Dr. RR Baliga's 'Podkast for the Kurious Doc'
🫀 Residual Risk in Coronary Artery Disease Even after “optimal” therapy, many patients remain at risk. Why? Because atherosclerosis is more than LDL—it’s thrombosis 🩸, inflammation 🔥, and metabolism ⚖️ working in concert. This FAQ-based slide deck distills contemporary insights on residual thrombotic, lipid, metabolic, and inflammatory risk, and highlights emerging therapies—from dual-pathway inhibition 💊 to GLP-1 receptor agonists 🧬 and colchicine—that help close the gap between treatment and outcomes. 📊 Key message: precision, not complacency....
info_outlineDr. RR Baliga's 'Podkast for the Kurious Doc'
Swami Vivekananda reminded the world that spiritual strength and social service are inseparable 🕉️🔥 From Chicago in 1893 to India’s national awakening, his message was simple yet radical: each soul is potentially divine—and serving humanity is serving the Divine 🌍🤝 More than a monk or philosopher, Vivekananda remains a timeless call to courage, compassion, and inner awakening ✨📚
info_outlineDr. RR Baliga's 'Podkast for the Kurious Doc'
🫀🧠🛡️ Sense. Signal. Scar. A striking Cell study reframes myocardial infarction as a systems disease, not a heart-only event. Using single-cell and spatial transcriptomics in murine MI, the authors identify a triple-node heart–brain–immune loop: TRPV1-positive vagal sensory neurons (injury sensing) → hypothalamic paraventricular nucleus AT1aR neurons (central integration) → superior cervical ganglion IL-1β signaling (sympathetic–immune effector arm). Intervening at any node improved ejection fraction, reduced infarct size, and normalized autonomic...
info_outlineDr. RR Baliga's 'Podkast for the Kurious Doc'
🦵🌙 Restless Legs Syndrome: more than a sleep complaint RLS affects ~3% of adults and is frequently missed or misdiagnosed as insomnia or anxiety. The latest evidence underscores three practical shifts: think iron (even when “normal”), choose gabapentinoids first, and beware dopaminergic augmentation. For internists and frontline clinicians, recognizing RLS early can meaningfully improve sleep, mood, and quality of life—and may even reduce downstream cardiovascular risk. 🧠🩺💤 #RestlessLegsSyndrome #SleepMedicine #InternalMedicine #IronDeficiency...
info_outlineDr. RR Baliga's 'Podkast for the Kurious Doc'
🧠🩺 Why cancers behave the way they do—and why treatments fail For internists, cancer is not just an oncologic diagnosis but a systems disease: driven by dysregulated growth, immune evasion, metabolic reprogramming, inflammation, and adaptive resistance. The Hallmarks of Cancer framework offers a unifying clinical lens—explaining recurrence, cachexia, immunotherapy variability, and late relapse—without drowning us in molecular minutiae. Understanding how tumors survive stress, therapy, and time sharpens prognosis, improves cross-disciplinary care, and strengthens bedside reasoning....
info_outlineDr. RR Baliga's 'Podkast for the Kurious Doc'
📟🪑🏃♂️ A striking accelerometer-based analysis in The Lancet suggests that small, realistic behavior shifts could translate into meaningful mortality gains at the population level. For the least active adults, +5 minutes/day of moderate-to-vigorous physical activity (MVPA) was associated with preventing ~6% of deaths; applying a similar increase broadly (excluding the most active) could prevent ~10%. Reducing sedentary time by 30 minutes/day was associated with preventing ~3% (high-risk) to ~7% (population) of deaths (with smaller—but still meaningful—effects in UK Biobank)....
info_outlineDr. RR Baliga's 'Podkast for the Kurious Doc'
🦵❤️ Peripheral Artery Disease is not just a leg problem—it’s a life-threatening cardiovascular signal. Up to 60% of patients are asymptomatic, yet PAD doubles to triples the risk of myocardial infarction, stroke, and death. Evidence is clear: exercise therapy, statins, antiplatelet or rivaroxaban-based strategies, blood-pressure control, and GLP-1/SGLT2 therapies save limbs and lives. 🚶♂️💊🫀 When walking hurts—or quietly fades—cardiovascular risk rises. PAD deserves the same urgency as coronary disease. #PeripheralArteryDisease...
info_outlineDr. RR Baliga's 'Podkast for the Kurious Doc'
🫀 What do the 2026 AHA Statistics really tell us? The latest AHA update makes one message unmistakably clear: prevention works—but only when systems work. From Life’s Essential 8 🧭 to the rise of cardiovascular–kidney–metabolic (CKM) health 🩺🧪, the data show that blood pressure control, sleep 😴, physical activity 🚶♂️, nutrition 🥗, and nicotine cessation 🚭 shape not only heart outcomes, but brain health 🧠, equity ⚖️, and healthcare costs 💰. The challenge ahead isn’t discovering new risk factors—it’s implementing what we...
info_outlineDr. RR Baliga's 'Podkast for the Kurious Doc'
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_outlineDr. RR Baliga's 'Podkast for the Kurious Doc'
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🔬 Confounding, Clarity, and Causality
Family-based biobanks 🧬 are the next frontier in genetic research—tackling bias 🧠, boosting causal inference 🎯, and revealing insights hidden in the noise of population studies 🌍. It’s not just about big data—it’s about better data 👨👩👧👦.