Nayan Arora
@captainchloride.bsky.social
Associate Professor and APD @pdxkidney.bsky.social | Cardiorenal enthusiast | Whisky drinker, runner, dad | Filtrate on Freely Filtered 🎙️
Hey @amyaimei.bsky.social I got to write about acetazolamide! academic.oup.com/ckj/advance-...
Use of Acetazolamide in Volume Overload: Start at the Beginning
Abstract. The treatment of volume overload has vexed physicians for centuries. References to herbal remedies for the treatment of fluid retention date as f
academic.oup.com
If you are a resident who didn’t match today, a hospitalist looking for change, or anyone looking to join an amazing and innovative fellowship program in an unbeatable location we have a Nephrology spot open for you! Contact us if you are interested! ohsu.edu/school-of-medi…
ohsu.edu
Time to grill Charmaine Lok about fish oil for the next Freely Filtered with @nephcrit.bsky.social and @hswapnil.medsky.social
Agreed - already have some proactive DMI folks on Finerenone - has been safe and lowers proteinuria in my hands
We are 2 for 2 with positive trials so far. LIBERATE-D shows benefit with a conservative vs conventional dialysis strategy in AKI-D. The difference in mortality is concerning though? Simultaneous pub 👇🏾 #kidneywk jamanetwork.com/journals/jam...
Shocking first high impact trial of the day. Fish oil reduces CV events in dialysis patients! #Pisces #kidneywk Simultaneous pub in NEJM www.nejm.org/doi/full/10....
For finerenone in type 1 DKD I think albuminuria is OK For Atacicept - this is preliminary data which gets them accelerated FDA approval and a few months of making 💰until the GFR slope analysis comes through? #KidneyWk
While I agree, here in Australia the drugs will not get funded by the govt without the harder endpoints unless of course the price is okay which of course is not going to happen. It’s exciting to see all these new therapeutics but unless the cost comes down I doubt we will see them in Australia soon
@sophia-kidney.bsky.social got shoved into a corner by ASN but well worth the trek to check out her poster and try out abcKidney #kidneywk
Small trial of lysine chloride in euvolemic patients with heart failure. Median furosemide dose was 80mg. Chloride supplementation reduced plasma volume and improved diuretic response. Interesting but maybe not the population I would use it in? #kidneywk
We have a new therapy for type 1 diabetes! FINE-ONE with significant proteinuria reduction compared to placebo on a background of RASi with an acceptable safety profile. Where’s the simultaneous pub?? Sglt2 inhibitors are next…#kidneywk
Interim analysis of atacicept (dual BAFF/APRIL inhibitor) shows successful proteinuria reduction vs placebo. Also reduced Gd-IgA1 levels. Adding to the IgA armamentarium. Simultaneous pub 👇🏾 #kidneywk www.nejm.org/doi/full/10....
New episode of Freely Filtered with @brendonneuen.bsky.social @hswapnil.medsky.social @captainchloride.bsky.social @sophia-kidney.bsky.social and author Muth Vaduganathan discussing the CONVINCE trial www.nephjc.com/freelyfilter... With chapters, refs, and pictures
Interesting diuretic resistance study. Adunctive thiazides take the lead over loop intensification? Nice discussion on mechanisms of DR, both practical and hypothetical. #nephsky journals.lww.com/jasn/abstrac...
Loop Diuretic Dose Intensification versus Adjuvant Thiazide ... : Journal of the American Society of Nephrology
g diuretic resistance mechanism could optimize diuretic response. Methods: Patients hospitalized with heart failure and diuretic resistance (6-hour cumulative natriuresis <100 mmol after IV loop di...
journals.lww.com
🤔 I happen to know @jordybc.bsky.social is a scotch aficionado www.cnn.com/2025/08/14/h...
New blood pressure guidelines recommend skipping alcohol and an earlier start to treatment | CNN
The next time you get your blood pressure checked, expect your medical provider to be a little more aggressive about high levels. And if you like a glass of wine with dinner or a cocktail on the weeke...
cnn.com
Latest episode of @freelyfiltered.bsky.social is live! This one on the two RCTs of DDAVP to prevent renal biopsy bleeding. We had special guest Vandana Niyyar join us. @medpeedskidneys.bsky.social @captainchloride.bsky.social www.nephjc.com/freelyfilter...
FF 82 DDAVP up the nose to prevent biopsy bleeding — NephJC
Nasal DDAVP to prevent bleeding complications from renal biopsy, the results of two randoized, placebo controlled, trials.
nephjc.com
Thank you to @asnpublications.bsky.social #JASN for letting us write this. Important topic that's unfortunately devoid of robust data for many of our patients. #nephsky journals.lww.com/jasn/abstrac...
Remote Measurement of Volume Status in Heart Failure : Journal of the American Society of Nephrology
ed with telemedicine services, have failed to improve outcomes. Implantable hemodynamic monitors allow clinicians to obtain meaningful, objective data, with an opportunity for early intervention to im...
journals.lww.com
Interesting study in pts w/T1D w/ or w/out flozins and comp. With healthy controls. Less glomerulomegaly on routine biopsies. Flozins impacted metabolic transcripts throughout the nephron - ie the effect wasn’t isolated to the proximal tubule. Showing they are powerful metabolic drugs. #nephsky
If you're applying to a Nephrology fellowship, let @glaucomflecken.bsky.social tell you why you need to come to @pdxkidney.bsky.social. Then let us tell you what makes it such a great and unique training program! #nephsky
ICYMI @captainchloride.bsky.social on the art of decongestion in heart failure Embracing hypercreatininemia Flozins or Acetazolamide How to use Urine Na+ Do we believe the Italian HTS RCTs? www.youtube.com/watch?v=3m2b... #NephGR
The Art of Decongestion with Dr. Nayan Arora
YouTube video by Ottawa Nephrology
youtube.com
Listening to @captainchloride.bsky.social presenting about decongestion strategies, while escalating all the steps to ultrafiltration 🌊 #NephGR 🌊🌊 Oliguric, overhidrated pt, with an SBP of 270 mmHg, a bit of respiratory alkalosis, and Na 133 @hswapnil.medsky.social
Huge thanks to @hswapnil.medsky.social for the invite and to everyone in Ottawa for the incredible hospitality, I had a great time! As a bonus I got to check out the tulip festival (pics courtesy of swap)
Swapnil Hiremath 🍁🇨🇦@hswapnil.medsky.social · last yr.Nayan @captainchloride.bsky.social Arora holding court on diuretics and cardiac hemodynamics to our enthralled fellows #NephSky
In this Core Curriculum, Nayan Arora and Sarah F. Sanghavi discuss disorders of volume, which are typically identified clinically as changes in the extracellular space, and management strategies through a series of clinical vignettes: bit.ly/Arora24CC (FREE)
