Dr. Baliga's 'Podkasts for Curious Docs'
๐จ New insights from Annals of Internal Medicine challenge long-held beliefs about alcohol ๐ท and health ๐งฌ. A 2025 U.S. Surgeon General advisory links even modest drinking to increased cancer risk ๐๏ธโespecially breast and oral cancers. Experts now urge clearer labeling, better patient counseling ๐ฉบ, and culturally normalizing abstinence ๐ฑ. Is it time to rethink the โglass of red wineโ advice? ๐ง #PublicHealth #AlcoholAwareness #PreventiveMedicine #AnnalsOfIM
info_outlineDr. Baliga's 'Podkasts for Curious Docs'
๐ก Renal Denervation: A New Era in Hypertension Care ๐ฉบ Despite decades of effective medications, only ~25% of patients worldwide achieve blood pressure control. Non-adherence remains a huge barrier. ๐ This Nature Reviews Cardiology article (Fisher & Kirtane, Sept 2025) explores the journey of renal denervation (RDN) โ from Smithwickโs sympathectomy in the 1950s to todayโs FDA-approved radiofrequency ๐ฅ and ultrasound ๐ catheter systems. โ Sham-controlled trials show RDN lowers BP by 5โ10 mmHg, similar to one effective antihypertensive drug. โ ...
info_outlineDr. Baliga's 'Podkasts for Curious Docs'
๐ New Insights on Diverticulitis ๐๐ฌ๐ Did you know that while 1โ4% of people with diverticulosis develop diverticulitis, it still accounts for ~200,000 hospitalizations annually in the US and >$6.3B in healthcare costs? ๐๐ฐ โ CT scan remains the gold standard for diagnosis ๐ผ๏ธ โ Observation & pain control are first-line for uncomplicated cases ๐ โ Antibiotics reserved for high-risk groups (elderly, immunocompromised, pregnant, systemic illness) โ ๏ธ โ Surgery indicated for recurrent or complicated cases (fistula, stricture, perforation) โ๏ธ...
info_outlineDr. Baliga's 'Podkasts for Curious Docs'
๐จ Hypertension remains the worldโs #1 killer โ yet fewer than 1 in 4 patients achieve control. ๐ Exciting innovations are reshaping the field: โ๏ธ Aprocitentan (endothelin receptor antagonist) โ first new class in decades โ๏ธ siRNA (zilebesiran) โ 6-monthly dosing, tackling adherence โ๏ธ Aldosterone synthase inhibitors โ overcoming โaldosterone escapeโ โ๏ธ Non-steroidal MRAs & neprilysin inhibitors โ precision targeting with broader benefits โ๏ธ Single-pill & quadpill combos โ simplifying therapy, boosting adherence ๐ Together,...
info_outlineDr. Baliga's 'Podkasts for Curious Docs'
๐ Ramanuja (1017โ1137 CE), one of Indiaโs greatest theologians, shaped Vishishtadvaita Vedanta (Qualified Non-Dualism). His vision of Atman (self) and Brahman (supreme reality), united through bhakti (devotion), transformed Hindu theology and inspired generations. ๐๏ธ๐ ๐ก His commentaries on the Upanishads, Bhagavad Gita, and Brahma Sutras laid the foundation of Sri Vaishnavism and emphasized a path of devotion, grace, and liberation (moksha). โจ ๐ A reminder for todayโs healthcare providers and leaders: true service blends knowledge, humility, and...
info_outlineDr. Baliga's 'Podkasts for Curious Docs'
๐งฌ South Asians make up 25% of the worldโyet just 3% of major cardiovascular trials. A new systematic review (310 RCTs, 1M+ participants) reveals stark underrepresentation, especially outside India. No South Asians in trials for heart failure, cardiac arrest, or valvular disease. ๐ The data gap is realโand itโs limiting care. ๐ We need global trial designs that are inclusive, disaggregated, and powered for equity. Letโs change the research playbook. ๐ก #CardioTrials #SouthAsianHealth #DiversityInResearch #PrecisionMedicine #GlobalHealth ๐๐ซ๐
info_outlineDr. Baliga's 'Podkasts for Curious Docs'
๐ถโโ๏ธ๐ฒ New research alert! A massive natural experiment tracking 7,447 relocations across 1,609 US cities reveals that urban walkability directly boosts physical activity ๐๏ธ๐ช ๐ Moving to more walkable cities increased daily steps by ~1,100 and doubled compliance with MVPA guidelines! ๐ฏ A powerful case for urban design as preventive medicine. ๐ A must-read for public health advocates, city planners, and digital health innovators! #Walkability #UrbanHealth #DigitalEpidemiology #MVPA #SmartCities #BuiltEnvironment #PublicHealth ๐โโ๏ธ๐
info_outlineDr. Baliga's 'Podkasts for Curious Docs'
๐ง Salt sensitivity of blood pressure (SSBP) is an independent risk factor for CVD. ๐น๐บ Women are more salt-sensitive than men, especially after menopause. โ๏ธ Key drivers: RAAS, ENaC, natriuresis, and immune pathways. ๐ Estrogen protects, testosterone raises pressure, menopause tips the balance. ๐ From Dahlโs rats to Connโs syndrome, SSBP research shows why sex-specific, personalized therapy is the future of hypertension care. ๐ Nature Reviews Cardiology
info_outlineDr. Baliga's 'Podkasts for Curious Docs'
Liver, Lipids, and the Left Ventricle ๐ฉธ๐ซ๐งฌ The NEJM review reminds us that fatty liver isnโt just a liver problem. MASLD drives risk for heart disease, diabetes, kidney dysfunction, and even cancers. ๐จ Cardiovascular disease remains the leading cause of death in MASLDโoutpacing cirrhosis and cancer. ๐ซ๐ With new tools like FIB-4, VCTE, ELF, and promising drugs such as resmetirom and GLP-1/GIP agonists, weโre entering an era where treating the liver can protect the heart. ๐๐ฑ #MASLD #LiverHeartConnection #NEJM #CardiometabolicHealth
info_outlineDr. Baliga's 'Podkasts for Curious Docs'
๐ง๐ The COMBINE-AF substudy offers important guidance for managing frail, elderly, VKA-experienced patients with atrial fibrillation. Switching to standard-dose DOACs reduced stroke/systemic embolism risk and cut intracranial & fatal bleeding ๐ง ๐ก๏ธ, but raised gastrointestinal bleeding rates ๐ฝ๏ธ๐ฉธโespecially with certain agents. Sensitivity analyses show apixaban & edoxaban may offer a safer bleeding profile. These findings highlight the need for shared decision-making โ๏ธ and integrated ABC pathway care โค๏ธ to balance prevention, safety, and patient...
info_outline๐ Fabry Disease & the Heart ๐ซ
A rare genetic condition with a big cardiac footprintโFabry disease can cause left ventricular hypertrophy, arrhythmias, microvascular angina, and heart failure even when ejection fraction is preserved.
๐ Early detection is key โ Genetic testing, advanced imaging (CMR with T1 mapping, strain echocardiography), and awareness of โred flagโ signs can change outcomes.
๐ Therapies are evolving โ From enzyme replacement therapy to migalastat, and promising gene and substrate reduction approaches, science is bringing new hope.
๐ Letโs spread awareness, support advocacy, and push for earlier diagnosis to prevent irreversible heart damage.
#FabryDisease #Cardiology #RareDisease #Genomics #HeartHealth #MedicalImaging