Dr. Anil Punjabi is a board-certified cardiologist and internist, and the Founder and CEO of Ohana Heart in Maui, Hawaii. Since establishing the practice in 2019, he has built a patient-centered cardiology clinic grounded in clinical excellence, compassion, and a deep commitment to the community. What began as a six-month move to Maui quickly became home—for both his family and his growing practice.

After completing his Internal Medicine residency at NewYork-Presbyterian/Weill Cornell Medical Center, Dr. Punjabi pursued advanced training in cardiology at Boston Medical Center through the Boston University School of Medicine. He is board-certified in Internal Medicine and General Cardiology, with additional Level II certifications in Echocardiography and Nuclear Cardiology.

Dr. Punjabi earned his M.D. from the UCLA David Geffen School of Medicine and his M.B.A. in Healthcare Entrepreneurship from the UCLA Anderson School of Management, where he was awarded the Henry Ford Fellowship for achieving the highest academic performance in his class. His dual training in medicine and business uniquely positions him to design and lead systems of care that prioritize both outstanding clinical outcomes and operational excellence.

In addition to his clinical training, Dr. Punjabi led strategic healthcare consulting initiatives through UCLA, partnering with organizations such as East Valley Community Health Center and the UCLA Health System. In these roles, he improved operational efficiency, strengthened revenue capture, redesigned care processes, and guided leadership teams in implementing sustainable performance improvements—experience that continues to inform how he builds and leads high-quality systems of care today.

In addition to leading Ohana Heart, Dr. Punjabi serves as Vice Chair of the Cardiology Department and holds a quality leadership role within the hospital system. In these roles, he works to elevate standards of care, strengthen collaboration, and improve cardiovascular outcomes across the community.

Known to many as “Dr. P,” he was inspired early on by his two physician parents while growing up in the suburbs of Philadelphia. Family remains central to his life. He is especially close with his two sisters, their husbands, and his four nieces and nephews, and deeply values the strong bonds they share.

Outside of medicine, Dr. Punjabi enjoys basketball, hiking, international travel, and spending time with his wife, Dr. Trina Chakravarty; their children; and their dog, Banana. Conversational in Hindi and Spanish, he remains deeply committed to serving and strengthening the Maui community he is proud to call home.

Effect of Right Ventricular Pacing Lead Placement on Development of Tricuspid Regurgitation

Punjabi, Anil, Thomas, George
Weill Cornell Department of Cardiology

Background

Tricuspid regurgitation (TR) occurs when the tricuspid valve fails to close properly, causing backward blood flow. Right ventricular pacing leads may interfere with valve function and contribute to TR development.

Objective

To evaluate whether right ventricular pacing lead placement is associated with the development or worsening of tricuspid regurgitation.

Methods

  • Patients with implanted RV pacing leads
  • Echocardiographic assessment
  • Comparison before and after lead placement
  • Correlation between lead position and TR progression

Results

  • Increased incidence of TR in paced patients
  • Lead placement near valve increased severity
  • Some patients developed new or worsened TR

Conclusion

Right ventricular pacing lead placement may contribute to the development or worsening of tricuspid regurgitation. Careful positioning is essential to reduce complications.

Clinical Implications

  • Consider valve interaction during lead placement
  • Use imaging guidance
  • Monitor patients long-term

Institution: Weill Cornell Department of Cardiology

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