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๐Ÿฅƒ Small Sip, Big Risk: Rethinking Alcohol & Health show art ๐Ÿฅƒ Small Sip, Big Risk: Rethinking Alcohol & Health

Dr. Baliga's 'Podkasts for Curious Docs'

๐Ÿšจ New insights from Annals of Internal Medicine challenge long-held beliefs about alcohol ๐Ÿท and health ๐Ÿงฌ. A 2025 U.S. Surgeon General advisory links even modest drinking to increased cancer risk ๐ŸŽ—๏ธโ€”especially breast and oral cancers. Experts now urge clearer labeling, better patient counseling ๐Ÿฉบ, and culturally normalizing abstinence ๐ŸŒฑ. Is it time to rethink the โ€œglass of red wineโ€ advice? ๐Ÿง #PublicHealth #AlcoholAwareness #PreventiveMedicine #AnnalsOfIM

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Renal Nerves ๐Ÿ”ฅ Blood Pressure ๐Ÿ’‰ Device Therapy ๐Ÿš€ show art Renal Nerves ๐Ÿ”ฅ Blood Pressure ๐Ÿ’‰ Device Therapy ๐Ÿš€

Dr. Baliga's 'Podkasts for Curious Docs'

๐Ÿ’ก Renal Denervation: A New Era in Hypertension Care ๐Ÿฉบ   Despite decades of effective medications, only ~25% of patients worldwide achieve blood pressure control. Non-adherence remains a huge barrier. ๐Ÿ“‰   This Nature Reviews Cardiology article (Fisher & Kirtane, Sept 2025) explores the journey of renal denervation (RDN) โ€” from Smithwickโ€™s sympathectomy in the 1950s to todayโ€™s FDA-approved radiofrequency ๐Ÿ”ฅ and ultrasound ๐Ÿ”Š catheter systems.   โœ… Sham-controlled trials show RDN lowers BP by 5โ€“10 mmHg, similar to one effective antihypertensive drug. โœ…...

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Diverticulitis ๐Ÿ“Š๐Ÿ”ฌ๐Ÿ’Š: Patterns, Pitfalls, and Practice show art Diverticulitis ๐Ÿ“Š๐Ÿ”ฌ๐Ÿ’Š: Patterns, Pitfalls, and Practice

Dr. Baliga's 'Podkasts for Curious Docs'

๐Ÿ“˜ New Insights on Diverticulitis ๐Ÿ“Š๐Ÿ”ฌ๐Ÿ’Š Did you know that while 1โ€“4% of people with diverticulosis develop diverticulitis, it still accounts for ~200,000 hospitalizations annually in the US and >$6.3B in healthcare costs? ๐Ÿš‘๐Ÿ’ฐ โœ… CT scan remains the gold standard for diagnosis ๐Ÿ–ผ๏ธ โœ… Observation & pain control are first-line for uncomplicated cases ๐Ÿ’Š โœ… Antibiotics reserved for high-risk groups (elderly, immunocompromised, pregnant, systemic illness) โš ๏ธ โœ… Surgery indicated for recurrent or complicated cases (fistula, stricture, perforation) โœ‚๏ธ...

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Hypertension: Old Foe ๐ŸฅŠ, Novel Therapies ๐Ÿ›ก๏ธ, Brighter Outcomes ๐ŸŒˆ show art Hypertension: Old Foe ๐ŸฅŠ, Novel Therapies ๐Ÿ›ก๏ธ, Brighter Outcomes ๐ŸŒˆ

Dr. Baliga's 'Podkasts for Curious Docs'

๐Ÿšจ Hypertension remains the worldโ€™s #1 killer โ€” yet fewer than 1 in 4 patients achieve control.   ๐Ÿ’Š Exciting innovations are reshaping the field: โœ”๏ธ Aprocitentan (endothelin receptor antagonist) โ€“ first new class in decades โœ”๏ธ siRNA (zilebesiran) โ€“ 6-monthly dosing, tackling adherence โœ”๏ธ Aldosterone synthase inhibitors โ€“ overcoming โ€œaldosterone escapeโ€ โœ”๏ธ Non-steroidal MRAs & neprilysin inhibitors โ€“ precision targeting with broader benefits โœ”๏ธ Single-pill & quadpill combos โ€“ simplifying therapy, boosting adherence   ๐ŸŒ Together,...

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Dr RR Baliga's Philosophical Discourses: Ramanuja (India, 1017โ€“1137 CE) โ€“ Vishishtadvaita Vedanta show art Dr RR Baliga's Philosophical Discourses: Ramanuja (India, 1017โ€“1137 CE) โ€“ Vishishtadvaita Vedanta

Dr. Baliga's 'Podkasts for Curious Docs'

๐ŸŒŸ Ramanuja (1017โ€“1137 CE), one of Indiaโ€™s 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. ๐Ÿ•‰๏ธ๐Ÿ“–   ๐Ÿ’ก 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). โœจ   ๐Ÿ™ A reminder for todayโ€™s healthcare providers and leaders: true service blends knowledge, humility, and...

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๐Ÿ‘ฅ Risk, Representation, Reality: Rethinking CVD Research for 2 Billion South Asian Lives show art ๐Ÿ‘ฅ Risk, Representation, Reality: Rethinking CVD Research for 2 Billion South Asian Lives

Dr. Baliga's 'Podkasts for Curious Docs'

๐Ÿงฌ South Asians make up 25% of the worldโ€”yet 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. ๐Ÿ“‰ The data gap is realโ€”and itโ€™s limiting care.   ๐Ÿ” We need global trial designs that are inclusive, disaggregated, and powered for equity. Letโ€™s change the research playbook. ๐Ÿ’ก   #CardioTrials #SouthAsianHealth #DiversityInResearch #PrecisionMedicine #GlobalHealth ๐ŸŒ๐Ÿซ€๐Ÿ“Š

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๐Ÿ™๏ธ Steps, Cities, Change: How Urban Design Boosts Activity ๐Ÿšถโ€โ™‚๏ธ๐Ÿ“ˆ show art ๐Ÿ™๏ธ Steps, Cities, Change: How Urban Design Boosts Activity ๐Ÿšถโ€โ™‚๏ธ๐Ÿ“ˆ

Dr. Baliga's 'Podkasts for Curious Docs'

๐Ÿšถโ€โ™€๏ธ๐Ÿ“ฒ New research alert! A massive natural experiment tracking 7,447 relocations across 1,609 US cities reveals that urban walkability directly boosts physical activity ๐Ÿ™๏ธ๐Ÿ’ช   ๐Ÿ“ˆ Moving to more walkable cities increased daily steps by ~1,100 and doubled compliance with MVPA guidelines! ๐ŸŽฏ A powerful case for urban design as preventive medicine.   ๐Ÿ”— A must-read for public health advocates, city planners, and digital health innovators! #Walkability #UrbanHealth #DigitalEpidemiology #MVPA #SmartCities #BuiltEnvironment #PublicHealth ๐Ÿƒโ€โ™‚๏ธ๐ŸŒ†

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ENaC โš™๏ธ RAAS โšก Immunity ๐Ÿงฌ:  The Gender Divide in Hypertension show art ENaC โš™๏ธ RAAS โšก Immunity ๐Ÿงฌ: The Gender Divide in Hypertension

Dr. Baliga's 'Podkasts for Curious Docs'

๐Ÿง‚ Salt sensitivity of blood pressure (SSBP) is an independent risk factor for CVD.   ๐Ÿšน๐Ÿšบ Women are more salt-sensitive than men, especially after menopause. โš™๏ธ Key drivers: RAAS, ENaC, natriuresis, and immune pathways. ๐Ÿ’‰ Estrogen protects, testosterone raises pressure, menopause tips the balance.   ๐Ÿ€ From Dahlโ€™s rats to Connโ€™s syndrome, SSBP research shows why sex-specific, personalized therapy is the future of hypertension care.   ๐Ÿ”— Nature Reviews Cardiology

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Fatty Liver, Failing Heart, Future Risks ๐Ÿ”๐Ÿซ€โš ๏ธ show art Fatty Liver, Failing Heart, Future Risks ๐Ÿ”๐Ÿซ€โš ๏ธ

Dr. Baliga's 'Podkasts for Curious Docs'

Liver, Lipids, and the Left Ventricle ๐Ÿฉธ๐Ÿซ€๐Ÿงฌ   The NEJM review reminds us that fatty liver isnโ€™t just a liver problem. MASLD drives risk for heart disease, diabetes, kidney dysfunction, and even cancers. ๐Ÿšจ   Cardiovascular disease remains the leading cause of death in MASLDโ€”outpacing cirrhosis and cancer. ๐Ÿซ€๐Ÿ’”   With new tools like FIB-4, VCTE, ELF, and promising drugs such as resmetirom and GLP-1/GIP agonists, weโ€™re entering an era where treating the liver can protect the heart. ๐Ÿ’Š๐ŸŒฑ   #MASLD #LiverHeartConnection #NEJM #CardiometabolicHealth

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โš–๏ธ Switch or Stay? DOACs vs Warfarin in Frail AF Patients show art โš–๏ธ Switch or Stay? DOACs vs Warfarin in Frail AF Patients

Dr. Baliga's 'Podkasts for Curious Docs'

๐Ÿง“๐Ÿ’Š 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 ๐Ÿง ๐Ÿ›ก๏ธ, but raised gastrointestinal bleeding rates ๐Ÿฝ๏ธ๐Ÿฉธโ€”especially with certain agents. Sensitivity analyses show apixaban & edoxaban may offer a safer bleeding profile. These findings highlight the need for shared decision-making โš–๏ธ and integrated ABC pathway care โค๏ธ to balance prevention, safety, and patient...

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๐Ÿง“๐Ÿ’Š 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 ๐Ÿง ๐Ÿ›ก๏ธ, but raised gastrointestinal bleeding rates ๐Ÿฝ๏ธ๐Ÿฉธโ€”especially with certain agents.

Sensitivity analyses show apixaban & edoxaban may offer a safer bleeding profile.

These findings highlight the need for shared decision-making โš–๏ธ and integrated ABC pathway care โค๏ธ to balance prevention, safety, and patient preferences. #AFib #Cardiology #PrecisionMedicine