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πŸ₯ƒ Small Sip, Big Risk: Rethinking Alcohol & Health show art πŸ₯ƒ Small Sip, Big Risk: Rethinking Alcohol & Health

Dr. Baliga's 'Podkasts for Curious Docs'

🚨 New insights from Annals of Internal Medicine challenge long-held beliefs about alcohol 🍷 and health 🧬. A 2025 U.S. Surgeon General advisory links even modest drinking to increased cancer risk πŸŽ—οΈβ€”especially breast and oral cancers. Experts now urge clearer labeling, better patient counseling 🩺, and culturally normalizing abstinence 🌱. Is it time to rethink the β€œglass of red wine” advice? 🧐 #PublicHealth #AlcoholAwareness #PreventiveMedicine #AnnalsOfIM

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Renal Nerves πŸ”₯ Blood Pressure πŸ’‰ Device Therapy πŸš€ show art Renal Nerves πŸ”₯ Blood Pressure πŸ’‰ Device Therapy πŸš€

Dr. Baliga's 'Podkasts for Curious Docs'

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

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Diverticulitis πŸ“ŠπŸ”¬πŸ’Š: Patterns, Pitfalls, and Practice show art Diverticulitis πŸ“ŠπŸ”¬πŸ’Š: Patterns, Pitfalls, and Practice

Dr. Baliga's 'Podkasts for Curious Docs'

πŸ“˜ New Insights on Diverticulitis πŸ“ŠπŸ”¬πŸ’Š Did you know that while 1–4% of people with diverticulosis develop diverticulitis, it still accounts for ~200,000 hospitalizations annually in the US and >$6.3B in healthcare costs? πŸš‘πŸ’° βœ… CT scan remains the gold standard for diagnosis πŸ–ΌοΈ βœ… Observation & pain control are first-line for uncomplicated cases πŸ’Š βœ… Antibiotics reserved for high-risk groups (elderly, immunocompromised, pregnant, systemic illness) ⚠️ βœ… Surgery indicated for recurrent or complicated cases (fistula, stricture, perforation) βœ‚οΈ...

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Hypertension: Old Foe πŸ₯Š, Novel Therapies πŸ›‘οΈ, Brighter Outcomes 🌈 show art Hypertension: Old Foe πŸ₯Š, Novel Therapies πŸ›‘οΈ, Brighter Outcomes 🌈

Dr. Baliga's 'Podkasts for Curious Docs'

🚨 Hypertension remains the world’s #1 killer β€” yet fewer than 1 in 4 patients achieve control.   πŸ’Š Exciting innovations are reshaping the field: βœ”οΈ Aprocitentan (endothelin receptor antagonist) – first new class in decades βœ”οΈ siRNA (zilebesiran) – 6-monthly dosing, tackling adherence βœ”οΈ Aldosterone synthase inhibitors – overcoming β€œaldosterone escape” βœ”οΈ Non-steroidal MRAs & neprilysin inhibitors – precision targeting with broader benefits βœ”οΈ Single-pill & quadpill combos – simplifying therapy, boosting adherence   🌍 Together,...

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

Dr. Baliga's 'Podkasts for Curious Docs'

🌟 Ramanuja (1017–1137 CE), one of India’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. πŸ•‰οΈπŸ“–   πŸ’‘ 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). ✨   πŸ™ A reminder for today’s healthcare providers and leaders: true service blends knowledge, humility, and...

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πŸ‘₯ Risk, Representation, Reality: Rethinking CVD Research for 2 Billion South Asian Lives show art πŸ‘₯ Risk, Representation, Reality: Rethinking CVD Research for 2 Billion South Asian Lives

Dr. Baliga's 'Podkasts for Curious Docs'

🧬 South Asians make up 25% of the worldβ€”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. πŸ“‰ The data gap is realβ€”and it’s limiting care.   πŸ” We need global trial designs that are inclusive, disaggregated, and powered for equity. Let’s change the research playbook. πŸ’‘   #CardioTrials #SouthAsianHealth #DiversityInResearch #PrecisionMedicine #GlobalHealth πŸŒπŸ«€πŸ“Š

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πŸ™οΈ Steps, Cities, Change: How Urban Design Boosts Activity πŸšΆβ€β™‚οΈπŸ“ˆ show art πŸ™οΈ Steps, Cities, Change: How Urban Design Boosts Activity πŸšΆβ€β™‚οΈπŸ“ˆ

Dr. Baliga's 'Podkasts for Curious Docs'

πŸšΆβ€β™€οΈπŸ“² New research alert! A massive natural experiment tracking 7,447 relocations across 1,609 US cities reveals that urban walkability directly boosts physical activity πŸ™οΈπŸ’ͺ   πŸ“ˆ Moving to more walkable cities increased daily steps by ~1,100 and doubled compliance with MVPA guidelines! 🎯 A powerful case for urban design as preventive medicine.   πŸ”— A must-read for public health advocates, city planners, and digital health innovators! #Walkability #UrbanHealth #DigitalEpidemiology #MVPA #SmartCities #BuiltEnvironment #PublicHealth πŸƒβ€β™‚οΈπŸŒ†

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ENaC βš™οΈ RAAS ⚑ Immunity 🧬:  The Gender Divide in Hypertension show art ENaC βš™οΈ RAAS ⚑ Immunity 🧬: The Gender Divide in Hypertension

Dr. Baliga's 'Podkasts for Curious Docs'

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

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Fatty Liver, Failing Heart, Future Risks πŸ”πŸ«€βš οΈ show art Fatty Liver, Failing Heart, Future Risks πŸ”πŸ«€βš οΈ

Dr. Baliga's 'Podkasts for Curious Docs'

Liver, Lipids, and the Left Ventricle πŸ©ΈπŸ«€πŸ§¬   The NEJM review reminds us that fatty liver isn’t just a liver problem. MASLD drives risk for heart disease, diabetes, kidney dysfunction, and even cancers. 🚨   Cardiovascular disease remains the leading cause of death in MASLDβ€”outpacing cirrhosis and cancer. πŸ«€πŸ’”   With new tools like FIB-4, VCTE, ELF, and promising drugs such as resmetirom and GLP-1/GIP agonists, we’re entering an era where treating the liver can protect the heart. πŸ’ŠπŸŒ±   #MASLD #LiverHeartConnection #NEJM #CardiometabolicHealth

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βš–οΈ Switch or Stay? DOACs vs Warfarin in Frail AF Patients show art βš–οΈ Switch or Stay? DOACs vs Warfarin in Frail AF Patients

Dr. Baliga's 'Podkasts for Curious Docs'

πŸ§“πŸ’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 πŸ§ πŸ›‘οΈ, but raised gastrointestinal bleeding rates πŸ½οΈπŸ©Έβ€”especially with certain agents. Sensitivity analyses show apixaban & edoxaban may offer a safer bleeding profile. These findings highlight the need for shared decision-making βš–οΈ and integrated ABC pathway care ❀️ to balance prevention, safety, and patient...

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πŸ§‚ Salt sensitivity of blood pressure (SSBP) is an independent risk factor for CVD.

 

🚹🚺 Women are more salt-sensitive than men, especially after menopause.

βš™οΈ Key drivers: RAAS, ENaC, natriuresis, and immune pathways.

πŸ’‰ Estrogen protects, testosterone raises pressure, menopause tips the balance.

 

πŸ€ From Dahl’s rats to Conn’s syndrome, SSBP research shows why sex-specific, personalized therapy is the future of hypertension care.

 

πŸ”— Nature Reviews Cardiology