Have you heard the news? Dapagliflozin is now $8/month at @costplusdrugs.com Wrote my first script this AM From $1935 to $15 for 90 days at 10 mg per day Inflation is everywhere except #Flozins
Josh Leisring
@joshleisring.bsky.social
Nephrologist / Hypertension Specialist in Columbus, Ohio #Nephsky He / him
Interesting paper - Factors Associated With Discussing High Blood Pressure Readings in Clinical Notes. Naturally, nephrology, transplant, internal med are discussing the most (it's part of the job). ID, endocrine, sports medicine and GI > than cardiology? pubmed.ncbi.nlm.nih.gov/39661402/
Do you prescribe hydralazine? Or, do you 🛑 it as soon as you see it? Hydralazine persists despite TID dosing & risks like... vasculitis 🔥 Are you asking Why-dralazine? ✅The blog by @dramiliflores.bsky.social @nephroseeker.medsky.social #NephSky www.nephjc.com/news/hydralazine-anca-vasculitis
Why-dralazine?! Population risk of drug induced vasculitis — NephJC
This week, we will discuss why a large registry cohort was needed to move past decades of scattered case reports and clarify the true risk of hydralazine‑associated vasculitis. When rare events hide i...
nephjc.com
A. I am not convinced how a 3X effect in crude becomes a 1.2x effect after PS weighting black box B. As we say in the summary, there are no good reasons to use hydralazine anyways. So small risk:zero benefit = infinite risk:benefit ratio. #NephJC
Great case highlighting utility of metanephrines with AVS in a patient with PA and hypercortisolism (MACS). Traditional AVS uses the aldo:cortisol ratio which is confounded if an adenoma co-secretes cortisol. tinyurl.com/yvhwpt75 @bhallaresearch.bsky.social Always check 1mg DST in PA+adenoma!
Hypercortisolism: A Prevalent and Complicating Factor in Primary Aldosteronism | Hypertension
tinyurl.com
How should we measure BP for inpatients? Some consensus criteria and actual measurements from Australia
ahajournals.org
Please consider joining me on Friday, Apr 10 at 3PM EST for this webinar on Simplifying the Approach to Primary Aldosteronism. #nephsky #htn www.labroots.com/webinar/simp...
Simplifying the Approach to Primary Aldosteronism
• Review the pathophysiology of primary aldosteronism (PA). • Demonstrate that PA is common, and can be found in patients across the entire spectrum of hypertension. • Show th
labroots.com
As we suspected Thiazide induced hyponatremia is more seen in older women JNO analysis from Sweden jamanetwork.com/journals/jam...
Re-Defining Primary Aldosteronism authors.elsevier.com/a/1mqFw2d9GI... @jaccjournals.bsky.social #JACC
Please consider joining me on Friday, Apr 10 at 3PM EST for this webinar on Simplifying the Approach to Primary Aldosteronism. #nephsky #htn www.labroots.com/webinar/simp...
Simplifying the Approach to Primary Aldosteronism
• Review the pathophysiology of primary aldosteronism (PA). • Demonstrate that PA is common, and can be found in patients across the entire spectrum of hypertension. • Show th
labroots.com
Practical suggestions for the diagnosis and management of hypertension before, during, and after the start of anticancer therapy #ISNWCN 🇯🇵 #WCN26 🇯🇵 #WCN2026 🇯🇵 #Onconephrology 🦀 #Nephpearls #NephSky 👉 pubmed.ncbi.nlm.nih.gov/36621810/
Very nice review reiterating that beta-blockers should not be used as a first-line antihypertensive (outside of select cardiac comorbidities). #nephsky #htn www.ahajournals.org/doi/10.1161/...
Use of auto BP devices is rec'd by guidelines but many still measure BP manually. In this preprint, we categorize BP device based on terminal digit (manual BP results in even # terminal digits). Manual BP ~6mmHg lower and associated with 1.16x stroke risk vs automated www.medrxiv.org/content/10.6...
Excellent overview in The Washington Post on the systemic impact of sustained hypertension — from LVH to CKD and cognitive decline. Kudos to Drs. @drwanpen.bsky.social , John B, and @jordybc.bsky.social for evidence base insight. 🔗 www.washingtonpost.com/wellness/202... #Hypertension #Cardiology
What high blood pressure does to your body
Hypertension can affect your mind, heart, eyes and more, often without causing any obvious symptoms at all.
washingtonpost.com
Think I just had a pt with olmesartan enteropathy Yall seeing this? I’ve mostly moved away to tel, irb but have a fair number of legacy pts #medsky #cardiosky #nephsky
🧠 Dr. Vaidya’s @anandvaidya17.bsky.social practical approach to primary aldo, distilled into one clean, clinic-ready infographic: This is high-yield, no-fluff, practice-changing stuff.
New! 🎙️🩺🎧 #515 Primary Aldosteronism, A Deep Dive: Easy on the Salt! 🧂⬇️ Hypertension is everywhere and primary aldosteronism is a common (and often missed 👀) cause. Join us with @anandvaidya17.bsky.social of Brigham and Women’s Hospital
www.youtube.com/watch?v=mqpl...
#515 Primary Aldosteronism, A Deep Dive: Easy on the Salt!
YouTube video by The Curbsiders Internal Medicine Podcast
youtube.com
New! 🎙️🩺🎧 #515 Primary Aldosteronism, A Deep Dive: Easy on the Salt! 🧂⬇️ Hypertension is everywhere and primary aldosteronism is a common (and often missed 👀) cause. Join us with @anandvaidya17.bsky.social of Brigham and Women’s Hospital
Very practical UK Kidney Association guidelines for management of BP in Dialysis www.kireports.org/article/S246... KI Reports
sweet A @asnpublications.bsky.social perspective argues we need a Spironolactone versus nsMRA head:head trial! journals.lww.com/jasn/pages/a... Bring it on! #NephSky #SpiroStans rejoice
Excited to share our research letter published today in JAMA on the new Apple Watch Hypertension Notification Feature! jamanetwork.com/journals/jam... 1/n
Smartwatch and Hypertension Notification
This cross-sectional study assesses the potential impact of a smartwatch hypertension notification feature for US adults who have not been diagnosed with hypertension.
jamanetwork.com
Thank you @asnpublications.bsky.social for posting our paper on the transformation of venous to arterial blood gas. To facilitate calculations, I developed an App “Venous to Arterial Blood Gas” available for free (apps.apple.com/us/app/venou...) @nu-nephrology.bsky.social @feinberg.northwestern.edu
Venous to Arterial Blood Gas App - App Store
Download Venous to Arterial Blood Gas by Daniel Batlle on the App Store. See screenshots, ratings and reviews, user tips, and more apps like Venous to Arterial…
apps.apple.com
This #ASNKidney360 study explored the relationship between arterial and venous blood gas parameters to develop formulas for estimating arterial values from venous samples. Read more: kidney.pub/KID1113
As guidelines rec more Aldo/renin testing in htn, wondering whats labs role to ensure/capture details on relevant factors (timing, Na restriction, meds, KP)? Should labs rec pts test in more standardized conditions, log key details or just do it-clinicians duty to sort out? @askrenal.bsky.social
Excited to share our thoughts on the Apple Watch Hypertension alert! @jordybc.bsky.social @deanpicone.bsky.social @alta-schutte.bsky.social Apple Watch for Hypertension Screening | Hypertension www.ahajournals.org/doi/10.1161/...
Apple Watch for Hypertension Screening | Hypertension
ahajournals.org
Cuffless BP review with @farahwehbe92.bsky.social - incoming HT fellow in Ottawa, with tables, and details of technology, devices and ongoing trials pubmed.ncbi.nlm.nih.gov/41460057/ thanks to @profdg.bsky.social for the invite!
Cuffless blood pressure in 2025: from promise to practice: a narrative review - PubMed
Cuffless wearables may be used as adjuncts to surface patterns and support engagement; diagnosis and treatment decisions must be confirmed with validated upper-arm measurements. A pragmatic "good-enough" checklist includes stable calibration over weeks, accuracy across dynamic states and subgroups, …
pubmed.ncbi.nlm.nih.gov
Dan Batlle & I wrote about testing for primary aldosteronism, bringing a critical lens to the usual approach www.ahajournals.org/doi/full/10....
American Heart Association Journals
ahajournals.org
🚨 Fresh Hypertension Guidelines Alert 🚨 Don’t get caught treating high blood pressure like it’s 2024 👀 In Episode #509, West Philly doc Dr. Jordy Cohen @jordybc.bsky.social keeps our hypertension management fresh with a clear walk-through of the new HTN guidelines & more! www.thecurbsiders.com
AHA Scientific Statement on Single-Pill Combination Therapy www.ahajournals.org/doi/10.1161/... #Nephsky
If you are interested in hypertension training and research, check out our hypertension fellowship. research.bidmc.org/medicine-gme...
Clinical Hypertension Fellowship
research.bidmc.org
Happy to contribute to this important statement @ahascience.bsky.social on cuffless devices led by @jordybc.bsky.social ! Cuffless Devices for the Measurement of Blood Pressure: A Scientific Statement From the American Heart Association | Hypertension ahajournals.org/doi/10.1161/...