraction, Education, and Consistent Application of Best Practice Guidelines: Experience and Real-World Results from a University Hospital in a Cost-Centric Environment. Connecticut Medicine 2016, 80: 97-103. PMID: 27024981.Peer-Reviewed Original ResearchMeSH KeywordsAcute Coronary SyndromeCardiac CatheterizationConnecticutCost ControlCost-Benefit AnalysisData CollectionDatabases, FactualDecision MakingDelivery of Health CareEmergency Medical ServicesGuideline AdherenceHospitals, UniversityHumansMyocardial InfarctionOutcome and Process Assessment, Health CarePatient Care TeamPractice Guidelines as TopicQuality of Health CareConceptsEmergency medical servicesPractice guidelinesBest practice guidelinesCardiac catheterization laboratory activationAcute coronary syndromeCatheterization laboratory activationCore measuresTask Force recommendationsCoronary syndromeLowest tertilePrehospital activationUniversity HospitalLaboratory activationPatient outcomesEMS roleExpeditious revascularizationMedical servicesHospitalDecision pathwaysCareTask ForceGuidelinesSignificant improvementData abstractionActivation
2005
Noninvasive cardiac imaging in the evaluation of suspected acute coronary syndromes
Vashist A, Abbott B. Noninvasive cardiac imaging in the evaluation of suspected acute coronary syndromes. Expert Review Of Cardiovascular Therapy 2005, 3: 473-486. PMID: 15889975, DOI: 10.1586/14779072.3.3.473.Peer-Reviewed Original ResearchConceptsChest painCoronary syndromeEmergency departmentAcute ischemiaEmission tomographyCardiac magnetic resonance imagingAcute coronary syndromeSingle photon emission tomographyAppropriate clinical settingCoronary artery diseaseReperfusion-induced cell deathImaging modalitiesRadionuclide perfusion studyNoninvasive cardiac imagingCardiac magnetic resonanceMagnetic resonance imagingPositron emission tomographyNoninvasive imaging modalityArtery diseaseSuch patientsRandomized trialsPrognostic valueDiagnostic dilemmaSubendocardial ischemiaUnnecessary hospitalization