Cardio-Oncology Rehabilitation in Cancer Patients and Survivors
Dr. Baliga's 'Podkasts for Curious Docs'
Release Date: 05/22/2024
Dr RR Baliga's Philosophical Discourses: Sri Ramakrishna Paramahamsa (India, 1836–1886 CE) – Mysticism
Dr. Baliga's 'Podkasts for Curious Docs'
Sri Ramakrishna Paramahamsa showed that spiritual truth is lived, not debated 🌼🙏 Through devotion, deep experience, and simple parables, he taught that all religions are different paths to the same Reality 🛤️✨ His enduring message—serve humanity as the Divine—continues to inspire seekers, caregivers, and leaders alike ❤️🌍
info_outline
Cardiac Pace with a Purpose: Protect EF 🛡️🔌📉
Dr. Baliga's 'Podkasts for Curious Docs'
CRT—now framed as cardiac physiologic pacing—remains a cornerstone for HFrEF patients with LVEF ≤50% and either high ventricular pacing burden or a wide QRS, with the biggest gains in LBBB and QRS ≥150 ms. ⚡🫀📈 Traditional biventricular pacing has randomized-trial evidence (>10,000 patients) showing better symptoms, quality of life, remodeling, fewer HF hospitalizations, and survival benefit in selected groups; meanwhile His bundle and left bundle branch pacing are rapidly expanding options, with large randomized trials underway to define comparative efficacy and safety....
info_outline
🌍🏠❤️ From Clinic to Community: Closing the BP Control Gap
Dr. Baliga's 'Podkasts for Curious Docs'
🩺 Hypertension control in the U.S. has stalled—despite better meds, better evidence, and better tools. 📉 The “paradox” isn’t a mystery so much as a systems problem: therapeutic inertia, fragmented care, cost barriers, and inconsistent use of validated home BP monitoring. 🧩 What works is boring (and therefore powerful): standardized treatment protocols, team-based care, rapid follow-up, combination therapy when appropriate, and performance feedback loops. 🧰📊 If we treat BP control like a reliable system—rather than a heroic, one-visit effort—we can move...
info_outline
🧬🛡️🕰️ Why Cancer Usually Waits for Old Age
Dr. Baliga's 'Podkasts for Curious Docs'
🧬 Why does cancer mostly strike later in life? This review frames an elegant answer: evolution built layered anti-cancer “barriers” optimized to protect us through reproductive years—not indefinitely. 🛡️ With aging, those safeguards fray: tissues remodel, epigenetic “noise” rises, inflammation smolders, and immune surveillance softens—so clones that were once contained can progress. 🕰️🔥 A favorite reminder is 🐘 Peto’s paradox: bigger, longer-lived species aren’t overwhelmed by cancer, suggesting nature can evolve stronger defenses when fitness...
info_outline
Diverse Exercise, Lower Death Risk 🎯🏃♂️⬇️⚰️
Dr. Baliga's 'Podkasts for Curious Docs'
🏃♀️🏋️♂️ Does variety in physical activity matter for longevity? A large prospective analysis suggests it does: people who engaged in a wider mix of activity types tended to have lower all-cause mortality, even after accounting for total activity and key covariates. 🌈📉 Key practical takeaway: don’t just “do more”—do different (walk + cycle + swim + strength, etc.). ✅🫀 As always, this is observational data (residual confounding + self-report remain). Still, it’s a compelling nudge toward diversity in movement as a realistic,...
info_outline
🧠➡️❤️ Rewiring the Heart: When the Vagus Nerve Saves Cardiac Function
Dr. Baliga's 'Podkasts for Curious Docs'
🧠❤️ Rewiring the Heart—Literally A striking Science Translational Medicine study shows that early reconnection of the right vagus nerve to the heart preserves ventricular mechanics, synchrony, and myocardial health—even when only ~20% of vagal fibers regenerate. 🧵🫀 Using a clinically relevant minipig model, the authors demonstrate that loss of parasympathetic input drives oxidative stress, inflammation, and premature cardiac aging—while targeted nerve repair reverses these pathways, independent of heart rate. 📉➡️📈 Implications: thoracic...
info_outline
Dr RR Baliga's Philosophical Discourses: Friedrich Nietzsche (Germany, 1844–1900 CE) – Nihilism
Dr. Baliga's 'Podkasts for Curious Docs'
Friedrich Nietzsche challenged the modern mind to think bravely, live honestly, and create meaning rather than inherit it 🧠⚡ From “God is dead” to self-overcoming, his ideas push us to confront nihilism and affirm life with courage and creativity 🔥🎭 More than a philosopher, Nietzsche remains a provocation—asking each of us: what values will you create? 🚀📚
info_outline
From Beige Fat to BP: What Every Cardiologist Should Know ⚖️💓🩺”
Dr. Baliga's 'Podkasts for Curious Docs'
Did you know the fat around our arteries is more than just padding? 🧬🩺 Recent findings show that deleting PRDM16 in perivascular adipose tissue transforms protective beige fat into fibrotic tissue, upregulating QSOX1 and driving hypertension 🩸📈. Activating brown fat or targeting QSOX1 could offer novel therapies. As internists, staying curious about adipose–vascular cross-talk might reshape how we tackle hypertension. 💡🔥 #Cardiology #InternalMedicine #Hypertension”
info_outline
🧬🧠❤️ The Immune System Is Not Just Defense — It Is Physiology
Dr. Baliga's 'Podkasts for Curious Docs'
🧬🧠❤️ The Immune System Is Not Just Defense — It Is Physiology A superb Science Review (Nahrendorf, Ginhoux, Swirski, 2025) reframes immunity as a systems integrator, shaping brain function, heart rhythm, metabolism, pregnancy, and tissue repair—quietly maintaining homeostasis across the lifespan. Immune cells are not visitors; they are residents, communicators, and regulators in every organ system. 🧩 Defense meets regulation. 🧩 Immunology meets physiology. 📖 Science, August 2025 — a must-read for clinicians, physiologists, and systems thinkers.
info_outline
🫀🧬 Chemo’s Quiet Aftermath: A New Macrophage Map of the Heart
Dr. Baliga's 'Podkasts for Curious Docs'
🧬💥 New cardio-oncology insight: DNA-damaging chemotherapy (highlighting carboplatin) can reprogram the heart’s immune “resident staff”—specifically CCR2− cardiac-resident macrophages—followed by monocyte-driven repopulation that looks “resident-like.” 🫀🛡️ In a mouse model, this post-chemo macrophage landscape was linked to less adverse remodeling after hypertensive stress (AngII/PE), with reduced fibrosis and cardiomyocyte hypertrophy and lower remodeling gene signals. 📉🔬 Take-home: beyond myocytes, chemotherapy may shift the cardiac immune...
info_outline
Dr RR Baliga's 'GOT KNOWLEDGE DOC' Podcasts for Physicians: Cardio-Oncology Rehabilitation in Cancer Patients and Survivors
derived from
Cardio-Oncology Rehabilitation in Cancer Patients and Survivors: AHA Scientific Statement
Circulation. 2019;139:e997–e1012
Not Medical Advice or Opinion